VProGo

Getting your facility ready…

Your EMR Handles Clinical. VProGo Runs Your Business.

EMRs are built for clinical documentation — charting, utilization review, group notes, labs. Running a treatment center requires a completely different set of tools: referral lifecycle management, payment prediction, billing with clearinghouse access, patient engagement, business development, and multi-facility operations. That's VProGo.

Integrates directly with Kipu, Sunwave, and Alleva — your clinical workflow stays in the EMR.

Everything Your EMR Wasn't Designed to Do

12 operational capabilities that EMR platforms don't provide — because they were built for a different purpose.

Multidirectional Referral Lifecycle

Patients in behavioral health don't follow a straight line. They step up, step down, transfer between facilities, get re-referred, and return from alumni status. VProGo tracks every direction with full attribution across the entire patient journey.

Working Referrals — Built for Admissions

Not a sales pipeline. Working referrals are purpose-built for behavioral health admissions — tracking VOB status, bed availability, clinical screening, authorization, and intake coordination in a Kanban view designed for admissions teams.

Payment Prediction Engine

8-tier confidence scoring predicts what insurance will actually pay before you admit. Cross-facility pooled claims data, denial risk analysis, VOB quality signals, and payer trend analysis. No EMR platform has anything like this.

Full Billing Platform with Clearinghouse

Complete RCM: charge generation, claim scrubbing, ClaimMD clearinghouse submission, ERA auto-posting, denial management, AR aging. Plus a separate billing company portal for billing companies managing multiple facilities.

Patient Engagement — Peri-Treatment Through Post-Discharge

VProMove is a PWA (web, desktop, mobile) that engages patients during treatment and after discharge. Check-ins, journal, messaging, milestones, gamification with streaks and badges, automated engagement workflows, and risk scoring.

Multi-Facility Dashboard

Operators and C-suite see all facilities in one view. Location-level census, revenue, referrals, team performance, bed utilization, and occupancy rates. Manage 1 or 50 facilities from the same dashboard.

Dual Call Tracking

Integrated call tracking with CTM (primary) and CallRail — unified in your CRM dashboard. Every call tied to a referral source with attribution and ROI tracking.

Real-Time VOB Verification

Instant insurance eligibility verification via pVerify with structured coverage data: deductibles, OOP maximums, coinsurance, prior auth requirements. Batch VOB across multiple facilities from the billing portal.

Email & SMS Campaigns

Full email system with multi-account support (SMTP, Gmail, Outlook), templates with merge fields, open/click tracking, domain verification. SMS via Twilio with RCS, campaigns, consent management, and delivery analytics.

Intelligent Fax Intake with OCR

Referral faxes are still the #1 intake method in behavioral health. Auto-receive via eFax, OCR text extraction, searchable archive, priority flags, and staff assignment. Paper referrals become digital records automatically.

Granular Security & Compliance

Feature-level RBAC permissions, 2FA with trusted devices, full audit logging with specialized audit functions per module, session management, and impersonation for debugging — all HIPAA compliant.

7-Tab Analytics Dashboard

Executive, pipeline, census, revenue, referral sources, team performance, and alumni engagement — with drill-down, scheduled email reports, configurable alert thresholds, and CSV/PDF export.

VProGo vs EMR Operations Modules

EMRs have CRM modules and billing add-ons. Here's what a purpose-built operations platform actually delivers.

Operational CapabilityVProGoEMR Platforms
Multidirectional Referral Lifecycle
Working Referrals for Behavioral Health Admissions
Payment Prediction Engine (8-Tier Confidence)
Full Billing Platform with Clearinghouse Access
Billing Company Portal (Multi-Facility)
Patient Engagement Portal (Peri-Treatment + Post-Discharge)
Automated Alumni Engagement Workflows
Real-Time VOB via pVerify + Clearinghouse
Multi-Facility Operations Dashboard
Dual Call Tracking (CTM + CallRail)
CRM with Referral Source Management
Email System (Multi-Account, Tracking, Templates)
SMS Campaigns with Consent Management
Intelligent Fax Intake with OCR
E-Signatures (DocuSeal)
Digital Business Cards with QR Lead Capture
Expense Management with Policy Enforcement
Gamification (Streaks, Badges, Milestones)
Prediction API — Licensed Plugin for Partners
7-Tab Analytics with Scheduled Reports
Lead Grading (A/B/C/D) with Conversion Tracking
Salesforce Bi-Directional Sync
Google + Outlook Calendar Sync
Push Notifications (Web Push via Service Worker)
Credentialing Management

✓ = Full capability   − = Limited/partial   ✗ = Not available

Why This Matters for Your Facility

Working Referrals Replace Sales Pipelines

EMR platforms bolt on CRM modules that model a sales funnel: lead → qualified → closed. That's not how behavioral health admissions work. A patient might need VOB verification, clinical screening, prior authorization, bed assignment, and intake coordination — all happening simultaneously with multiple team members. VProGo's working referral system is built for exactly this workflow, with real-time Kanban views showing every referral's status across every step of the admissions process.

