Epic Medical Billing Services | Get Paid Faster From Your Epic EHR System
Transcure provides end-to-end medical billing services to providers who use Epic EHR. Our certified Epic EMR billers work inside your Resolute system to submit cleaner claims. With our Epic billing services, we
- Resolve post-go-live revenue drops with dedicated Epic RCM billing support
- Dedicated Epic billers assigned to your practice without shared pools and rotation
- AR follow-up inside Epic worklists cuts your accounts receivable below 26 days
- Epic-certified billers eliminate staffing gaps that stall your billing operations entirely
- Specialty-specific coding for over 40 specialties by AAPC-certified Epic billing coders
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Trusted by
500+ Physicians
Catering to
40+ Specialties
1100+ Certified
Medical Billers & Coders
End-to-End
RPA Billing Solutions
Up to 98% First Pass
Clean Claim Rate
What Is Epic EHR and How Does Its Billing System Work?
Epic is the largest electronic health records vendor in the United States, with over 325 million patient records running on its platform. Health systems, hospitals, multi-specialty groups, FQHCs, and Community Connect practices rely on Epic to manage everything from clinical documentation to revenue cycle operations.
Epic’s billing system operates through Resolute, its dedicated revenue cycle application. Resolute splits into three configurations
handles patient accounting for professional fees charged by physicians.
Resolute Hospital Billing (HB)
manages facility fees for hospitals and health systems.
Single Billing Office (SBO)
blends both into one consolidated system where guarantor self-pay portions combine into a single account.
Ready to Fix Your Epic Billing?
Transcure’s Epic-certified billers and coders provide full Resolute billing support and staff training to your practice. Stop losing revenue. Start collecting what payers owe you.
How Transcure Helps Epic Practices Struggling with Billing After Go-Live?
Epic practices struggle with billing after go-live because Resolute PB, Resolute HB, and Charge Router each demand specialized billing knowledge. Your in-house staff lacks it. Transcure’s dedicated Epic billers close that gap from day one.
Post-Implementation Revenue Disruption
Legacy-to-Epic migration corrupts patient demographics and insurance records inside Prelude. Corrupted records generate denied claims across every payer. Transcure audits every migrated record within 14 days of onboarding.
Charge Router Compliance Exposure
Charge Router misroutes charges between Resolute PB and HB when governance breaks down. Dropped charges never reach a claim. Transcure validates every clinical encounter through Charge Router before claim generation.
Epic Billing Talent Costs a Lot
BLS 2024 data confirms Epic-certified billers command premium salaries. One resignation stalls your billing for six weeks minimum. Transcure assigns dedicated billers with backup coverage on every account to prevent delays due to staffing gaps.
Third-Party Tools Sit Outside Epic Workflows
Prior authorization and appeals platforms do not write back into Resolute automatically. Each manual handoff delays claims by 3 to 7 days. Transcure manages authorizations, appeals, and payer follow-ups inside Epic directly.
What Is Included in Transcure's Epic Billing Services?
Transcure’s Epic medical billing support covers every RCM stage inside your Resolute system. Our 1100 AAPC-certified billers and AI agents operate directly within your Epic EHR to provide
Patient Eligibility & Benefits Verification
ELIXA runs automated eligibility checks through your Prelude module before every visit. Failed coverage flags reach your front desk pre-encounter. Your practice stops submitting claims against terminated policies.
Prior Authorization Management
PRIA tracks auth requirements by payer and CPT code inside your Epic system. Aetna, UnitedHealthcare, and state Medicaid deadlines get met automatically. Your claims never deny for missing authorizations.
Clinical Documentation Support
Undercoded visits cost your practice $20 to $50 per encounter. Transcure flags ClinDoc gaps before charges reach Charge Router. Your providers receive same-day queries. Lost revenue gets recovered pre-submission.
Medical Coding (CPT/ICD-10/HCPCS)
CODIN and AAPC-certified coders assign specialty-certified coders to your Epic account. CCI bundling edits and MUE frequency limits get validated against the 2026 AMA guidelines. Your practice hits 99% coding accuracy.
