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Platform / Security and Compliance

Security and compliance

Patient and payment data protected at every step

BillCycle handles protected health information every day. It is built to HIPAA requirements, encrypts data in transit and at rest, limits access by role and records every action.

  • HIPAA compliant
  • Encrypted in transit and at rest
  • Full audit trail of every action
BillCycle · Security Controls
Controls [Values to confirm]
Encryption in transitTLS 1.2+
Encryption at restAES-256
Role-based access6 roles
Multi-factor sign-inRequired
Audit loggingAll actions
Audit log Today
09:42K. PatelEdited claim #48213
09:31J. MoorePosted ERA · UHC
09:12AdminChanged role: Biller

Core controls

Four controls built into every account

These are on by default. You do not pay extra or turn them on.

HIPAA compliance

BillCycle is designed and operated to meet HIPAA Privacy and Security Rule requirements for handling PHI.

Encryption

Data is encrypted in transit between your systems and BillCycle, and at rest in storage.

Role-based access

Each user sees only the practices, data and actions their role allows.

Full audit trail

Every view, edit, submission and approval is logged with the user, time and change.

Access control

Give each person exactly the access their job needs

A front desk user does not need practice-wide financials. A biller for one client does not need to see another. BillCycle lets you set this by role and change it as people move.

Roles you define

Start from standard roles such as biller, manager and owner, and adjust permissions to fit your team.

Client separation

Billing companies keep each client’s data separate and grant access client by client.

Quick removal

When someone leaves, an admin turns off access in one step.

BillCycle · Revenue Dashboard
Collected (MTD)$412K▲ 8.4%
Denial rate4.1%▼ 2.3 pts
Days in AR31▼ 6 days
Collections by week Last 8 weeks
Commercial$218KOn target
Medicare$131KOn target
Medicaid$63KSlow

Audit trail

A record of who did what, and when

If a payer, auditor or patient asks what happened to a claim or a record, you can show them. BillCycle keeps a full history of activity on every claim and patient account.

Every action logged

Edits, submissions, postings, approvals and record views are captured.

AI actions included

AI flags, suggestions and drafts are logged along with the person who accepted or dismissed them.

Searchable history

Look up activity by user, claim, patient or date range.

BillCycle · Claim Work Queue
My queue (24)RejectedDeniedNo response
ClaimPayerStatusAgeAmountNext
#48213BCBS PPORejected2d$225Fix modifier
#48207AetnaNo response84d$3,615Call payer
#48190MedicareIn process12d$860Wait
#48172UHCDenied CO-1621d$1,140Add info
#48165CignaPaid18d$410Done

How we handle your data

Safeguards behind the scenes

The details your compliance reviewer will ask about.

  • Business Associate Agreement [confirm standard BAA terms]
  • Hosting in [hosting provider and region to confirm]
  • Data encrypted in transit and at rest
  • Secure connections to your EHR feeds
  • Multi-factor sign-in [confirm availability]
  • Regular backups [confirm frequency]
  • Your data returned if you leave [confirm format]
  • [SOC 2 status to confirm]

AI and your data

AI works under the same protections

BillCycle’s AI features run inside the platform under the same HIPAA controls, access rules and audit trail as the rest of your billing data. AI suggests. People approve.

Same access rules

AI suggestions only appear to users who are allowed to see that claim.

Data use

[Confirm AI data use policy: whether and how practice data is used to improve models.]

AI
PREDICT
Denial risk 78% on claim #48213
Missing modifier 25. Add it before submission.
High risk
AI
CLASSIFY
42 denials share one root cause
CO-16: missing referring provider NPI.
Pattern
AI
APPEAL
Appeal draft ready for #48172
Medical necessity letter with notes attached.
Review
AI
PRIORITIZE
$3,615 at timely filing risk
Aetna claim, 6 days left. Call payer today.
Urgent

FAQ

Security questions practices ask

Will you sign a Business Associate Agreement?

[Confirm before launch.] As a vendor handling PHI on your behalf, BillCycle is a business associate under HIPAA.

Is BillCycle SOC 2 certified?

[SOC 2 status to confirm.] We can share our current security documentation on request.

Who at BillCycle can see our data?

Only staff who need access to support your account, under the same role-based controls and audit logging. [Confirm support access policy.]

How is data moved from our EHR to BillCycle?

Over encrypted connections, whether the feed is an API, HL7 interface or file transfer.

What happens to our data if we stop using BillCycle?

You can export your data. [Confirm export format, retention period and deletion process.]

Can we get documentation for our compliance review?

Yes. Request our security overview and we will send it along with answers to your questionnaire.

Bring your security questions to the demo

Invite your compliance lead. We will walk through access controls, the audit trail and how your data moves, and answer your security questionnaire.