VProGo Billing Capabilities
A complete billing platform built for behavioral health operations.
Full RCM Platform
Charges, claims, payments, denials, ERA processing, and AR aging in one system.
Payment Prediction Engine
Predict what insurance will pay with 8-tier confidence scoring before admission.
Billing Company Portal
Manage 10-50+ facilities from one account with consolidated billing views.
Data Sharing Controls
Fine-grained permissions between facilities and billing companies.
Multi-Facility Consolidation
See all facilities' billing metrics in one dashboard, drill down as needed.
ClaimMD Clearinghouse Integration
Direct integration for claim submission, ERA retrieval, and payer search.
Credentialing Management
Template library, per-facility tracking, and status lifecycle automation.
ERA Auto-Posting
Rules-based automatic payment posting directly from ERA files.
Real-Time VOB Integration
pVerify integration runs directly from billing workflow—no manual steps.
Denial Management
Track denial codes, manage appeals, and monitor resolution status.
Connected to Operations
Billing context includes admissions pipeline, referrals, census, and patient data.
Clearinghouse Flexibility
ClaimMD now, Waystar in development. Not locked into one clearinghouse.
Feature Comparison
How VProGo's integrated billing platform compares to standalone billing solutions.
| Feature | VProGo | Standalone Billing |
|---|---|---|
| Full RCM (Charges → ERA Processing) | ||
| Direct Clearinghouse Integration | ||
| Payment Prediction Engine | ||
| Billing Company Portal (Multi-Facility) | ||
| Connected to Admissions Pipeline | ||
| Connected to Referral Lifecycle | ||
| Census Hub Integration | ||
| Real-Time VOB from Billing Workflow | ||
| Multi-Facility Consolidated Dashboard | ||
| ERA Auto-Posting | ||
| Denial Management & Appeal Tracking | ||
| Credentialing Management | ||
| Data Sharing Controls (Facility ↔ Billing Co) | ||
| Holding Facility Management | ||
| Patient Engagement Portal | ||
| Payment Prediction API for Partners | ||
| Cross-Facility VOB Batching | ||
| Clearinghouse Abstraction (Multi-Clearinghouse) | ||
| Push Notifications for Billing Events | ||
| Configurable Analytics with Scheduled Reports |
Why VProGo Is Different
A Billing Company Portal That Doesn't Exist Anywhere Else
VProBilling is purpose-built for billing companies managing 10-50+ facilities. Direct clearinghouse access, cross-facility VOB, consolidated revenue, credentialing, and data sharing controls—all in one account. Nobody else has this because nobody else designed specifically for the billing company workflow. Billing companies get visibility and control without duplicating data across separate logins.
Predict What Insurance Will Pay — Then Bill for It
Payment prediction feeds directly into billing operations. Know expected payment at the point of referral, then track actual payments against predictions after billing. Closes the loop between prediction and collections. Variance analysis shows which payors are paying as expected and which require closer attention. Financial forecasting becomes data-driven instead of guesswork.
Billing Connected to Admissions, Referrals, and Census
Standalone billing tools only see claims. VProGo's billing sees the full patient journey: which referral source brought them, what their VOB showed, how long they stayed, what level of care they received, and whether they had comorbidities. Context makes billing smarter—you're not just processing claims, you're optimizing revenue based on operational reality.
Clearinghouse Flexibility — Not Locked In
Architecture supports swapping clearinghouses per facility without losing data integrity. ClaimMD is the current integration, Waystar is in development. Facilities aren't locked into one clearinghouse relationship. If a better option emerges, or if one clearinghouse stops serving behavioral health well, you can switch without rip-and-replace.
Explore Other Platform Capabilities
Frequently Asked Questions
Does VProGo replace my billing software?
Yes. VProGo is a full RCM platform, not a module. It handles charges, claims, payments, denials, ERA processing, AR aging, credentialing, and more. ClaimMD clearinghouse is integrated directly. You don't need separate billing software.
What is VProBilling?
VProBilling is a separate portal purpose-built for billing companies managing multiple treatment facilities. One account handles 10-50+ facilities with consolidated dashboards, per-facility drill-down, direct clearinghouse access, credentialing management, and granular data sharing controls. It's the operations center for billing company workflows.
How does payment prediction connect to billing?
Prediction runs at the point of referral, showing likely insurance payor and expected payment with confidence tiers. After billing, actual payments are tracked against predictions for variance analysis. This closes the loop between admission and collections, helping you forecast accurately and optimize for payors who consistently underpay.
Can billing companies manage multiple facilities in one account?
Yes. Billing companies use VProBilling to see all facilities' billing metrics in one consolidated view. They can drill down to individual facility details, run cross-facility VOB batches, manage credentialing across facilities, and control data sharing permissions between their company and each facility.
What clearinghouse does VProGo use?
ClaimMD is currently integrated for claim submission, ERA retrieval, and payer search. Waystar integration is in development. The architecture supports multiple clearinghouses per facility, so facilities aren't locked into one relationship and can switch without data loss.
Is VProGo HIPAA compliant for billing?
Yes. Full audit logging, role-level security (RLS), encryption in transit and at rest, and SOC 2 audit trail for data destruction. Billing data gets the same security rigor as clinical data.
See the Full Billing Platform in Action
Schedule a demo to see how VProGo's connected billing platform works for your organization.
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