Clearinghouse Communication via ACRD
Epic's ACRD module sends real-time clearinghouse feedback into Resolute. Transcure's billers act on every rejection within 48 hours. Your staff stops chasing claim status manually. Resubmission happens inside your system.
Payment Posting & ERA Reconciliation
AI agents auto-post ERA payments to patient accounts within 24 hours. Allowed-versus-paid discrepancies get flagged instantly inside Resolute. Underpayments from Cigna and Medicare Advantage trigger appeals.
Denial Management & Appeals
Our billers and DEXA identify root causes by CARC/RARC code, including CO-4, CO-16, CO-50, and PR-96. Appeals file at all levels inside your Resolute denial workflows. No denied claims return to your staff.
Accounts Receivable Follow-Up
Transcure's AR callers work 30+ day claims through your Epic AR worklists. AI agents flag aging patterns by payer automatically. Average AR recovery completes within 24 days. Claims beyond 90 days get priority intervention.
Patient Billing via
MyChart
Statements generated through your MyChart portal after the secondary claims process completely. AI-powered payment reminders reduce patient bad debt by 25%. Your front desk stops fielding billing calls entirely.
How Does Transcure's Epic Medical Billing Support Work?
Transcure’s Epic EMR billing services work through a five-step process that puts certified billers inside your Resolute system within 14 days. Your Epic EHR stays untouched. Our billers log in and start processing claims.
Step 1.
Billing Audit and Practice Discovery
Your dedicated account manager audits denial rates, AR aging, and payer mix inside your Resolute system. DEXA scans CARC/RARC codes from the last 90 days. Every revenue leak gets identified before a single claim is processed.
Step 2.
HIPAA-Compliant System Access
Transcure's billers receive encrypted login credentials to your Epic EHR under a signed BAA per 45 CFR § 164.502(e). Access covers Resolute PB, HB, or SBO. PHI never leaves your system. Your IT team controls permissions.
Step 3.
Epic-Specific Workflow Build
Transcure builds custom SOPs mapped to your Resolute configuration. Charge Router validation rules get documented. Payer-specific modifier logic for Aetna, BCBS, and UnitedHealthcare gets locked into every workflow.
Step 4.
Claims Processing Begins
Live billing starts on day fourteen. CODIN and specialty-certified coders work on your account. Every claim runs dual-pass scrubbing through Resolute's editing engine plus Transcure's AI rules layer. First-pass acceptance hits 99% from week one.
Step 5.
Monthly KPI Reviews & Rule Updates
Your account manager reviews denial trends, AR days, and net collections against specialty medians monthly. LCD/NCD, MUE, CCI, and OCE rules update inside your Resolute system in real time. Performance never goes stale.
Our Certifications
Transcure’s Epic EMR billing team holds AAPC, ISO, and HIPAA compliance certifications. Every biller assigned to your Resolute system meets CMS coding standards and payer-specific submission requirements from Aetna, BCBS, and Medicare Advantage.
Our Success in Numbers
Should You Use Epic's Own Billing Services or Outsource to Transcure?
Epic launched its own EMR billing service in 2018 for Resolute Professional Billing customers. Staff are Epic employees processing claims across a shared client pool. Your practice does not get a dedicated team. This comparison breaks down every factor that affects your revenue.
Factor
Team Structure
Coding Services
Denial Management
Resolute Coverage
Pricing Model
Epic’s Billing Services
Shared staff pool at Verona, WI campus
Included for Resolute PB claims only
Defined by Epic's internal protocols
Professional Billing only
Undisclosed. Available to Resolute PB customers only
Transcure
Dedicated billers and coders assigned per practice
AAPC-certified coders across 40+ specialties plus CODIN
DEXA analyzes every CARC/RARC code. Appeals filed at all levels.
PB, HB, and Single Billing Office
Less than 5% of collections. No onboarding fees.
Which Specialties Does Transcure Support with Their Epic Medical Billing?
