Billing and Payments

STREAMLINE EVERY BILL FROM START TO FINISH

Billing and Payments Built Around California Workers’ Comp

California workers’ comp bills must be submitted within 12 months of the date of service. Miss it, and the bill can be denied as untimely. What they don’t always see is how one rejected bill, sitting unnoticed for two months, eats up most of that window.

Billgenix dashboard preview

Billgenix Is Not Your Ordinary Billing Software

Every bill draws from a verified case record, so billing works from clean data, not corrected spreadsheets.

  • Every Bill is validated before it leaves your system.
  • Every EOR and payment posts to the same case record.
  • Every denial routes to an action, not just an alert.
  • Filing windows are visible on every active claim.
OMFS Validation 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

Billgenix checks every charge against OMFS before the bill goes out, so you know what the payer should pay before the EOR arrives. If the EOR comes back short, you see it right away.

20+ years of team experience in California workers’ comp billing

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 Modules
Billgenix integrations diagram

What You Can Do with
Billing & Payments

OMFS Validation

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

CMS-1500, CPT, and ICD-10 Coding

Enter CPT and ICD-10 codes inside the billing workflow, with checks that surface errors before submission, not after a denial.

Invoicing

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

Claim Submission

Bills go out through the Billgenix EDI module, with every response tied back to the case.

Denial Management

Rejections separated from denials, root cause documented, and routed to correction or Second Bill Review (SBR).

Payment Posting

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

Client testimonial

Billgenix changed the game for our billing process. The built-in OMFS validation flags underpayments before bills even go out, keeping us ahead of tight filing deadlines. We’re resolving denials much faster and seeing far fewer write-offs!

Tristan Toyson, Billing Operations Manager, San Diego

IMPROVE BILLING ACCURACY

Faster denial resolution, fewer write-offs

When billing, denials, 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 A team with 20+ years in California workers’ 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

See how Billgenix checks, tracks, and posts every workers’ comp bill.

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