Specialty and behavioural health platforms
Qualifacts billing and AR support
We put trained full-time people inside your own Qualifacts tenant, through a login you issue, working US hours. No migration, no software to buy, one month minimum.
We are not a partner, reseller or certified vendor of Qualifacts
Qualifacts (also known as CareLogic, Credible) is a product of its own vendor and the name is their trademark. We have built nothing with them, we are endorsed by none of them, and we hold no product certification. What we do is put a trained person into your tenant, under your login, to work your queues. That is the whole claim, and it is checkable on your first call.
What it is
An EHR platform for behavioural health, substance use treatment and human services organizations, including agencies delivering publicly funded programmes.
Who runs it: Community behavioural health agencies, substance use treatment providers and human services organizations.
How the money moves through it
Billing frequently spans commercial payers, Medicaid and grant or contract-funded programmes at once, each with its own rules and reporting. The complexity is in which funding source a service belongs to, not in the claim itself.
The queues a seat works
- Medicaid claim rejections and denials
- Programme and contract reporting
- Authorization and service-unit tracking
- Commercial payer AR
What a seat does, day to day
A seat works the payer queue you name. We ask first which funding sources are in scope, because a service billed to the wrong one is a compliance problem and not just a denial.
What goes wrong here
- Part 2 substance use records are more restrictive than HIPAA and general treatment-payment-operations disclosure does not apply. Escalate rather than applying the HIPAA rule.
- State Medicaid programmes sometimes restrict where claims data may be processed. Confirm per programme before any access is granted.
What this costs
An ar calling & denial management seat working your Qualifacts queues is $1,700 a month, full time, one month minimum.
Questions
Do you work in Qualifacts?
Yes — inside your own tenant, through a login you issue. We do not migrate you, we do not require a software change, and we are not a partner, reseller or certified vendor of Qualifacts. A seat is a trained person working your queues.
What does a seat actually do in Qualifacts?
A seat works the payer queue you name. We ask first which funding sources are in scope, because a service billed to the wrong one is a compliance problem and not just a denial.
What does it cost?
Seats run from $1,500 to $2,500 a month depending on the role, published per role on the pricing page. One month minimum, so the practice risks one month to find out whether it works.
How does access work?
You issue a named login with the narrowest role that covers the queue. A signed business associate agreement is in place before any credential is issued, never after.
All product names and trademarks are the property of their respective owners. Reference to them here describes the systems our staff have been asked to work in and implies no affiliation, partnership, certification or endorsement. Workflows vary by version and by configuration; nothing here describes any individual tenant.
Last updated 2026-09-12. Product names, ownership and workflows change. Confirm anything version-specific against the vendor’s own documentation.
Next step
Somebody working your Qualifacts queue
Full time, US hours, in your own tenant. Twenty minutes on a call is enough to tell whether it pays for itself.
Or write to ops@softhomeglobal.com