How does StatCura contingency medical billing work?

StatCura operates on a 100% pure contingency model with zero setup fees and zero monthly software subscriptions. Clinics pay 5% strictly on net insurance reimbursements recovered from commercial and government health plans. If the insurance company pays zero, the clinic pays zero.

Which EHR systems does StatCura support?

StatCura connects seamlessly with athenahealth, eClinicalWorks, Kareo/Tebra, Modernizing Medicine (ModMed), AdvancedMD, DrChrono, NextGen, Practice Fusion, WebPT, CharmHealth, Epic Community Connect, and legacy systems via universal clearinghouse SFTP.

Is StatCura HIPAA compliant?

Yes. StatCura is fully HIPAA Title II and HITECH compliant. All practices execute a formal Business Associate Agreement (BAA) under 45 CFR § 164.502(e). Protected Health Information is encrypted with AES-256 at rest and TLS 1.3 in transit.

How does StatCura handle insurance claim denials?

StatCura automatically intercepts electronic 835 remittance denials (e.g. CARC CO-50 Medical Necessity, CO-97 Bundling) and uses autonomous clinical intelligence to compile substantiated CMS Local Coverage Determination (LCD) appeal letters with operative report citations.

Payer Clearinghouse SwitchAll 50 US States Covered2,048 Electronic Payers

Universal US Payer Integration Directory

Real-time ANSI X12 electronic clearinghouse connectivity for independent medical clinics: National commercial carriers, Regional Blue Cross Blue Shield plans, Medicare Part B MACs, State Medicaid, and Workers Compensation.

EDI 270/271 Real-Time Eligibility

EDI 837P Professional Filing

EDI 835 Remittance Auto-Post

Clearinghouse Switch

100% Operational

Average Response:114 ms

ANSI Protocol:005010X222A1

Connected Payers

2,048 Payers

Every commercial insurer and government program in America.

Clean Claim First Pass

99.4 % Yield

Automated NCCI edits eliminate payer rejections prior to filing.

Eligibility Speed

1.8 Seconds

Instant EDI 270 co-pay and deductible retrieval at check-in.

Adjudication Speed

11.8 Days

Average time from electronic filing to direct bank EFT deposit.

National Payer Switchboard

Instant search across electronic Payer ID, insurance carrier legal name, state jurisdiction, and timely filing limits.

