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Your billing department. Your existing EHR.

Choose the work you need covered, then confirm the product, access and team that fit your practice.

Synergy Business Solutions provides medical billing and revenue cycle services for independent U.S. practices from Aurora, Illinois. We can discuss a full billing department, denial follow-up or a defined aging A/R assignment while you keep your current software. The actual billing product, permitted access and existing service responsibilities determine the final scope.

Discuss your system and billing needs

Choose the work before choosing a billing company

  • A full billing department: agree responsibility for charge review, claims, posting, payer follow-up and reporting, alongside the tasks your office retains.
  • A denial backlog: define the claims and dates, separate rejections from adjudicated denials, review the supporting responses and assign the correction, inquiry or appeal.
  • Aging insurance A/R: set the account population and as-of date, review prior payments and adjustments, check applicable deadlines and record each next action. An old balance is not automatically collectible.

Our denial services, aged A/R service and service options explain the work in more detail.

Find your EHR and billing setup

The cards below describe the scope to evaluate, not a guarantee of access to every product or edition. Synergy is independent; platform names do not imply vendor affiliation, certification or an integration.

AdvancedMD

Claim follow-up, rejected and denied claims, payment posting and aging insurance A/R, as a full billing department or a defined assignment.

Confirm first: Confirm the AdvancedMD practice-management account, worklists, posting permissions and the claims and dates assigned to each team.

Documented anonymous engagement

Tebra / Kareo

Eligibility checks, charge review, claim submission, rejection and denial follow-up, payment posting and outstanding insurance balances within the agreed scope.

Confirm first: Confirm the Tebra or Kareo billing product, enabled modules and practice-created user accounts. Identify the work your staff or an existing service retains.

Documented anonymous engagement

eClinicalWorks / eCW

Charge-to-claim follow-through, claim and denial follow-up, payment posting and insurance A/R work, coordinated with your existing staff and services.

Confirm first: Confirm the eCW billing configuration, any existing revenue cycle service and named account permissions. Separate missing charges from submitted but unpaid claims.

Documented anonymous engagement

athenahealth / athenaOne

Defined practice-side billing exceptions, charge follow-through, reconciliation questions and older balances that are outside or need coordination with existing services.

Confirm first: Review your athenahealth agreement, the owner of each held claim and the tasks your practice can assign. Existing athenahealth billing work must be accounted for before adding a team.

Confirm matching product and edition experience during scope review.

NextGen Office / Enterprise

Charge follow-through, claim exceptions, rejection and denial follow-up, payment reconciliation and aged insurance balances within an agreed assignment.

Confirm first: Identify Office or Enterprise and the actual practice-management ledger. Confirm available reports, named account permissions and the configuration owner.

Confirm matching product and edition experience during scope review.

Epic / Community Connect

Professional billing exceptions and aging accounts that the practice is permitted to assign, with host-controlled work escalated to the host.

Confirm first: Confirm the Community Connect host's rules, outside-team approval and the professional billing work the practice controls. A software login alone does not establish permission.

Confirm matching product and edition experience during scope review.

ModMed

Specialty charge handoffs, claim and denial follow-through, payment reconciliation and aging balances, subject to the products and services in use.

Confirm first: Name the clinical and billing products, specialty and any existing ModMed billing service. Confirm the ledger, third-party access and work already covered.

Confirm matching product and edition experience during scope review.

Practice Fusion

Ongoing billing or a defined denial and aged A/R assignment in the billing system connected to your Practice Fusion workflow.

Confirm first: Identify both the clinical EHR and the system holding claims, payments and balances. Verify the actual handoff and permissions rather than assuming an integration.

Confirm matching product and edition experience during scope review.

Nextech

Claim exceptions, denial follow-up, posting or reconciliation issues and aging insurance balances within your specialty's billing arrangement.

Confirm first: Confirm the Nextech product, practice-management setup and current billing service. Keep insurance work separate from elective or self-pay transactions.

Confirm matching product and edition experience during scope review.

Documented Synergy engagements

These previously published anonymous cases identify actual platform work. Read each full case and its measurement notes. A result for one engagement is not a forecast for your practice or evidence for a different system.

AdvancedMD

A Synergy client using AdvancedMD recorded 39.6% higher PPR-reported payments in July–September 2026 than in January–March; reported charges increased 7.6%.

Measurement note: Payments were not independently bank-reconciled. The quarterly comparison does not isolate the effect of individual billing activities. Individual results vary.

Full case, work performed and reporting context

Tebra / Kareo

A Synergy client using Tebra recorded 64.6% lower PPR-reported insurance A/R in September 2026 than in January. Insurance A/R aged 120 days or more was 80.6% lower.

Measurement note: Combined insurance and patient A/R fell 42.9%, while patient A/R increased. A lower balance is not cash recovered. Payments were not independently bank-reconciled, and the comparison does not isolate Synergy's effect. Individual results vary.

Full case, work performed and reporting context

eClinicalWorks / eCW

A Synergy client using eClinicalWorks recorded 46.1% lower reported insurance A/R from February to September 2026. Insurance balances aged 180 days or more were 56.7% lower.

Measurement note: The oldest patient balances were essentially unchanged. These are reported insurance balances, not cash recovered or payment growth. A complete payments, adjustments, write-offs and transfers reconciliation has not been established. The comparison does not isolate Synergy's effect. Individual results vary.

Full case, work performed and reporting context

What to settle before work begins

  1. Access: confirm the billing ledger, product or edition, named user accounts, permissions and any host approval. Keep passwords out of public forms.
  2. Ownership: name the team for each claim group, posting task and escalation. Coordinate with any service already included in your software agreement.
  3. A starting point: specify the claims and dates covered, source reports, aging basis and unresolved exceptions.
  4. A useful review: agree how actions, payer responses, unresolved items and practice questions will be reported, using consistent definitions.

Preview the fictional sample report and audit summary to discuss reporting format. These examples are not client results or platform screenshots. Read the handover guide if another biller is involved.


Good to know

Frequently asked questions

Do we have to replace our EHR to use Synergy?

A software change is not the default. Synergy evaluates the billing work within your current setup. Confirm the actual billing product, practice-created named accounts, appropriate permissions and any vendor or host approval before starting. If the necessary access is unavailable, the scope must be reconsidered.

Can we keep our biller and assign only denials or old A/R?

Yes, a defined assignment can be discussed alongside your staff or current service. Specify the claims, dates, tasks and reporting baseline; give each correction and payer follow-up one owner. Existing agreements and access determine what can be assigned.

Which platform results are documented publicly?

The anonymous Synergy cases linked here document AdvancedMD, Tebra and eClinicalWorks engagements. Each has its own periods, measures and limitations. Those cases do not establish results or product access for another platform, and fictional sample reports are not client evidence.

What should we share in the first conversation?

Share the system and billing product names, specialty, approximate provider count, current billing arrangement and the work you need covered. An aggregate description is sufficient. Keep patient records, credentials and account-level reports out of public forms and ordinary email; arrange secure access before record-level review.

Start today

Tell us what your billing team needs

Share your system, specialty, approximate provider count and the work you need covered. Start with an aggregate description; arrange secure access before sharing patient records.

Scope, access and responsibilities agreed before work begins.