One billing handoff question across Qualifacts' three EHRs

Qualifacts runs three behavioral health EHRs: Credible, CareLogic, and InSync. Each has billing built in, and Qualifacts also sells a co-sourced revenue cycle service. Here is how to think about handing billing work to Taiga while your team stays on its Qualifacts system.

Book a demoStart by naming your platform and who works billing today, your staff, Qualifacts' own RCM team, or both. Access for an outside team is confirmed on a call.

Service documented

Clinical record feeds claims in the EHR

Claim batch

Claims batched and checked before submission

Posting and close

Payments posted and month-end reconciled

How billing works across Qualifacts platforms

All three platforms connect documentation to claims. The size of your organization usually decides which one you run.

Know your platform

Qualifacts positions InSync for small to mid-sized behavioral health and rehabilitative care organizations, and CareLogic and Credible for larger, multi-location agencies. Billing setup and state reporting needs differ, so start with which one you use.

Documentation becomes the claim

In Qualifacts EHRs, clinical documentation flows into claims rather than a separate system. Taiga drafts codes from that documentation for clinician approval before submission.

Claims, eligibility, and edits

Decide who runs batch and real-time eligibility checks, submits claim batches, and works rejections. Qualifacts lists the same tasks for its own co-sourced service, so the split must be explicit.

Posting and month-end

Payment posting, reconciliation, and client statements need one owner. Agree how they line up with your month-end close in the EHR.

Why a Qualifacts practice might bring in Taiga

The EHR stays. The question is who does the billing work inside it.

Built for independent practices

Taiga pairs an AI platform with an experienced billing team, focused on independent practices.

Small balances count

Low-dollar denials get the same follow-up and appeal as large ones.

Clinician sign-off

Clinicians approve the codes Taiga drafts before any claim goes out.

Confirm these Qualifacts details first

Answers vary by platform, programs, and payer mix.

Which platform and modules?

Name Credible, CareLogic, or InSync, plus any billing add-ons and the clearinghouse in use.

Do you use Qualifacts RCMS+?

Qualifacts sells RCMS+, a co-sourced revenue cycle service whose team works inside your EHR. If you already use it, map which tasks it covers so nothing is owned twice.

Which programs and payers?

List outpatient, substance use, residential, or IDD programs and any state Medicaid or value-based contracts.

What is open today?

Pull open claims and unposted payments so Taiga can take over open A/R or run in parallel.

For independent mental health practices on Qualifacts

Mental health is one of Taiga's named specialties. An independent outpatient practice on InSync, CareLogic, or Credible that wants an outside billing team is the clearest fit.

What to confirm first

Taiga does not claim a Qualifacts integration, partnership, or automatic sync. For substance use, residential, IDD, or state-funded programs, bring your service mix and Taiga will tell you straight whether it fits.

Questions from Credible, CareLogic, and InSync users

Do we have to leave InSync, CareLogic, or Credible?

No. Taiga works alongside your existing EHR, and which screens its team uses is settled with you.

We already use Qualifacts RCMS+. Can Taiga replace it?

That is your practice's choice. Qualifacts describes RCMS+ as a co-sourced service working inside your EHR, so compare its task list with Taiga's before switching.

Does Taiga handle state reporting?

State reporting is not part of Taiga's published service. Plan for it to stay with your team and your EHR.

Can Taiga take our open claims?

Taiga can take over open A/R or run alongside your current billing. Bring an aging report so ownership is clear.

Bring your Qualifacts setup

Show Taiga your platform, programs, and current billing split. When the fit is right, expect about two weeks from onboarding to first claim.

Book a demo