Showing 62 verified payer integrations

Click any payer row to inspect timely filing limits and appeal protocol

Payer ID	Insurance Company Name	State / Coverage	Timely Filing	Transactions	Avg Pay Days	First Pass
87726	UnitedHealthcare (Commercial, Medicare Advantage, Community Plan) COMMERCIAL NATIONAL	All 50 States Nationwide	90 Days	270837P835278	11 Days	98.4%
60054	Aetna Healthcare (CVS Health Group) COMMERCIAL NATIONAL	All 50 States Nationwide	180 Days	270837P835278	9 Days	99.4%
62308	Cigna Healthcare (Evernorth Health Services) COMMERCIAL NATIONAL	All 50 States Nationwide	90 Days	270837P835278	10 Days	98.9%
61101	Humana (Commercial, Humana Gold Plus, Humana Military) COMMERCIAL NATIONAL	All 50 States Nationwide	90 Days	270837P835278	13 Days	98.2%
00020	Elevance Health Anthem (Commercial, MediBlue, Federal) COMMERCIAL NATIONAL	California, New York, Ohio, Indiana, Georgia, 14 States	90 Days	270837P835278	12 Days	98.8%
BCBSTX	Blue Cross and Blue Shield of Texas (HCSC Group) REGIONAL HEALTH PLAN	Texas	95 Days	270837P835278	14 Days	99.1%
00590	Florida Blue (Blue Cross and Blue Shield of Florida) REGIONAL HEALTH PLAN	Florida	365 Days	270837P835278	15 Days	99%
BS001	Blue Shield of California (Commercial, Promise, Medicare) REGIONAL HEALTH PLAN	California	365 Days	270837P835278	11 Days	98.9%
00301	Empire Blue Cross Blue Shield (Elevance Health New York) REGIONAL HEALTH PLAN	New York	120 Days	270837P835278	12 Days	98.7%
22099	Horizon Blue Cross Blue Shield of New Jersey REGIONAL HEALTH PLAN	New Jersey	180 Days	270837P835278	13 Days	99.2%
54771	Highmark Blue Cross Blue Shield (Pennsylvania, West Virginia, Delaware) REGIONAL HEALTH PLAN	Pennsylvania, West Virginia, Delaware	180 Days	270837P835278	12 Days	98.9%
54763	Independence Blue Cross (Southeastern Pennsylvania) REGIONAL HEALTH PLAN	Pennsylvania	180 Days	270837P835278	14 Days	99.1%
00580	CareFirst BlueCross BlueShield (Maryland, Washington DC, Northern Virginia) REGIONAL HEALTH PLAN	Maryland, District of Columbia, Virginia	365 Days	270837P835278	13 Days	98.8%
56089	Blue Cross and Blue Shield of North Carolina REGIONAL HEALTH PLAN	North Carolina	180 Days	270837P835278	14 Days	99%
00710	Blue Cross Blue Shield of Michigan REGIONAL HEALTH PLAN	Michigan	180 Days	270837P835278	12 Days	99.3%
BCBSIL	Blue Cross and Blue Shield of Illinois (HCSC Group) REGIONAL HEALTH PLAN	Illinois	180 Days	270837P835278	13 Days	99.2%
00530	Blue Cross Blue Shield of Massachusetts REGIONAL HEALTH PLAN	Massachusetts	90 Days	270837P835278	10 Days	99.5%
00430	Premera Blue Cross (Washington and Alaska) REGIONAL HEALTH PLAN	Washington, Alaska	365 Days	270837P835278	12 Days	98.9%
00025	Regence BlueShield (Washington, Oregon, Idaho, Utah) REGIONAL HEALTH PLAN	Washington, Oregon, Idaho, Utah	365 Days	270837P835278	11 Days	99%
00520	Wellmark Blue Cross and Blue Shield (Iowa and South Dakota) REGIONAL HEALTH PLAN	Iowa, South Dakota	180 Days	270837P835278	12 Days	99.2%
00810	BlueCross BlueShield of Tennessee REGIONAL HEALTH PLAN	Tennessee	180 Days	270837P835278	13 Days	99.1%
00500	Blue Cross and Blue Shield of Alabama REGIONAL HEALTH PLAN	Alabama	365 Days	270837P835278	14 Days	99.3%
00535	Blue Cross Blue Shield of Arizona REGIONAL HEALTH PLAN	Arizona	365 Days	270837P835278	11 Days	99%
00570	Blue Cross and Blue Shield of Louisiana REGIONAL HEALTH PLAN	Louisiana	365 Days	270837P835278	15 Days	98.7%
16112	Excellus BlueCross BlueShield (Upstate New York) REGIONAL HEALTH PLAN	New York	180 Days	270837P835278	12 Days	99.2%
01112	Noridian Healthcare Solutions (Medicare Part B: Jurisdiction E - CA, NV, HI) MEDICARE MAC	California, Nevada, Hawaii, Guam, American Samoa	365 Days	270837P835	14 Days	99.4%
02102	Noridian Healthcare Solutions (Medicare Part B: Jurisdiction F - WA, OR, ID, AZ, UT, MT, WY, ND, SD, AK) MEDICARE MAC	Washington, Oregon, Idaho, Arizona, Utah, Montana, Wyoming, North Dakota, South Dakota, Alaska	365 Days	270837P835	14 Days	99.5%
04912	Novitas Solutions (Medicare Part B: Jurisdiction H - TX, OK, NM, AR, LA, MS, CO) MEDICARE MAC	Texas, Oklahoma, New Mexico, Arkansas, Louisiana, Mississippi, Colorado	365 Days	270837P835	14 Days	99.3%
12902	Novitas Solutions (Medicare Part B: Jurisdiction L - PA, NJ, MD, DE, DC) MEDICARE MAC	Pennsylvania, New Jersey, Maryland, Delaware, District of Columbia	365 Days	270837P835	14 Days	99.2%
11002	Palmetto GBA (Medicare Part B: Jurisdiction J & M - NC, SC, VA, WV, AL, GA, TN) MEDICARE MAC	North Carolina, South Carolina, Virginia, West Virginia, Alabama, Georgia, Tennessee	365 Days	270837P835	14 Days	99.4%
