Billing, EDI and Payment

STREAMLINE EVERY BILL FROM START TO FINISH

Billing, EDI, and Payment Built Around the California Work Comp Reality

California electronic billing for workers' comp has a hard 12-month window. Miss it, and the payer has no obligation to process the claim. Most billing teams know this. What they do not always see is how a single rejected submission, sitting unnoticed for two months, quietly consumes most of that window.

Billgenix dashboard preview

Billgenix Is Not Your Ordinary Billing Software

Billgenix captures every intake detail, verification step, and supporting document inside one connected case record so billing, collections, and compliance teams work from clean data, not corrected spreadsheets.

  • Every Bill is validated before it leaves your system.
  • Every EDI response comes back to the same case record.
  • Every Rejection route to an action, not just an alert.
  • Filing windows are visible on every active claim.
OMFS Validation EDI Submission Denial Management Payment Posting Filing Window Tracking Modifier Validation
Billgenix fixes workflow gaps
Billgenix case record

VALIDATE BEFORE YOU SUBMIT

OMFS validation embedded in the billing workflow

California's Official Medical Fee Schedule governs what payers must pay. Submit above the OMFS rate and the payer reduces the bill quietly. Billgenix flags charge-level issues before the bill leaves your system, so underpayments are caught at billing, not after the EOR arrives.

20+ years of California OMFS and billing experience built into validation

Integrations

Built to Work With Your Workflow

Billgenix connects with EAMS, clearinghouses, billing platforms, and internal systems so every bill, status update, and payment stays in sync. Need a custom connection? We can build it.

Explore Integrations
Billgenix integrations diagram

What You Can Do with Billing,
EDI & Payments

OMFS Validation

Charge amounts checked against the applicable fee schedule version before submission. Modifier and code pairing reviewed for known rejection triggers.

HCFA, CPT, and ICD Coding

Apply correct coding inside the billing workflow so errors surface early, not after a payer rejection.

Invoicing

Create structured invoices tied to case history, billing records, and supporting documentation.

EDI Submission

Submit bills through integrated clearinghouse workflows with all responses linked back to the case.

Denial Management

Rejections separated from denials, root cause documented, and routed to the right correction or appeal workflow.

Payment Posting

EOR amounts posted and reconciled against billed and OMFS-expected amounts, with underpayments flagged automatically.

Client testimonial

We used to discover EDI rejections two weeks after they happened. Now we see them the same day. The 12-month clock stopped running against us in silence.

Tristan Toyson, Billing Operations Manager, Lien Management Firm, San Diego

IMPROVE BILLING ACCURACY

Faster denial resolution, fewer write-offs

When billing, EDI activity, and payment posting all live in the same record, teams spend less time decoding issues and more time keeping revenue moving.

3x
 faster denial resolution
Cleaner billing workflow
Billgenix customer support

Customer Support

More than software: real support when it counts

Get hands-on onboarding and ongoing help from a team that knows California workers' comp inside out.

Personalized onboarding with a success coach Live in-platform chat and expert support  20+ years of operational experience inside California work comp billing

ACCELERATE THE REVENUE CYCLE

Billing that fuels faster collections

From coding through payment posting, BillGenix keeps every billing event tied to its source case, so teams resolve issues quickly and recover more revenue.

↑40%
in follow-up activity on open billing claims
Cleaner billing workflow

 Bring order to your billing workflow

Let's structure your patient and case operations the right way.

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