Financial work with the queue attached
Review revenue signals, aging, unbilled visits, claims, and patient balances from a connected billing workspace.
Explore this workflowBilling and insurance
ClinicPro360 connects invoices, line items, patient payments, diagnosis codes, claims, eligibility work, ERA review, and reconciliation to the clinic and patient context behind each transaction. The biller works from the visit record instead of a re-keyed copy of it.
Product view
Revenue and accounts-receivable summaries sit above the operational queues that need attention.
Review revenue signals, aging, unbilled visits, claims, and patient balances from a connected billing workspace.
Explore this workflowCompare collections, payer mix, service revenue, and change over time with the filters and source context still visible.
Explore this workflowIntegration setup
Payment processing, claims, and insurance exchange connect through clinic-specific accounts and settings. During onboarding, we confirm which billing and clearinghouse connections your practice uses, who owns each account, and what setup is required.
Patient billing
Billing in ClinicPro360 starts where the money was earned: the appointment. The biller opens the visit record with patient, clinician, service, and date already attached, adds line items and rates, and sends the invoice — no second system, no re-keyed visit details, no guessing which session a payment belongs to. When the practice owner asks what is outstanding, the answer is a filtered view, not a reconciliation project.
Invoice workflows connect the patient, appointment, clinician, dates, services, quantities, rates, and payment state.
Billing dashboards and activity components organize recent financial events, statuses, and date-based review.
Organization billing and payment settings are distinct from ClinicPro360 practice-subscription packaging.
Insurance operations
As a visible queue with four stages: the claim assembles from the visit record, validation catches missing information before submission, payer responses return to the application, and exceptions stay on a worklist until someone resolves them. Submission is a step, not the finish line.
The claim workflow brings together organization, patient, coverage, provider, diagnosis, service line, and place-of-service details — pulled from the records the visit already created.
Validation and error mapping help staff correct required information before data is handed to a configured clearinghouse connection, so preventable rejections get caught in-house.
Claim-status and ERA-related workflows create paths for response and payment information to return to the application, next to the claim it belongs to.
Insurance and payment surfaces expose unresolved work rather than treating submission as completion — a denied claim is a queue item with an owner, not a surprise at month-end.
Connected financial services
Organization-scoped payment settings keep each practice's merchant connection, payment activity, and billing workflow distinct.
Clearinghouse setup covers account ownership, credentials, submission behavior, response handling, and staff responsibility for exceptions.
Define account ownership, access, reconciliation, retention, and incident procedures as part of billing onboarding.
The group practice operations guide covers how disciplined practices design the handoff from completed visit to clean claim — worth reading before you restructure billing roles.
Read the group practice operations guideBilling capability is one line in the software budget. The 2026 cost guide converts published vendor prices — including per-claim and add-on fees — into annual totals by practice size.
What the software actually costs by practice sizeConnected handoffs
Clean financial work depends on the same visit and patient context the rest of the clinic already created — schedule, chart, portal, and messages.
Build invoices and claims from appointment services, clinician, date, and location instead of reconstructing the visit from memory.
Keep demographics, coverage details, and billing history on the same patient record the financial queues reference.
Completed visits that still need notes stay visible so billing is not chasing undocumented sessions at month-end.
Patients view balances and pay through the portal while payment status lands next to the staff invoice.
Resolve billing questions in a patient-linked conversation rather than a shared billing mailbox with no record context.
Billing FAQ
Yes, from the Professional plan up. Professional ($149/mo) includes insurance billing and superbills; Elite ($299/mo) adds electronic claim submission through a configured clearinghouse connection, with claim status and ERA information returning to the application. Essentials covers patient billing — invoices, line items, and payments.
Yes. Superbills are included from the Professional plan up, generated from the same visit record that drives the rest of billing — patient, clinician, service, diagnosis, and dates — so out-of-network patients get accurate documentation for reimbursement without extra assembly work.
Through your practice's own merchant connection. Payment processing is organization-scoped and configured during onboarding, so funds, payment activity, and account ownership belong to the practice. Patients can pay through the portal, and payment status lands next to the invoice it settles.
Nothing per claim and nothing per clinician. Patient billing is included in Essentials at $59 per month, insurance billing and superbills arrive with Professional at $149, and the clearinghouse connection with Elite at $299 — all flat per practice. Payment processing runs on your own merchant account and its standard rates.
Related terms
The glossary defines the revenue and claims concepts behind these workflows in plain language.
An itemized statement of services and codes that out-of-network patients may use to seek reimbursement from their insurer.
Read the superbill definitionThe end-to-end process of capturing charges, submitting claims or invoices, collecting payment, and reconciling exceptions.
Read the RCM definitionAn intermediary that routes electronic claims and related transactions between providers and payers.
Read the clearinghouse definitionChecking a patient's coverage and benefits before a visit to reduce claim surprises and patient balance confusion.
Read the eligibility verification definitionChoose an unpaid invoice, claim correction, ERA response, or patient-payment scenario and evaluate the handoffs end to end.