Electronic Billing

The Electronic Billing service assists providers funded by Medicaid. Agencies can create and send professional claims for a single or multiple individuals and for one or more of their service lines. When users create new claims or update existing ones, the invoices are available to them in PDF format which they can have printed out.

Federal compliance requirements in effect from January 1, 2012

Therap’s Electronic Billing system has been successfully upgraded to support HIPAA 5010 compliance requirements. Click here to download a summary of changes that will guide you towards a smooth transition to HIPAA 5010 Electronic Billing.

Therap Billing system allows for HIPAA compliant submission of professional and institutional claims. The system is capable of producing claims in ANSI X12 837 format. It also updates claim status based on X12 835s received from the Medicaid system.

  • If claims are denied, user can resubmit them for single or multiple Individuals after making necessary corrections.
  • Claims can also be generated and then printed as a CMS-1500 printable claim forms to be submitted manually to Payers.
  • Using Therap’s Billing Application, users can create billing templates for recurring claims(837 Institutional Claim Type).

Billing/ Billing Plus Training Academy Course

Billing Setup Part 1

This training is geared towards Billing Admins, who will first need to do some setup in the admin tab for Billing before data can be collected.
Take the Course

Billing Setup Part 2

Take the Course

User Guides

Related Links


Professional and Institutional Claim Generation

  • Claims submitted by a Billing provider is sent to state Medicaid directly.
  • Users can view status of their claims to check if they have been accepted.
  • Rejected claims are sent back to Provider agencies to be resubmitted after making corrections.
  • Transaction Record feature lets users search for claims for a particular transaction along with their current status.

Trading Partners

Therap has Trading Partner Agreements with MMIS vendors Conduent, DXC Technology, CSRA Inc for Medicaid Claim, Nordian and Palmetto GBA for Medicare Claims submission in several states. Therap is a Billing Agent for providers in Alabama, Alaska, Arkansas, California, Colorado, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Iowa, Indiana, Kansas, Kentucky, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, Oklahoma, Pennsylvania, South Dakota, Texas, Utah, Virginia, West Virginia and Wyoming.

Therap is a Billing Agent with multiple MCO’s in Colorado, Iowa, Kansas, North Carolina and Wisconsin. Therap works with two Fiscal Intermediaries in Connecticut and manages Specialized Claims processing in Arizona, Illinois, Ohio and Oregon, in addition to sending claims to both Medicare and Commercial Insurance Carriers.