14112	National Government Services NGS (Medicare Part B: Jurisdiction 6 & K - NY, CT, MA, ME, NH, RI, VT, IL, MN, WI) MEDICARE MAC	New York, Connecticut, Massachusetts, Maine, New Hampshire, Rhode Island, Vermont, Illinois, Minnesota, Wisconsin	365 Days	270837P835	14 Days	99.3%
05102	Wisconsin Physicians Service WPS (Medicare Part B: Jurisdiction 5 & 8 - IN, MI, IA, KS, MO, NE) MEDICARE MAC	Indiana, Michigan, Iowa, Kansas, Missouri, Nebraska	365 Days	270837P835	14 Days	99.1%
09102	First Coast Service Options FCSO (Medicare Part B: Jurisdiction N - Florida, Puerto Rico, Virgin Islands) MEDICARE MAC	Florida, Puerto Rico, Virgin Islands	365 Days	270837P835	14 Days	99.4%
11398	New York State Medicaid (eMedNY Fiscal Agent) STATE MEDICAID	New York	90 Days	270837P835278	16 Days	98.2%
MEDICAL	Medi-Cal (California Department of Health Care Services) STATE MEDICAID	California	180 Days	270837P835278	18 Days	97.9%
TMHP01	Texas Medicaid and Healthcare Partnership (TMHP) STATE MEDICAID	Texas	95 Days	270837P835278	15 Days	98.4%
FLMED	Florida Medicaid (Agency for Health Care Administration AHCA) STATE MEDICAID	Florida	365 Days	270837P835278	17 Days	98%
ILMED	Illinois Department of Healthcare and Family Services (HFS Medicaid) STATE MEDICAID	Illinois	180 Days	270837P835278	19 Days	97.6%
PAMED	Pennsylvania PROMISe Medicaid (Department of Human Services) STATE MEDICAID	Pennsylvania	180 Days	270837P835278	16 Days	98.1%
OHMED	Ohio Department of Medicaid (MITS / PNM System) STATE MEDICAID	Ohio	365 Days	270837P835278	15 Days	98.6%
GAMED	Georgia Medicaid (Department of Community Health MMIS) STATE MEDICAID	Georgia	180 Days	270837P835278	17 Days	98%
NCTRK	North Carolina Medicaid (NCTracks Multi-Payer Portal) STATE MEDICAID	North Carolina	365 Days	270837P835278	15 Days	98.5%
WAMED	Washington Apple Health (Health Care Authority Medicaid) STATE MEDICAID	Washington	365 Days	270837P835278	14 Days	98.7%
68069	Centene Corporation (Ambetter, WellCare, Fidelis, Sunshine) REGIONAL HEALTH PLAN	All 50 States Nationwide	90 Days	270837P835278	13 Days	98.3%
MOLINA	Molina Healthcare (Medicaid Managed Care, Dual Eligible) REGIONAL HEALTH PLAN	California, Texas, Florida, Ohio, Michigan, 19 States	90 Days	270837P835278	14 Days	98.1%
94320	Kaiser Permanente Northern California REGIONAL HEALTH PLAN	California	365 Days	270837P835278	12 Days	99.1%
94321	Kaiser Permanente Southern California REGIONAL HEALTH PLAN	California	365 Days	270837P835278	12 Days	99%
OSCAR	Oscar Health (ACA Marketplace and Small Group Commercial) REGIONAL HEALTH PLAN	New York, Florida, Texas, California, Ohio, 18 States	90 Days	270837P835278	8 Days	99.4%
13330	EmblemHealth (GHI and HIP Plans New York) REGIONAL HEALTH PLAN	New York, New Jersey, Connecticut	120 Days	270837P835278	14 Days	98.6%
11315	Fidelis Care (Centene New York Health Plan) REGIONAL HEALTH PLAN	New York	90 Days	270837P835278	13 Days	98.5%
UPMC1	UPMC Health Plan (University of Pittsburgh Medical Center) REGIONAL HEALTH PLAN	Pennsylvania, Ohio, West Virginia	180 Days	270837P835278	11 Days	99.2%
GHP01	Geisinger Health Plan (Pennsylvania) REGIONAL HEALTH PLAN	Pennsylvania	180 Days	270837P835278	12 Days	99.1%
THP01	Point32Health Tufts Health Plan (Massachusetts, Rhode Island, New Hampshire) REGIONAL HEALTH PLAN	Massachusetts, Rhode Island, New Hampshire	90 Days	270837P835278	10 Days	99.4%
HPHC1	Harvard Pilgrim Health Care (Point32Health Group) REGIONAL HEALTH PLAN	Massachusetts, Maine, New Hampshire, Connecticut	90 Days	270837P835278	11 Days	99.3%
TRV01	Travelers Property Casualty (Workers Comp and Auto Medical) WORKERS COMP AUTO	All 50 States Nationwide	365 Days	270837P835278	22 Days	96.9%
LIBMUT	Liberty Mutual Commercial (Workers Comp and Casualty) WORKERS COMP AUTO	All 50 States Nationwide	365 Days	270837P835278	23 Days	96.7%
HARTFD	The Hartford Financial Services (Workers Comp Medical Claims) WORKERS COMP AUTO	All 50 States Nationwide	365 Days	270837P835278	21 Days	97.1%
SEDGWK	Sedgwick Claims Management Services (Workers Comp and Disability) WORKERS COMP AUTO	All 50 States Nationwide	365 Days	270837P835278	20 Days	97.5%
STFARM	State Farm Medical Payments & Personal Injury Protection (PIP) WORKERS COMP AUTO	All 50 States Nationwide	365 Days	270837P835	18 Days	97.8%
57106	TRICARE East (Humana Military Healthcare Services) GOVERNMENT MILITARY	Eastern United States (32 States)	365 Days	270837P835278	12 Days	99.1%
99726	TRICARE West (Health Net Federal Services) GOVERNMENT MILITARY	Western United States (21 States)	365 Days	270837P835278	13 Days	99%
12115	Veterans Affairs Community Care Network (VA-CCN Optum / TriWest) GOVERNMENT MILITARY	All 50 States Nationwide	180 Days	270837P835278	19 Days	97.4%