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Product

Billing software for superbill and cash-pay practices

This is billing software for practices that do not submit claims themselves. MegAligna captures charges at the encounter, produces per-session exports in the format your biller asks for, takes card payments through hosted checkout and tracks patient balances. Superbill and CMS-1500 PDF output arrives with our AMA CPT license, in progress.

Before you evaluate this

Who is this billing module for?
Practices whose claims are submitted by an outside billing service, and practices that are cash-pay or out-of-network where the patient submits their own superbill. Roughly half of behavior-analytic agencies outsource some or all of their billing.
Does it submit claims to payers?
Not yet; direct payer submission is on the roadmap. Today it produces the charge data submission needs, per-session exports with codes, units, modifiers and diagnosis linkage, and hands it to whoever bills for you, with their seat free.
What is a superbill?
An itemized receipt of services with the diagnosis and procedure codes, dates, units and charges, given to a patient so they can seek reimbursement from their own insurer. For out-of-network practices it is the entire billing artifact.
Can we take card payments?
Yes, through a hosted checkout. Card details are entered on the payment provider's page and never reach our systems, which keeps the practice and us out of scope for card-data handling.

What comes out of a finished session

  • Included

    Charge capture at the encounter

    Procedure and diagnosis codes, units, modifiers, place of service and rendering versus supervising provider recorded on the encounter, not reconstructed from a note a week later.

  • Included

    Per-session CSV export

    Codes, units, modifiers, diagnosis linkage and rendering versus supervising provider, per payer configuration, in the format an outside biller asks for.

  • Roadmap · v1.x

    Superbill and CMS-1500 PDFs

    Generated from the same charge data, arriving with our AMA CPT license, in progress, and listed here as pending rather than implied. Until then the per-session export carries everything the documents would.

  • Included

    Patient payments and balances

    Hosted card checkout, payment allocation against charges, and a running patient balance computed rather than stored.

  • Not included · v2

    Direct payer submission and remittance import

    Not in this version. Practices that submit their own claims electronically today should stay on their current system until this exists.

We work with your biller, not instead of them

The billing service you already use is not a competitor to this product. Their constraint is the quality and format of what they receive; ours is producing it cleanly from what actually happened in the session. Onboarding a new billing service is a conversation about columns, not a systems project: send them a sample export in the first week and let them tell you what to rename.

Reporting

Revenue by provider and by location, payments received, patient balances and ageing, with CSV export to your accounting system. Note the word export: there is no live two-way accounting integration, and there will not be one described here until there is one. Reporting covers what the system actually holds, charges, patient payments and balances; insurance remittance data lives with your biller in v1, so payer-level collections analysis does too.

Try it against last month's sessions

14 days, no card required. Set up a client, an authorization and a first session in about half an hour.