> ## Documentation Index
> Fetch the complete documentation index at: https://trainings.air.athelas.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Full Capability List

Every capability in Practice Manager, grouped the same way as the sidebar. Open the matching section for the full description and a link to its guide where one exists.

<Icon icon="flask" iconType="duotone" color="#F9345F" size={16} /> **Beta.** In product and working, but ask your Athelas team to turn it on.<br />
<Icon icon="laptop-medical" iconType="duotone" color="#F9345F" size={16} /> **Needs Air.** Only for practices running Air as their EHR.

## Setup & Admin

### Practice, providers, and access

| Capability                                                                                                        | What it is                                                                                                          |
| :---------------------------------------------------------------------------------------------------------------- | :------------------------------------------------------------------------------------------------------------------ |
| **Roles & permissions**                                                                                           | Roles with page- and action-level permission gates, scoped by site or facility.                                     |
| **Facility & location setup**                                                                                     | Locations, hours, and facilities.                                                                                   |
| **Provider credentialing**                                                                                        | Payer enrollment and credentialing status per provider, in one place.                                               |
| **Provider profiles & credentials**                                                                               | Provider configuration and credentials. Schedules and prescriber nomination when you run Air.                       |
| **Appointment type & calendar setup** <Icon icon="laptop-medical" iconType="duotone" color="#F9345F" size={16} /> | Appointment types, templates, and provider hours.                                                                   |
| **Athelas Assistant** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} />                          | AI copilot that answers plain-English questions about your live billing data.                                       |
| **EDI & ERA enrollments**                                                                                         | Every provider registered with every payer, handled by Athelas at onboarding.                                       |
| **Stripe account & card reader setup**                                                                            | Athelas sets up your Stripe account and gets your card readers live. Reader hardware is purchased by your practice. |
| **Coaching & training**                                                                                           | One-time onboarding and training during launch.                                                                     |

### Charge Master

| Capability                        | What it is                                                                                        |
| :-------------------------------- | :------------------------------------------------------------------------------------------------ |
| **Charge Master editor**          | Full fee-schedule control with bulk edits and live preview.                                       |
| **Facility & non-facility rates** | Both rates on the same code, each adjustable without disturbing the other.                        |
| **Payer-specific rates**          | Payer-specific rows, with every name variant mapped to one canonical payer.                       |
| **Scheduled rate changes**        | Prices flip live on schedule, with no overlaps.                                                   |
| **Bulk rate copy & rescale**      | Stand up a new facility's fee schedule from an existing one, as-is or scaled to a different rate. |
| **Charge audit history**          | Every change, with before and after values, who made it, and when.                                |
| **Self-pay fee schedule**         | A separate cash-pay price list alongside your insurance rates.                                    |
| **Benefits summary PDF**          | Auto-built summary of a patient's verified benefits.                                              |

## Pre-Visit & Check-In

| Capability                                                                                                                                                        | What it is                                                                                                       |
| :---------------------------------------------------------------------------------------------------------------------------------------------------------------- | :--------------------------------------------------------------------------------------------------------------- |
| **Appointment reminders**                                                                                                                                         | Automated text and email reminders at your chosen offsets, with intake links.                                    |
| **Scheduled eligibility (VOB)**                                                                                                                                   | Batch pre-visit verification across primary, secondary, and tertiary coverage.                                   |
| **Real-time eligibility check**                                                                                                                                   | On-demand check that returns parsed benefits in seconds.                                                         |
| **Plain-English coverage detail**                                                                                                                                 | What the payer returns on an eligibility check, in plain English.                                                |
| **Suggested Charges**                                                                                                                                             | Expected copay, coinsurance, and deductible per appointment, with the math shown.                                |
| **Pre-visit payment rules**                                                                                                                                       | Request deposits, prior balances, or copays up front.                                                            |
| **Text blasts**                                                                                                                                                   | Send batched texts to patients.                                                                                  |
| **Patient eligibility report** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} />                                                                 | Coverage-status roster with CSV export.                                                                          |
| **Prior-auth tracking** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} />                                                                        | Worklist for authorizations, referrals, and their statuses.                                                      |
| **Workers' comp & self-pay registration**                                                                                                                         | First-class registration paths for workers' comp, self-pay, and missing insurance.                               |
| **Digital intake**                                                                                                                                                | Patients complete intake and update insurance before they arrive.                                                |
| **Check-in & copay collection**                                                                                                                                   | Counter preflight checks, plus collection on every payment rail.                                                 |
| **Kiosk check-in** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} /> <Icon icon="laptop-medical" iconType="duotone" color="#F9345F" size={16} /> | Patients check themselves in on a lobby tablet, confirming their details and insurance and paying what they owe. |
| **Athelas card reader**                                                                                                                                           | In-person card reader at the front desk. The hardware is purchased by your practice.                             |
| **Cards on file**                                                                                                                                                 | Charge a stored card at the counter.                                                                             |

