CareLogic by Qualifacts API
CareLogic is an EHR used by behavioral health and human services agencies to manage intake and episodes of care, document services, track treatment plans and outcomes, schedule individual and group sessions, and support billing to Medicaid, commercial payers, and Managed Care Organizations (MCOs). W
What is CareLogic by Qualifacts?
CareLogic EHR provides clinical, operational, and financial tools tailored to behavioral health and human services organizations. The platform spans intake and referral, episodes of care and programs, treatment planning and documentation, outcomes measurement, scheduling, authorizations and eligibility, and claims/remittances.
Core product areas include:
- Client intake, demographics, and episodes of care
- Scheduling (individual and group), telehealth support, and calendars
- Clinical documentation (progress notes, assessments, treatment plans)
- Diagnoses (ICD-10) and service coding (CPT/HCPCS) with modifiers and place-of-service
- Payer management, authorizations, and eligibility tracking
- Billing and revenue cycle (837P/I generation, 835 remittance reconciliation)
- Outcomes and measurement-based care (e.g., PHQ-9, GAD-7)
- Reporting and compliance (audit trails, signatures, note locking)
Common data entities:
- Clients (patients) and contacts
- Providers/staff and credentials
- Programs and episodes of care
- Appointments (individual, group, telehealth) and attendance
- Progress notes and documentation artifacts
- Diagnoses and diagnosis pointers for billing
- Service events (billable encounters) with service codes and units
- Authorizations (payer, service code, units, date ranges)
- Claims (837P/I) and remittances (835)
The CareLogic Integration Challenge
Organizations rely on CareLogic daily, but turning portal-first EHR workflows into automated pipelines is hard:
- Strong enterprise security and compliance: SSO/MFA, role-based entitlements, and audit trails complicate headless automation
- Portal- and form-centric flows: Documentation, signatures, and note locking often live in web apps, not unified public APIs
- Payer-specific rules: Service codes, modifiers (e.g., telehealth 95/GT), diagnosis pointer requirements, and place-of-service constraints vary
- Authorization and eligibility nuance: Units tracking, program alignment, and service-level constraints must be honored
- Batch interfaces and timing: 837/835 EDI feeds, SFTP windows, and submission schedules require deterministic handling
- Clinical workflow guardrails: Provider/client signatures and locked notes need compliant edit/amendment trails
How Supergood Creates CareLogic APIs
Supergood reverse-engineers authenticated browser flows, batch interfaces, and network interactions to deliver a resilient API endpoint layer.
- Handles username/password, SSO/OAuth, and MFA (SMS, email, TOTP) securely
- Maintains session continuity with automated refresh and change detection
- Normalizes client, authorization, scheduling, documentation, and claim objects so you can integrate once across programs and payers
- Aligns with customer entitlements and licensing to ensure compliant access
- Bridges batch exports and SFTP/EDI flows where applicable with signed URL retrieval and delivery
Getting Started
- Schedule Integration Assessment
Book a 30-minute session to confirm your CareLogic product mix, licensing, and authentication model.
- Supergood Builds and Validates Your API
We deliver a hardened CareLogic adapter tailored to your workflows and entitlements.
- Deploy with Monitoring
Go live with continuous monitoring and automatic adjustments as CareLogic evolves.
API Endpoints
Authentication
/sessionsEstablish a session using credentials. Supergood manages MFA (SMS, email, TOTP) and SSO/OAuth when enabled. Returns a short-lived auth token maintained by the platform.
Clients
/clientsRetrieve client demographics, episodes of care, programs, diagnoses, and payer details. Use this to maintain roster alignment across systems.
Authorizations
/authorizationsRetrieve payer/member service authorizations with allowed units, service codes, and date ranges. Use this to validate scheduling and posting of service events.
Appointments
/appointmentsCreate or update an appointment (individual or group) with service details, location/modalities, and authorization context.
Service Events
/service-eventsRecord a billable service event tied to an appointment with diagnoses, signatures, and documentation metadata. Supports modifiers and place-of-service.
Claims
/claimsAssemble an 837P/I claim from posted service events. Supergood normalizes service lines and can route the generated file to the configured submission channel.
Use Cases
EHR/CRM-to-CareLogic Synchronization
- Push client and provider rosters from your source systems into CareLogic - Maintain a single source of truth for demographics, programs, and episodes of care - Keep insurance and eligibility data synchronized across systems
Authorization-Aware Scheduling and Eligibility
- Validate payer authorizations before scheduling appointments or posting service events - Track remaining authorized units and prevent over-utilization - Surface payer- and program-specific rules to schedulers
Clinical Documentation and Sign-Off
- Create progress notes linked to appointments with required fields and templates - Capture provider/client signatures and lock notes with compliant amendments when needed - Enforce diagnosis pointers and place-of-service at the point of documentation
Claims Generation and Reimbursement Automation
- Bundle billable service events into 837P/I claims with payer-specific formatting - Submit via configured channels (portal, gateway, or clearinghouse) and track statuses - Reconcile 835 remittances alongside documentation and authorization evidence
Audit and Compliance
- Export complete documentation packets with timestamps, signatures, diagnoses, and amendments - Maintain machine-readable audit trails aligned to agency and payer requirements - Prove authorization alignment and claim provenance during reviews
Technical Specifications
Authentication
Username/password with MFA (SMS, email, TOTP) and SSO/OAuth where enabled; supports service accounts or customer-managed credentials
Response format
JSON with consistent resource schemas and pagination
Rate limits
Tuned for enterprise throughput while honoring licensing and usage controls
Session management
Automatic reauth and cookie/session rotation with health checks
Data freshness
Near real-time retrieval of appointments, authorizations, documentation, and claim artifacts
Security
Encrypted transport, scoped tokens, and audit logging; respects CareLogic entitlements and compliance requirements
Webhooks
Optional asynchronous delivery for documentation status, claim generation, and remittance updates
Latency
Sub-second responses for list/detail queries under normal load
Throughput
Designed for high-volume scheduling, documentation, and batch claims pipelines
Reliability
Retry logic, backoff, and idempotency keys minimize duplicate actions
Adaptation
Continuous monitoring for UI/API changes with rapid adapter updates
Frequently asked questions
Supergood supports workflows across commonly used CareLogic modules and agency-facing tools, subject to your licensing and entitlements. We scope coverage (e.g., client intake/episodes, scheduling, documentation, authorizations, claim assembly, remittance retrieval) during integration assessment.
We support username/password + MFA (SMS, email, TOTP) and can operate behind SSO/OAuth when enabled. For documentation flows, we capture provider/client signatures, lock notes, and align with amendment/audit requirements programmatically.
Yes. You can assemble 837P/I from service events with payer-specific formatting. We can route submissions via your configured channel (portal, MCO gateway, or clearinghouse) and return statuses and artifacts for reconciliation.