CH360 Revenue Cycle
Revenue cycle management built for community-based organizations and Care Hubs. CH360 turns approved services into clean claims and invoices, follows every dollar through the payer, and matches it to your bank — so the work you do gets paid.
Why revenue slips away
Your team already did the work. The money is lost somewhere between the service and the bank. CH360 closes each gap.
A missing signature or expired authorization quietly keeps delivered work from ever becoming a bill.
Readiness queue names every blocker and who fixes it.
Wrong IDs, codes or units send claims straight back — and many never go out again.
Pre-bill checks stop errors before the payer sees them.
Small teams run out of time, appeal deadlines pass and the money is written off.
One queue with amount at risk, deadline and next step.
Payments are rarely compared to the contract rate, so underpayments go unnoticed.
Every payment checked against your contract.
Deposits don’t match remittances, so month-end close turns into detective work.
Payments matched to bank deposits automatically.
Revenue leak calculator
Enter your own numbers to see what each leak costs you in a year.
Start values are examples. Move each slider to match your organization.
Billable value of the social care services your team provides
Missing signatures, lost paperwork, expired authorizations
Rejections and denials on first submission
Written off because nobody had time to fix or appeal
Underpayments nobody compared against the contract
Revenue leaking each year
$206,952
Your assumption — pick a number you believe
If you won back 50% of that leak, you would keep
$103,476 more per year
This is simple math on the numbers you enter — not a CH360 guarantee. Your real results depend on your payers, contracts and services, and we measure them against your own starting point.
Service to cash
Tap a stage to see what CH360 checks — and why it matters to your revenue.
What’s inside
Enrollment, NPI or other approved IDs, worker credentials, participation dates and renewal reminders.
Business valueServices outside approved dates are held and fixed — not denied months later.
Every payer, program, fee schedule, modifier, unit rule, cap and filing deadline — versioned by date.
Business valueEach bill uses the right rate for its service date, even after a contract changes.
Real-time and batch coverage checks for the date of service, with primary and secondary plans.
Business valueKnow coverage before you serve, not after a denial arrives.
Approved units or dollars, what’s used, what’s billed and when renewals are due.
Business valueNever overspend an authorization or miss a renewal.
Service logs, attendance and EVV where required become charges. Canceled visits never do.
Business valueNo second data entry to bill — the service record is the bill.
Each blocker explained with its owner and fix. A missing signature goes straight to the worker.
Business valueBillers fix problems in minutes instead of chasing them for weeks.
Claims and invoices with preview, sign-off, batch totals, corrections, replacements and secondary billing.
Business valueOne click is one submission — no accidental duplicates.
835 remittances and paper EOBs posted line by line, with adjustments and reversals explained.
Business valueExact matches post themselves; your team only reviews the exceptions.
Rejections, denials, partial payments and underpayments in one queue. Appeal packets built from your evidence.
Business valueWin back money that would otherwise be written off.
Aging by bill and service date, payer due dates, no-response alerts and an owner on every overdue item.
Business valueEvery dollar owed has a name and a next step next to it.
Match payments to deposits, close the month, lock posting and export to your accounting system.
Business valueReports that match your bank account — every month.
Service-to-cash funnel, unbilled value, denial trends, aging and cash forecasts with confidence ranges.
Business valueLeaders see sustainability at a glance, not spreadsheets.
Every dollar explained
You bill $100. The payer allows $80 and pays $60. CH360 shows the $20 contract adjustment and the $20 still owed — so it gets followed up instead of forgotten.
$20
Contract adjustment
$20
Still owed — assigned for follow-up
Built for Care Hubs
A hub bills on behalf of its network, then splits each payment among partner CBOs with approved fees — with settlement statements and disputes built in.
Payment received
$80.00
$72.00 to the CBO
$8.00 approved hub fee
Every way you get paid
Social care is funded many ways. CH360 handles each one from the same service record — without counting the same service twice.
Fee-for-service claims
837P and CMS-1500 to Medicaid, MCOs and other payers
Contract invoices
Payer-specific invoices without forcing a claim
Cost reimbursement
Actual-cost limits and allowable costs
Per member per month
Rosters, eligibility periods and exclusions
Bundles & milestones
Paid when the agreed milestone is proven
Outcomes-based
Performance thresholds and caps
Grants, coordinated
One service supports many reports — never counted twice
Connected through Office Ally
Each payer shows exactly what’s connected — claims, eligibility, status or payments — or “enrollment pending” until it’s live.
1,200+
Commercial Health Plans
National and regional insurers
300+
Medicaid and Managed Care Plans
State Medicaid, MCOs and regional plans
200+
Medicare and Medicare Advantage Plans
Including SNPs and other special needs plans
300+
Government, Behavioral Health and Other Payers
State, county, Tricare, VA, workers’ compensation and more
AI that shows its work
AI does the reading, summarizing and drafting. Your team makes every decision that touches money, codes or a payer.
Explains what’s missing on a bill and the shortest way to fix it.
GuardrailLinks to the exact field and rule. Never invents a fact.
Reads a payer contract and drafts the rates and filing rules.
GuardrailShows the original page. Nothing goes live without approval.
Suggests allowed service-to-code matches from your reviewed list.
GuardrailA qualified reviewer approves. Never guesses to raise payment.
Summarizes why a claim was denied and drafts an evidence-based appeal.
GuardrailCites the service, payer response and policy. You approve before it’s sent.
Explains aging and mismatches in plain language.
GuardrailUses only ledger-calculated numbers with source links.
Pulls the details out of paper explanation-of-benefits pages.
GuardrailHighlights where each value came from; unsure fields need review.
3 ways
to run your billing
Run it your way
Your billers run the full cycle in CH360 with guided work queues and plain-language statuses.
Give an outside biller delegated access. Everyone sees the same events; permissions stay separate.
Optional: our operations team handles submissions, follow-up and posting under a written responsibility agreement. You keep final say on coding and write-offs.
Software, connection and optional service fees are always shown separately.
Trust built in
Billing runs inside the same secure CH360 platform as your services and client records.
“Sent”, “accepted”, “paid” and “in the bank” are separate statuses, each backed by a real response.
Balanced, permanent financial records. Corrections create new versions — nothing is silently deleted.
The person who prepares a large refund or write-off can’t approve and release it alone.
A payer denial never turns into member debt automatically. Medicaid rules are checked before any statement.
Each payer shows what’s connected for claims, eligibility and payments — or “enrollment pending.”
How we measure success
Targets we measure with each customer against your own starting point — not guarantees.
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See how CH360 Revenue Cycle fits your payers, contracts and state.
Book a demo