Paramount Billing Solutions API
Paramount Billing Solutions is medical billing and revenue cycle management software and services used by clinics, provider groups, and practice management teams to verify benefits, obtain prior authorizations, enter and code charges, submit and track claims, post payments, manage denials, and produ
What is Paramount Billing Solutions?
Paramount Billing Solutions provides end-to-end medical billing, prior authorization, and revenue cycle management for healthcare providers. Practices use Paramount to verify insurance, capture and code encounters, obtain necessary pre-approvals, submit claims to payers and clearinghouses, track adjudication, post payments and adjustments from ERAs/EOBs, and manage aging AR and denials with timely follow-up.
Core product areas include:
- Insurance verification and eligibility checks
- Prior authorizations and service approvals
- Charge entry and medical coding (CPT/HCPCS, ICD-10, POS, modifiers)
- Claim submission (837P/I) and payer portal workflows
- Claim status tracking and denial management
- Payment posting and ERA/EOB reconciliation (835)
- Provider credentialing and enrollment support
- Financial reporting and AR analytics
Common data entities:
- Patients and guarantors
- Providers (billing/rendering) and facilities
- Payers and plans
- Eligibility checks and benefit summaries
- Authorizations (service code, units, validity dates)
- Encounters and charge batches (service lines)
- Claims (837P/I, service lines, diagnosis pointers)
- Remittances (835 ERA, payments, adjustments)
- Denials and follow-up tasks
The Paramount Billing Solutions Integration Challenge
Organizations rely on Paramount daily, but turning portal-based billing workflows into automated pipelines is hard:
- Payer-specific rules: Each payer can require distinct coverage rules, service codes, modifiers, and prior auth criteria
- Strong enterprise security: SSO/MFA and network controls complicate headless automation for billing portals
- Portal-first operations: Key authorization, eligibility, and claim status workflows live in web apps or batch exports, not unified public APIs
- EDI and timing windows: SFTP/EDI feeds (837/835), batching constraints, and submission windows must be respected
- Compliance nuances: HIPAA/PHI handling, audit trails for claim edits, and timely filing rules vary by payer and program
How Supergood Creates Paramount Billing Solutions 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 authorization, charge, claim, and remittance objects so you can integrate once across payers and clearinghouses
- Aligns with customer entitlements and licensing constraints to ensure compliant access
- Bridges batch exports and SFTP/EDI flows where applicable with signed URL retrieval and delivery (837 generation, 835 ingestion)
Getting Started
- Schedule Integration Assessment
Book a 30-minute session to confirm your Paramount Billing Solutions product mix, licensing, and authentication model.
- Supergood Builds and Validates Your API
We deliver a hardened Paramount adapter tailored to your workflows and entitlements.
- Deploy with Monitoring
Go live with continuous monitoring and automatic adjustments as Paramount 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.
Patients
/patientsRetrieve patient demographics, payer enrollments, and eligibility status. Use this to keep your EHR/practice management system synchronized.
Authorizations
/authorizationsRetrieve prior authorization records with allowed units, service codes, and date ranges. Use this to validate charge capture and claim eligibility.
Claims
/claimsAssemble an 837P/I claim from charge entries. Supergood normalizes service lines and can route the generated file to the configured submission channel.
Remittances
/remittancesRetrieve ERA (835) summaries with payments, adjustments, and denial reasons for reconciliation.
Use Cases
EHR-to-RCM Synchronization
- Push patient and provider rosters from your EHR into Paramount Billing Solutions - Create charge batches automatically from your scheduling or encounter system with correct CPT/HCPCS, modifiers, and POS - Maintain a single source of truth for demographics, subscriber data, and payer enrollments
Authorization-Aware Charge Capture
- Validate eligibility before encounter creation and charge posting - Track remaining authorized units and prevent over-utilization - Surface payer-specific rules to care coordinators and front office staff
Denial Management and AR Automation
- Pull denial codes and workqueue items; route issues for correction and resubmission - Apply compliant claim edits with audit trails and timely filing checks - Escalate unresolved AR prior to aging thresholds
Claims Generation and Reimbursement Automation
- Bundle charges into 837P/I claims with payer-specific formatting - Submit via the configured channel (clearinghouse, payer portal) and track adjudication - Reconcile ERAs with posted payments, adjustments, and patient responsibility
Audit and Compliance
- Export complete claim packets with diagnosis pointers, service lines, and edit history - Maintain machine-readable audit trails aligned to payer and HIPAA requirements - Prove coverage, authorization, 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 authorizations, claims, and remittance artifacts
Security
Encrypted transport, scoped tokens, and audit logging; respects Paramount Billing Solutions entitlements and HIPAA requirements
Webhooks
Optional asynchronous delivery for eligibility updates, claim status changes, and remittance ingestion
Latency
Sub-second responses for list/detail queries under normal load
Throughput
Designed for high-volume charge capture 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 Paramount Billing Solutions billing portals and agency-facing tools, subject to your licensing and entitlements. We scope coverage (e.g., eligibility, prior auths, charge capture, claim submission, ERA/EOB reconciliation) during integration assessment.
We support username/password + MFA (SMS, email, TOTP) and can operate behind SSO/OAuth when enabled. For batch flows, we manage SFTP/EDI timing windows, generate 837 files, and retrieve signed URLs or delivery confirmations programmatically; we also ingest ERAs (835) for reconciliation.
Yes. You can assemble 837P/I from charge entries with payer-specific formatting. We can route submissions via your configured channel (clearinghouse or payer portal) and return statuses and artifacts for reconciliation.