Predict What Insurance Will Pay — Before You Admit

VProGo's payment prediction engine uses 8 tiers of confidence scoring: contract rates, historical claims data, denial risk, trend analysis, seasonal adjustment, VOB quality signals, plan intelligence, and payer parent fallback. It draws from a cross-facility anonymized data pool that gets smarter as more facilities participate. No EMR, CRM, or billing tool has anything comparable — because it requires the intersection of billing data, claims history, and real-time VOB data that only an integrated operations platform can provide.

A Billing Company Portal That Actually Exists

VProBilling is a separate portal purpose-built for billing companies that manage multiple treatment facilities. Direct clearinghouse access, cross-facility VOB, consolidated revenue dashboards, credentialing management, and data sharing controls. Billing companies can manage 50 facilities from one account. No other platform in behavioral health has this — because they weren't designed for the billing company workflow.

BD Team and Admissions Pipeline — Connected Through Census

Your business development team tracks referral sources, logs interactions, and builds relationships. Your admissions team manages the intake pipeline. In most platforms, these are disconnected modules. In VProGo, the CRM feeds directly into the working referral system, which integrates with the Census Hub for real-time bed availability. Your BD rep knows which locations have beds before they take the referral call.

How VProGo Works with Your EMR

Your clinical workflow stays in the EMR. VProGo handles everything around it.

1

Referral comes in via fax, call, email, or web form

VProGo CRM + Fax Intake

2

Working referral created — VOB verified, payment predicted

VProGo Admissions + VPro Predict

3

Bed assigned, intake coordinated across teams

VProGo Census Hub + Admissions Pipeline

4

Patient admitted — clinical care managed

Your EMR (Kipu / Sunwave / Alleva)

5

Billing processed through clearinghouse

VProGo Billing / VProBilling

6

Patient engages throughout treatment and after discharge

VProMove Patient Portal

Frequently Asked Questions

Does VProGo replace my EMR?

No — and it doesn't need to. VProGo integrates directly with Kipu, Sunwave, and Alleva via native API integrations. Your clinical team stays in the EMR for documentation, utilization review, and group notes. VProGo handles everything the EMR wasn't designed for: referral lifecycle management, payment prediction, full billing operations, patient engagement, business development CRM, multi-facility operations, and analytics.

What is a "working referral" and how is it different from a lead?

A lead is a name and phone number. A working referral is an active admissions case with VOB status, clinical screening results, bed assignment, authorization tracking, intake coordination notes, and team assignments — all visible in a Kanban board built for admissions teams. It's the difference between a sales pipeline and an admissions workflow. Behavioral health admissions require coordination across multiple departments simultaneously, not a linear sales funnel.

How does payment prediction work?

VProGo's prediction engine analyzes 8 tiers of data: contract rates, historical claims across facilities, denial risk by payer, payment trends, seasonal patterns, real-time VOB quality signals, plan type intelligence, and payer parent hierarchies. The result is a confidence-scored estimate of what insurance will actually pay — before you admit the patient. The model improves over time through a learning flywheel as more data flows through the system.

Can billing companies use VProGo?

Yes — VProBilling is a separate portal specifically designed for billing companies. It provides direct clearinghouse access (ClaimMD), cross-facility VOB batching, consolidated revenue dashboards, credentialing management, data sharing controls, and multi-facility oversight. Billing companies can manage all their assigned facilities from one account with their own audit trail.

What integrations does VProGo support?

VProGo has 15+ live integrations: Kipu, Sunwave, and Alleva (EMR), Dazos (CRM sync), ClaimMD (clearinghouse), pVerify (VOB), CTM and CallRail (call tracking), Salesforce (bi-directional CRM), Twilio (SMS/MMS/RCS), eFax (fax), Resend and Microsoft Graph (email), Google and Outlook Calendar, DocuSeal (e-signatures), Google Places (reviews), and Zoho Expense. The clearinghouse abstraction layer also supports adding new clearinghouses — Waystar integration is in development.

Is VProGo HIPAA compliant?

Yes. VProGo is built on Supabase (PostgreSQL) with row-level security, encrypted at rest and in transit. The payment prediction engine uses HIPAA-compliant data destruction — raw claims are destroyed after aggregation, with only statistical distributions retained. An import destruction log provides SOC 2 audit trail. The pooled prediction data contains zero PHI. Policy numbers are stored as SHA-256 hashes only.

See the Full Operations Platform

30-minute demo. See referral lifecycle, payment prediction, billing, and patient engagement in action.

Ready to Simplify Your Operations?

Contact us to schedule a demo and see VProGo in action.