## Rules & Submission

| Capability                                                                                             | What it is                                                                                                          |
| :----------------------------------------------------------------------------------------------------- | :------------------------------------------------------------------------------------------------------------------ |
| **Billing rules engine**                                                                               | Scrub, split, hold, or block claims, and view, toggle, and prioritize the rules that do it.                         |
| **Rule drafts & activation**                                                                           | New rules stay inactive until you deliberately activate them.                                                       |
| **AI rule generation** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} />              | Describe a rule in plain language and get a working draft.                                                          |
| **Rule impact preview** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} />             | The claims and appointments a rule would affect, before you launch it.                                              |
| **Rule audit trail & rollback**                                                                        | Every version kept, with one-click restore.                                                                         |
| **Plain-language rule view**                                                                           | A human-readable summary next to each rule, with internal IDs resolved.                                             |
| **Test a rule against past claims** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} /> | A before-and-after comparison of what the rule would have changed.                                                  |
| **New-rule safety sampling**                                                                           | New rules apply to a sample of claims first, then expand.                                                           |
| **Pre-submission claim scrubbing**                                                                     | Build and validate a claim without sending it.                                                                      |
| **Electronic claim submission**                                                                        | Validated, verified, then transmitted on the right route per payer.                                                 |
| **Payer name mapping**                                                                                 | Every insurance name in your EHR mapped to one payer record, so claims route to the destination that payer expects. |
| **Claims workspace**                                                                                   | One unified worklist for rejections, denials, and claim details.                                                    |
| **Claim assignment & grouping**                                                                        | Assign claims to individual billers and group a worklist by owner, so each person works their own list.             |
| **Bulk actions**                                                                                       | Multi-select claims and act at scale with 20+ bulk actions.                                                         |
| **Claim deferral**                                                                                     | Defer with a reason, to capture work done outside Insights.                                                         |
| **Corrected-claim resubmission**                                                                       | Proper correction coding, in bulk, duplicate-guarded.                                                               |
| **Claim notes**                                                                                        | Comments on claims, single or bulk.                                                                                 |
| **Supporting records delivery**                                                                        | Send supporting records by fax, email, mail, or electronically.                                                     |
| **Assistant bulk actions**                                                                             | Ask anything and act across one claim or every claim you selected.                                                  |
| **Unified claim view**                                                                                 | Submissions, remittances, payments, and attachments side by side.                                                   |
| **Automatic NDC coding**                                                                               | Correct NDC, units, and drug details filled in automatically on drug claims.                                        |
| **EHR integration & data sync**                                                                        | Scheduled pull of appointments, encounters, charges, and records from your existing EHR.                            |
| **Eligibility refresh at submission**                                                                  | Eligibility is refreshed and attached to the claim before it goes out.                                              |
| **Manual claim entry**                                                                                 | Build a claim from scratch, with the same rules and validation as any other.                                        |
| **Payer claim status**                                                                                 | Payer-reported status on the claim and its timeline.                                                                |
| **Claim voids** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} />                     | Void a claim in product, with proper payer void coding.                                                             |
| **In-claim eligibility check**                                                                         | Run eligibility against any insurance on the claim.                                                                 |
| **Claim activity timeline**                                                                            | Who or what changed the claim, and when.                                                                            |
| **Submission block overrides**                                                                         | Release a single encounter past a submission block, with documented justification.                                  |
| **AI filters** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} />                      | Describe the view you want and let AI sort, group, and filter.                                                      |

