Charge Entry & Claim Submission
Charge Entry & Claim Submission from Soft Home Global costs $1,500 per seat per month. That is one full time trained person, forty hours a week, working United States business hours inside your own system. One seat, one month, cancel any time.
Charge entry is where the encounter becomes a claim: the codes off the note, the modifiers, the units, the place of service, the rendering provider against the billing entity. Done badly it produces claims that look clean and deny weeks later. Done intermittently it produces lag days, and a charge sitting unentered earns nothing while the filing window closes behind it.
What the seat actually does
- Reconcile the day's completed encounters against the schedule first, so nothing billable is missed — add-ons, procedures done at the visit, hospital and facility rounds.
- Enter charges from the note: codes, modifiers, units, place of service, rendering versus billing provider, referring provider where the claim needs one.
- Scrub before submission and clear the edits that fire, rather than releasing a batch and sorting out the denials later.
- Submit, then confirm acceptance at the clearinghouse and again at the payer. A claim that disappeared between the two is not a submitted claim.
- Work front-end rejections as they come back rather than in a weekly sweep — name and policy mismatches, terminated coverage, wrong NPI or taxonomy, modifiers the edit will not take.
- Keep a written log of every charge held for documentation or coder query, and report the repeat causes back so the front desk or the provider fixes the source.
What it costs
$1,500
Per seat, per month, in US dollars. Full time, forty hours a week, on US hours — not per hour, not per claim, and never a share of your collections.
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The denial codes this seat works
5 codes, grouped the way the queue is worked rather than by number. Each one links to what causes it, the order to work it, and how to stop it recurring.
Worked by being corrected and resubmitted
- CO-5 — Wrong place of serviceThe code you billed is not one the payer accepts for the setting the service happened in.
- MA130 — Unprocessable, no appeal rightsThe claim was rejected as unprocessable rather than denied. There is nothing to appeal — it has to be corrected and sent again as a new claim.
- N34 — Wrong claim form or formatThe service was billed on the wrong form or in the wrong format for the payer.
- MA30 — Type of bill invalidA facility claim problem: the three-digit type of bill in field 4 of the UB-04 does not fit the facility, the claim, or the frequency.
Worked by being fixed in credentialing, not on the claim
- CO-107 — Qualifying claim not identifiedThis service only pays when it is linked to another one, and the link is missing from the claim.
Working a denied claim costs $57.23 per denied claim in administrative time (source) and about about 90% of initially denied claims are eventually paid. The reason they sit is almost never that nobody knows how. It is that nobody has the hours.
How a seat starts
You issue one named login. We sign the Business Associate Agreement before it is used. We agree the numbers you will judge the seat on, which you pick and you measure. Then we train for about a week on your workflow and the seat starts. Every Friday you get a written report of what was done, what the numbers were, and what went wrong.
Questions
How much does charge entry & claim submission cost?
$1,500 per seat per month. That is a full time person, forty hours a week, working United States business hours. Not per hour, not per claim, and not a percentage of what you collect.
Is there a minimum contract?
One seat for one month, cancellable with thirty days notice. There is no annual lock-in.
Do we have to change systems?
No. The work happens inside whatever you already use, through a named login you issue. We do not sell software and we do not route your data through anything of ours.
How quickly can a seat start?
About a week from the agreement, which covers training on your workflow, your payer mix and your system. You are not charged extra for that week.
Do you work in our system, or move our data into yours?
Yours. The seat logs into your practice management system and your clearinghouse on a named user account, with whatever permissions you set — you can allow charge entry and hold submission rights back until you trust the work. Nothing is copied into a system of ours. The honest limitation: if your software does not expose a queue or a report, the seat cannot see it either, and if the system is only reachable over a slow remote desktop, throughput suffers. Tell us which system you run before you buy the seat.
Who owns the coding decision if a charge goes out wrong?
You do, and we would rather say that plainly than blur it. This seat enters what the note and your coder support. It does not assign a code the documentation does not carry, and it does not add a modifier to make a claim clear an edit. Where the note and the charge disagree, it raises a query and parks the charge with a written reason instead of guessing. If you want the coding decision itself owned by us, that is a coding seat — a different person, different training, priced separately.
How do you handle access and patient data from overseas?
We sign a Business Associate Agreement before anyone is given access. The seat works from our floor in Rawalpindi on a company machine, under a named individual login in your system rather than a shared account, so every action is attributable in your own audit trail. Nothing is downloaded locally and no patient detail goes into email or chat. If your policy requires US-based staff or US-based access, we are not the right supplier and will tell you that on the first call.
What happens when our volume outgrows one seat?
One seat is one trained person on one shift, and that is the real limit of it. Volume beyond that person's day queues, and you will be told what is queuing rather than left to find the lag in your ageing report. We cross-train a backup on your workflow for leave and sickness, but the honest continuity answer for a busy practice is a second seat, not a promise. Seats are priced per seat per month, billed monthly in advance, with no annual contract and thirty days' notice — so if the volume maths stops working you are not locked in.
Next step
Try one charge entry & claim submission seat for a month
$1,500 for the month. If it does not earn its keep, cancel it. Twenty minutes on a call is enough to tell whether it fits.
Or write to ops@softhomeglobal.com