Program revenue cycle

IOP and PHP billing that starts with what actually happened

Rewire Clinical connects attendance, authorized days, level of care, and payer rules before a claim leaves the building. Per diem and service billing flow into EDI 837P claims, remittance work, denials, and appeals without a hand built reconciliation step.

HIPAA compliant. BAA included. Built for behavioral health.

96%
attendance matched before release
22%
fewer preventable denials
3.2x
faster claim preparation

A program claim is only as clean as the attendance and authorization behind it

The billing team should not have to ask whether a client attended, which level of care applied, or how many approved days remain. Rewire resolves those questions in the shared record and flags conflicts before submission, when they are still inexpensive to fix.

Explore the rcm and billing pillar

Built for the decisions your team makes every day

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Per diem accuracy

Apply program and payer rules to confirmed attendance, dates of service, and level of care.

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Claim production

Create and submit EDI 837P claims with clinical and authorization context available to the billing team.

✓

Payment through appeal

Post remittance, route denials, assemble appeal work, and measure recoveries without losing the claim history.

Specific enough for the work, simple enough for the day

The strongest workflow is the one staff can understand under pressure. Rewire keeps ownership, current status, and the next useful action visible. Detail is there when the team needs it, without turning the main view into a wall of fields.

  • Per diem logic linked to attendance and level of care
  • Approved days and renewal dates checked before billing
  • Live EDI 837P claim creation and submission
  • ERA reconciliation, denial queues, and appeals in the same record
“Billing no longer waits for a Friday attendance export. The day closes, exceptions surface, and clean program claims move without another reconciliation sheet.”
Renee Foster, CPC, Revenue Cycle ManagerLakeshore Behavioral Network, Grand Rapids, Michigan

A clear definition for buyers and care teams

Rewire Clinical is IOP and PHP billing software that links attendance, authorized days, level of care, per diem rules, EDI 837P claims, remittance, denials, and appeals. Clinical and billing teams work from the same service record before and after submission.

Frequently asked questions

Yes. Per diem rules can use confirmed attendance, date of service, level of care, payer requirements, and authorization data.
Yes. EDI 837P claim creation and submission are live parts of the Rewire Clinical RCM workflow.
The billing workflow can compare service dates and level of care with approval dates, remaining days or units, and renewal status.
Yes. Teams can route denial work, record causes, assemble appeal context, track deadlines, and measure outcomes.

See how this workflow fits your team

Take a guided look at Rewire Clinical, or talk through your program, payer mix, and operating model with our team.

Request a proposalTalk with Clinical