Transcure provides specialized Epic billing support for healthcare providers across 40+ medical specialties. Our billers and coders bring specialty-specific Resolute expertise, payer policy knowledge, and CMS coding compliance for every practice running on Epic.
Let Transcure AI Agents Work Inside Epic EHR
Transcure’s AI billing agents integrate directly with Epic EHR to automate charge capture, flag coding errors, and resolve claim denials before they cost you. From CPT code validation to prior authorization tracking, our agents analyze every encounter within your Epic workflow.
This Epic medical billing automation reduces manual touchpoints, accelerates reimbursements, and increases your clean claim rate by up to 99%. Less rework. More collections. Zero disruption to your existing Epic setup.
Why Should Practices Choose Transcure to Outsource Epic Billing?
Practices choose Transcure to outsource Epic medical billing because we combine certified billers with AI agents inside your Resolute system. These differentiators separate Transcure from every other Epic billing partner.
Dedicated Account Manager Per Practice
Your account manager handles every payer escalation, monthly KPI review, and workflow change inside your Epic system. No shared inboxes.
Epic-Certified Billers and Coders
Transcure’s billers hold AAPC and AHIMA certifications plus Epic-specific Resolute training. Your account never gets generalist staff.
AI Agents Inside Your Resolute System
ELIXA verifies eligibility through Prelude. PRIA tracks prior authorizations by payer. CODIN validates coding accuracy. AI agents handle high-volume tasks.
Transparent Pricing at 5% of Collections
No onboarding fees. No long-term contracts. No hidden charges for credentialing, AR recovery, or denial appeals. Pricing scales with your collections.
HIPAA Compliance With Executed BAA
Every engagement starts with a Business Associate Agreement under 45 CFR § 164.502(e). Your PHI never leaves your Epic system. Your audit risk stays at zero.
Continuous Training on Epic EMR
We provide continuous training to our billers and coders with every update that goes live on Epic EHR. Our Epic medical billers always stay updated.
What Practices Say About Our Epic Medical Billing Services?
Explore the success stories of our partnered practices to see how our outsourced Epic
billing services help providers maximize collections.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions About Epic Billing Services
Get answers to the most common questions practices ask about our Epic billing services and Resolute workflow support.
Does Transcure support both Resolute Professional Billing and Hospital Billing?
Yes, Transcure supports Resolute PB for professional fees, Resolute HB for facility fees, and Single Billing Office configurations that combine both. Our billers operate across all three environments. Whether your practice bills physician services, hospital charges, or consolidated guarantor accounts, Transcure covers every Resolute workflow end-to-end.
What happens during Epic system upgrades? Does billing stop?
No, Transcure’s billers follow Epic’s upgrade schedules and adjust workflows for new releases without interrupting claim processing. Our Epic-certified team stays current on Resolute upgrade notes, ACRD changes, and Charge Router updates. Your billing continues running through every quarterly upgrade. Revenue never pauses during Epic system changes.
How does Transcure compare to Epic's own billing service?
Epic’s billing service supports Resolute PB customers with shared staffing from their Verona campus. Transcure assigns named, dedicated billers per practice across PB, HB, and SBO configurations. We include specialty-certified coders, AI agents for high-volume tasks, and Community Connect coverage that Epic’s own service does not offer.
What Epic-specific certifications do Transcure's billers hold?
Transcure’s billers hold AAPC and AHIMA certifications plus Resolute billing training. Our team stays current on Epic upgrade releases, Cogito analytics, SlicerDicer reporting, and Charge Router governance. Specialty coders carry additional credentials for cardiology, orthopedics, oncology, and behavioral health.
Is Epic billing outsourcing HIPAA compliant?
Yes, every Transcure engagement starts with a Business Associate Agreement executed under 45 CFR § 164.502(e). System access runs through encrypted credentials. Patient data never leaves your Epic EHR. Monthly compliance audits cover role-based permissions, access logs, and PHI handling. Your audit risk under HIPAA’s Privacy Rule stays at zero.
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