Your books should
agree with your billing system.
Ledger wires itself into your EHR and payer portals — syncing patient billing cycles with revenue recognition so you stop hemorrhaging cash between insurance reimbursements.
Every module earns
its square footage.
Scan the control panel. Each tile is a problem your practice has today — and the exact mechanism Ledger deploys to fix it.
Claim-to-Cash Tracking
Every CPT code traces a direct path from submission to GL entry. No manual matching, no revenue leaking between systems.
Denial Management Automation
CO-16, CO-4, PR-96 — Ledger reads remark codes, drafts appeals, and tracks re-submission deadlines so nothing ages out.
Multi-Payer Reconciliation
BCBS, Aetna, UHC, Medicare, Medicaid — each payer's ERA format normalized into one clean remittance view.
Real-Time AR Aging
Live dashboard buckets receivables into 0–30, 31–60, 61–90, 90+ day bands. Green cells outnumber red for the first time.
Provider-Level P&L Splits
Break revenue, collections, and write-offs by individual provider or location — not just the practice as a whole.
HIPAA-Compliant Data Sync
BAA-covered pipeline. PHI never touches your accounting software in raw form — only aggregated financial records cross the boundary.
Built for the practices
insurance companies ignore.
Ledger doesn't serve every industry. It serves healthcare practices specifically — and that specificity is the entire product.
Your Delta Dental ERA shouldn't require a forensic accountant.
Solo dentists lose an average of $34,000/year to claim leakage and write-offs they never intended. Ledger maps every procedure code to its expected reimbursement, flags underpayments automatically, and posts revenue the day the ERA arrives — not the day your biller gets to it.
Six locations, one clean set of books. Not six spreadsheets.
Multi-location physio groups need provider-level P&L, location-level AR aging, and consolidated cash flow — all from one source of truth. Ledger consolidates your billing platform data into a single general ledger, split by location, provider, and payer mix.
High-dollar claims need real-time visibility, not monthly surprises.
ASCs operating on thin margins can't afford to discover a $180K denial cluster at quarter-end. Ledger monitors every high-dollar claim in real time, auto-escalates denials above your threshold, and projects your quarter-end cash position based on current payer mix.
Infrastructure your
compliance officer will love.
PHI stays PHI. Financial records flow clean. Every data boundary is auditable, documented, and covered under a BAA.
Tell us about your practice.
We'll show you the gaps.
A 10-minute demo call scoped to your EHR, your payer mix, and your current AR situation. No generic slidedecks — we pull your actual CPT code distribution and show you where revenue is leaking.