Claims without readiness checks
Missing credentials, authorization gaps, and documentation failures surface at denial — after the work is done and the submission is already rejected.
PayDoc
Complete visibility on every cent — from claim to cash to GL.
Healthcare billing, RCM, clearinghousePayDoc is the horizontal billing and revenue cycle module — claim scrubbing, EDI submission, ERA ingestion, remittance posting, denial management, credentialing, and GL reconciliation, for every clinical area on the Aegis platform.
Most healthcare billing problems are workflow problems.
ERA arrives, posting is manual
Remittances processed outside the billing system create reconciliation gaps. Manual posting introduces timing errors and breaks GL traceability.
Credentialing in spreadsheets
Stale payer credentials and expired licenses create silent eligibility failures. By the time a claim rejects, the root cause is weeks old.
Claim-to-cash-to-GL in one operating layer.
Every step from payer credential through posted payment and GL entry runs in PayDoc. No external handoffs, no reconciliation gaps between systems.
PayDoc capabilities
Every capability is live in production.
837P claim building
Constructs compliant ANSI X12 837P transactions from clinical and authorization data. Validates segments and loop structure before transmission.
835 ERA parsing
Full 835 remittance parsing including PLB provider-level adjustment support. Correlates each CLP/SVC loop against submitted claims.
999/277CA acknowledgement
Processes functional acknowledgements and claim status responses. Surfaces acceptance, rejection, and acknowledgement failures in the RCM workbench.
Claim scrubber
Readiness checks run before submission — not after rejection. Identifies missing authorization, credential gaps, diagnosis/procedure conflicts, and documentation failures.
Payer routing
Payer-aware routing through the Aegis clearinghouse. Configurable per payer ID, clinical area, and enrollment status.
Aegis clearinghouse
PayDoc includes Aegis's own production EDI clearinghouse — not a third-party relay. Payer routing, transaction acknowledgement, and ERA delivery run through Aegis infrastructure.
ERA ingestion
Automated processing of inbound 835 remittance files against submitted claims. No manual import step, no spreadsheet intermediary.
Remittance posting
Payment posting with automatic GL entry generation. Each posted remittance produces a traceable double-entry ledger record.
Denial management
Reason code triage, appeal tracking, and write-off decisions in a structured workflow. Denials surface in the RCM workbench for actioning, not email.
GL reconciliation
Remittances reconcile against the double-entry general ledger. Unmatched amounts, PLB adjustments, and contractual adjustments are all accounted for.
Credentialing
Payer enrollment tracking, provider license status, and expiry monitoring. Credential state is visible before a claim is built, not after it rejects.
RCM workbench
Claims, remittances, denials, and reconciliation in one operational interface. One place for billers to triage, post, appeal, and close the revenue cycle.
Clearinghouse
Aegis's own clearinghouse.
PayDoc includes Aegis's production EDI clearinghouse — not a third-party relay. Payer routing, transaction acknowledgement, and ERA delivery run through Aegis infrastructure.
Operating your own clearinghouse means transaction traceability from the moment a claim leaves the scrubber to the moment the 835 posts to the ledger. No black-box relay, no external dependency on claim status, no separate clearinghouse vendor to reconcile against.
The clearinghouse is a first-class PayDoc component — payer routing rules, acknowledgement processing, and ERA delivery are all configured and monitored inside the same RCM workbench that manages denials and GL entries.
Aegis Clearinghouse
Production
837P transmission
Active
Payer routing
Configured
999 acknowledgement
Processing
277CA claim status
Processing
835 ERA delivery
Active
PLB support
Included
Third-party relay
None
PayDoc is horizontal — every clinical area uses it.
PayDoc is not a vertical billing module for one specialty. It is the shared billing infrastructure for the Aegis platform, and it operates as standalone SaaS for practices outside the Aegis stack.
Horizontal module
All Aegis clinical verticals — Harbor, Emprise Healthcare, and others — run billing through PayDoc. Claim-to-cash logic is centralized, not duplicated per vertical.
Standalone SaaS
PayDoc is available to practices on any platform — not just those in the Aegis ecosystem. Bring your existing clinical workflow; PayDoc handles the billing rail.
Own clearinghouse
Production EDI clearinghouse built into the PayDoc stack — not a relay to a third party. Payer routing and transaction processing are controlled infrastructure.
Visibility from claim to cash to GL.
Bring the billing problem. PayDoc covers 837P submission, ERA ingestion, remittance posting, denial management, credentialing, and GL reconciliation in one operating layer.