Integrations
Works with your existing billing workflow, not instead of it.
Ivera plugs into the systems you already use: the X12 835 your clearinghouse already produces, a CSV export from your practice management system, and the Availity portal your billers already log into. There is no rip-and-replace, no new EHR password, and no lengthy IT project.
What connects
Four real touchpoints. No phantom integrations.
Availity
Ivera drives the Availity web portal autonomously: submitting complete dispute requests, polling claim status, and retrieving finalized appeal decisions. The same browser session used for status checks handles dispute submission, so the platform stays in sync with payer responses without manual intervention.
- Autonomous dispute request submission
- Claim status polling on configurable intervals
- Finalized decision retrieval and state transitions
- TOTP-based multi-factor auth handled by the platform
X12 835 remittance ingestion
Ivera watches a monitored folder or accepts SFTP delivery for standard X12 835 remittance advice files, the same format your clearinghouse already produces. It parses every CAS segment, flags actionable denials (CO-4, CO-97, PR-96, CO-22, CO-252), and calculates recoverable value before your billing team sees a single line item.
- Watched-folder or clearinghouse SFTP delivery
- Full CAS-segment parsing against X12 standard
- Recoverable value computed per denied line
- Zero changes to your existing clearinghouse workflow
EHR and PM system via CSV import
Ivera does not require an EHR API credential or a direct integration. Your biller exports a standard aging or claims report from Tebra, AthenaOne, or any other system as a CSV file. Ivera's column-sniffing engine maps the headers, normalizes dates and amounts, and ingests the data. The initial setup takes minutes.
- Compatible with Tebra, AthenaOne, and any system with a CSV export
- Automatic header mapping and date-format normalization
- No EHR API password or OAuth setup required
- Re-import at any cadence without configuration changes
Payer portals
Beyond Availity, Ivera can reach payer-specific portals for carriers that accept appeals through their own web properties. Current coverage includes BCBS-Texas and Aetna Better Health of Texas (which routes by email under its Medicaid program). New portal targets are added as the Texas carrier landscape demands.
- BCBS-Texas portal via Availity clearinghouse routing
- Aetna Better Health (TX Medicaid) via email appeal package
- Per-payer routing logic applied automatically at submit time
- New payer targets added without customer action
How it connects
Data flows in. Recovered revenue flows out.
Ivera sits alongside your existing billing workflow as a recovery layer. Your clearinghouse delivers the 835, your biller exports the aging report as a CSV, and Ivera takes it from there: detecting actionable denials, drafting appeals using your clinical notes, and submitting to the payer portal autonomously. You see only the claims that are ready to approve.
Nothing about your current billing software changes. Ivera does not require admin credentials to your EHR, does not replace your clearinghouse, and does not affect how your team submits new claims. It recovers the revenue your existing process cannot profitably chase.
835 remittance received
Clearinghouse
Denials flagged by CARC
Ivera engine
Appeal drafted from clinical note
Ivera AI
Claim submitted to Availity
Ivera RPA
Practice approves in one click
Your dashboard
Your billing workflow stays exactly the same
Get started
Connect in minutes. Recover revenue the same week.
Send us your most recent X12 835 or an aging report CSV and we will show you exactly how much denied revenue is recoverable before any contract is signed.
Get a free denial review