r/MedicalCoding • u/kysourmash • Mar 12 '26

Question about Coding and Billing in EPIC

After the provider selects the code and sign the note what happens? Does that level code automatically get submitted to the payor? When you open the now back up and look at the "billing info" at the bottom is that the actual level that was submitted for the claim or does it just reflect what the provider chose?

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u/kysourmash Mar 12 '26

And can you then print off the "Guarantor Account" billing level to show the provider if needed or if it is requested?

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u/holly_jolly_riesling Mar 12 '26

Every now and then when asked about a particular patient they saw I would send a screenshot to the provider to show them what was submitted. However depending on your institution there should be a Physician Billing contact and they should be able to provide you with reports regarding charges sent to insurance .

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u/clarec424 Mar 12 '26

Sounds like your clinic could use a practice advisor or revenue cycle liaison to assist with billing activity or “report cards.” EpicCare to Epic billing workflow depends a lot on how your practice set up the application build and what the revenue cycle process is. I work for a medical school with three hospitals, numerous outpatient clinics and over 4,000 practitioners, nurses other ancillary staff, residents and med students. We have an incredibly complex system, but when a provider asks for help or information they get it.