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billing & credentialing · HIPAA-conscious · live sandbox

Credential a provider, then bill for the work.

A medical-billing portal for a clinic network. Bring a provider through credentialing with a Zoom intake call, credential them, and billing turns on. Claims and enablement wait behind an approval gate. New clinics move through the sales pipeline and send their providers back into credentialing. No PHI ever touches the portal.

architecture

No PHI in the portal. Claims carry CPT/ICD codes and amounts; patient records stay in the clinic's EHR, isolated by design. The portal moves money and credentials, never charts.

Credentialing

provider intake · Zoom touchpoint

Dr. A. Okonkwo

Cardiology

in intake
verified NPIverified Licenseverified DEAverified CAQH

zoom intake done

Dr. M. Castellano

Pediatrics

in intake
verified NPIverified Licensepending DEAverified CAQH

zoom intake scheduled

Finance · billing

behind an approval gate

Collected

$612k

this quarter

In A/R

$148k

32 days avg

Codes and amounts only. No patient records here.

Claim batch · week 24

$84,200

118 claims · CPT/ICD codes only, no PHI

waiting on you · gated

Sales pipeline

clinics · Zoom discovery

Cedar Park Family Practice

8 providers

Discovery

zoom discovery scheduled

Meridian Pediatrics

5 providers

Demo

zoom discovery done

Lakeshore Cardiology

11 providers

Live

zoom discovery done

live · billing on this clinic

portal policy · what every approval teaches

2 rules

  • Do:

    No PHI in the portal, claims carry codes and amounts only

  • Do:

    Require a Zoom intake call before credentialing a provider

outcomes · what this loop ships

illustrative sample data

providers credentialed
1,420
across the network
claims collected
$612k
this quarter
clinics onboarded
9
Zoom-first pipeline
PHI records stored
0
isolated by design

Sample numbers for the sandbox, not a real company's metrics.

audit trail · every action logged

  • 5 min ago

    Care Ledger verified 4 credentials · NPI · license · DEA · CAQH

  • 3 min ago

    You approved a claim batch · week 23 · $72,140

Healthcare & billing · built by Gravixar

Run credentialing and billing on one rail.

This is the HIPAA-conscious billing portal I build for clinic networks: provider credentialing, claims and finance behind an approval gate, and a Zoom-first sales pipeline, with PHI kept out of the portal by design. One call to scope it, no obligation.