Quill Bills

Quill Bills is organized around one idea: the claim should move from paperwork to payment with as few human touches as possible, and every step it can't automate should surface as a decision you approve rather than a task you perform. Strengths. The automation is specific, not hand-wavy. Auto-coding reads superbills and progress notes and applies your payer-specific code conversion rules — meaning it learns how your payers want things coded, not a generic mapping. Eligibility verification runs three ways (270/271, payer portal, AI phone agent) so a portal outage doesn't stop your day. The payer history scrub is the standout: it compares a claim against denial patterns from your own recent claims to that same payer, blocks hard errors, and leaves warnings as one-click overrides. Payment posting is equally grounded — ERAs auto-post through rules written as plain-English sentences, and the AI can draft a rule from a payment it can't match. Anything without a matching rule routes to review with the reason attached rather than posting a silent partial. The denial workbench sorts rejections and denials into separate lanes with open dollars attached, translates every CARC and RARC, groups them by the fix (resubmit, appeal, rebill COB, transfer to patient, write off), and supports bulk work by reason bucket. Appeal letters print themselves and AI agents call payers for 276/277 status. Secondary and tertiary billing is built in rather than bolted on: each tier gets its own lane, COB claims go out with prior-payer detail validated to the penny, a secondary can't leave until the primary ERA is posted and balances tie out, and crossovers are detected so you don't double-bill. On the patient side, statements fire automatically after insurance settles — SMS first with a two-tap payment link, email itemized invoices as fallback, paper for patients who want it — all pointing at a hosted payment page unlocked by date of birth, with self-serve payment plans that charge installments automatically and handle retries and dunning. Reports drill to the claim: every KPI is clickable down to the underlying claims and postings, dollars come off a reversal-aware ledger so closed months don't move, and everything exports to Excel with real numbers. Where it doesn't fit. The publicly documented integration list is short — Epic, Practice Fusion, Tebra, Stripe, Stedi — so if your practice is on a different EHR, this is the first question to resolve. Organizations that want to hand-inspect every billing step and resent automation will fight the product rather than benefit from it. And if you're a large hospital system with a dedicated RCM team and custom payer workflows, you're outside the designed use case. The honest summary: for a 2–20 provider independent practice or a billing company running several of them, Quill Bills targets exactly the work that burns staff time — coding, eligibility calls, payment posting, denial follow-up — and leaves you with review decisions