Cowboy Systems includes built-in billing with clean claims that go out right the first time, plus optional full-service billing at 4% of collections./>
Billing and collections

Stop chasing your money.
Start keeping it.

Claims, clearinghouse, ERAs, denials, patient balances, one engine that gets you paid faster, catches what others miss, and never takes a cut of your revenue.

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Billing is where good clinics quietly bleed out. Claims sit for weeks. Denials pile up because nobody has time to work them. ERAs do not get posted. Timely-filing deadlines slip past and that money is gone forever. And the billing company you are paying 6% of everything to? They still cannot tell you, right now, exactly what you are owed. Cowboy Systems Billing is a full revenue-cycle engine built into your EHR, so the money that is yours actually ends up in your account.

01

Claims out the door in one click.

Generate a clean 837P straight from the visit and send it to the clearinghouse (Availity) over secure SFTP. No exporting, no re-keying, no portal-hopping. The claim is built from the note you already wrote.

02

Payments that post themselves.

Here is the part that feels like magic: a job runs every night, pulls your remittances (835 ERAs) from the clearinghouse, and posts the payments automatically. You do not open a portal. You do not type a single check amount. You wake up to posted payments and a clean ledger. Got a payer that only sends paper? Post it by hand in seconds, line by line, with a duplicate-guard so the same check can never be counted twice.

03

A denials worklist that tells you what to do.

Every rejection comes back with the reason and the fix, sorted by what is worth your time. No more guessing. No more re-sending the same broken claim. Corrections, voids, resubmissions, all one click.

04

Nothing falls through a crack.

AR aging shows you what is outstanding and for how long. Timely-filing guards warn you before a deadline passes. Aide- and student-rendered services are flagged so they never get billed by mistake and trigger a clawback. Multi-state billing rules are handled automatically.

05

Patient balances, handled.

Stripe and Square built right in. Card on file. Automatic statements. Collect copays at check-in and balances after the ERA posts, without a second system.

Why it wins

Most “billing software” is a form you fill out. This is a revenue-cycle department that runs itself, so you collect more of what you’re owed, faster.