Question 1

Is Singoa HIPAA compliant and do you offer a BAA?

Accepted Answer

Yes. Fully HIPAA compliant. End-to-end encryption — AES-256 at rest, TLS 1.3 in transit. Signed BAA provided before onboarding at no extra cost. Role-based access controls. Immutable audit trails for all PHI interactions. All patient data encrypted; never stored in plaintext.

Question 2

Which EHR and practice management systems does Singoa integrate with?

Accepted Answer

Connects via HL7 FHIR APIs and direct clearinghouse passthrough. Integrates with Epic, Oracle Health (Cerner), athenahealth, eClinicalWorks, NextGen, AdvancedMD, MEDITECH. Clearinghouses: Availity, Waystar, Change Healthcare/Optum, Trizetto. Accounting: QuickBooks, Sage Intacct, Xero, NetSuite. No middleware required.

Question 3

How much does healthcare AR automation software cost?

Accepted Answer

Pricing scales with monthly claim volume. No per-user fees. No long-term contracts. Most practices see full ROI within 2-3 months based on reduced denial rework costs ($25-$118/claim saved per AAPC/Inovalon) and faster collections. Significantly less than outsourced RCM (which charges 4-8% of net collections).

Question 4

How does Singoa handle claim denial appeals?

Accepted Answer

AI identifies CARC/RARC denial reason codes, matches to correct appeal pathway, auto-generates appeal letters with required clinical documentation, CPT/ICD-10 references, and regulatory citations. Appeals filed within 24 hours of denial detection. Complex cases flagged and routed to billing team with recommended strategy and supporting evidence.

Question 5

Does Singoa work with Medicare and Medicaid claims?

Accepted Answer

Yes. Handles all payer types — Medicare, Medicaid, Medicare Advantage, commercial insurers (UnitedHealth, Aetna, BCBS, Cigna, Humana), and patient self-pay. AI adapts follow-up strategy based on each payer's specific rules, timely filing limits (90 days to 1 year depending on payer), and appeal requirements.

Question 6

How is Singoa different from outsourcing to an RCM company?

Accepted Answer

Unlike outsourced RCM (which charges 4-8% of net collections), Singoa keeps your billing team in control. Full visibility and decision-making authority stays with your staff. AI handles repetitive follow-up; humans handle complex cases. No loss of institutional knowledge. No per-collection percentage fee. Your team gets more efficient, not replaced.

Question 7

What clean claim rate improvement can we expect?

Accepted Answer

Organizations using AI-driven pre-submission scrubbing typically see first-pass resolution rate improve 15-25%, with clean claim rates reaching 95%+ within 90 days [MGMA/HFMA benchmarks]. Singoa catches coding errors, eligibility gaps, missing authorizations, and COB issues before claims are submitted — preventing denials at the source rather than managing them after rejection.

Question 8

How long does implementation take?

Accepted Answer

Most practices fully onboarded in 2-4 weeks. Includes EHR integration, historical claims analysis, payer mix mapping, and staff training. Larger health systems with multi-facility setups: 6-8 weeks. No data migration required — Singoa reads from your existing systems in real-time. Baseline denial analysis delivered within first week.

Question 9

Can Singoa detect underpayments from insurance companies?

Accepted Answer

Yes. Singoa reconciles ERA/EOB (835) data against contracted rates automatically. Flags underpayments, identifies contractual variances, and catches coordination of benefits errors. Providers are underpaid 8-11% on average [Adonis 2026 State of RCM]. The system surfaces discrepancies your team would otherwise miss in manual reconciliation.

Question 10

Does Singoa handle prior authorization workflows?

Accepted Answer

Singoa monitors prior auth requirements by payer and procedure, flags claims that need authorization before submission, and tracks auth status through approval. Prevents CO-197 (prior auth required) denials — one of the most common and costly CARC codes. Integrates with payer auth portals where electronic submission is available.

Metric	Manual AR	With Singoa	Impact
Claim Denial Rate	10-15%	< 4%	↓74%
Days in AR (DSO)	50-65 days	24 days	↓55%
Clean Claim Rate	75-82%	95%+	↑18%
Cost per Claim	$25-$118	< $5	↓90%
Appeal Turnaround	3-5 days	< 24 hrs	↓85%
Patient Collection Rate	30-40%	78%	↑100%
Underpayment Detection	Spot checks	100% automated	↑100%
Staff Hours on AR / Week	20+ hrs	< 7 hrs	↓65%

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