## A/R & Denials

| Capability                                                                                        | What it is                                                                         |
| :------------------------------------------------------------------------------------------------ | :--------------------------------------------------------------------------------- |
| **Automatic 835 intake**                                                                          | Remittances pull from every clearinghouse, with codes translated to plain English. |
| **AI EOB transcription**                                                                          | Scanned EOBs extracted line by line and confirmed against the image.               |
| **Posting preview**                                                                               | Preview any posting action before it takes effect.                                 |
| **Adjustment code management** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} /> | Standard adjustment codes, viewable and mappable per site.                         |
| **Working denials**                                                                               | Denials grouped by reason, payer, and type, with dollars at risk per bucket.       |
| **Denial categorization**                                                                         | Plain-English CARC and RARC views, with worked and recovered-revenue KPIs.         |
| **Bulk denial actions**                                                                           | Assign, tag, defer, and resubmit denials at scale.                                 |
| **Appeal supporting docs**                                                                        | Attach records to any claim, any time.                                             |
| **EOB creation & payer-portal checks**                                                            | Manual remittance intake for anything that never arrives as an 835.                |
| **Bulk EDI (835) download**                                                                       | Download raw 835 files in bulk for external accounting or posting systems.         |
| **Automatic remittance posting**                                                                  | Balanced remittances post with no manual touch; only exceptions are held.          |
| **Contractual adjustments**                                                                       | Automatic write-offs, tagged regrettable or expected.                              |
| **Appeals** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} />                    | AI-drafted appeal letters, packet assembled and filed on the payer's channel.      |
| **Appeal status & history**                                                                       | Per-claim appeal status, interleaved with full submission history.                 |
| **A/R aging**                                                                                     | Bucket to payer to patient to claim, exportable as CSV or PDF.                     |
| **KPI dashboards**                                                                                | First-pass rate, collection rate, days to paid, and provider productivity.         |
| **Metric drill-down**                                                                             | Every number opens to the claims behind it.                                        |
| **Payer mix & performance**                                                                       | Your whole book of business, broken down by payer.                                 |
| **Report templates**                                                                              | Roughly 20 configurable templates plus saved views.                                |
| **AI report builder** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} />          | Ask a plain-English question and get a live report you can save.                   |

## Patient Billing

| Capability                                                                                                | What it is                                                                                 |
| :-------------------------------------------------------------------------------------------------------- | :----------------------------------------------------------------------------------------- |
| **Patient responsibility calculation**                                                                    | Works out what the patient owes, then creates the charge.                                  |
| **Recurring patient statements**                                                                          | Statements on your cadence across text, email, and mail, each with a pay link.             |
| **One-off statements**                                                                                    | One-off statement to one patient, on any channel.                                          |
| **SmartPay pay-by-link**                                                                                  | One-tap pay page supporting every payment method, posting instantly.                       |
| **Payment plans & patient subscriptions**                                                                 | Auto-charged plans, plus recurring memberships and wellness plans.                         |
| **Per-visit PR breakdown**                                                                                | Per-visit detail of billed, paid, adjusted, credits, refunds, and remaining.               |
| **Contact & address validation**                                                                          | Address, phone, and email in one place, auto-validated and tracked.                        |
| **Failed-payment detection**                                                                              | Detected and recorded the moment a scheduled charge fails, so nothing goes quietly unpaid. |
| **Patient-facing balance explanation** <Icon icon="flask" iconType="duotone" color="#F9345F" size={16} /> | A line-by-line breakdown of the balance, charge by charge.                                 |
| **Financial guarantor records**                                                                           | Responsible-party setup with duplicate detection, reusable across patients.                |
| **Gift cards**                                                                                            | Pre-funded credits with a unique code and tracked running balance.                         |

## Reconcile & Refund

| Capability                              | What it is                                                                   |
| :-------------------------------------- | :--------------------------------------------------------------------------- |
| **Bank deposit verification**           | Auto-ingest bank deposits and match them against ERAs and payments.          |
| **Reconciliation reports**              | Deposits, ERAs, and postings, with match review and export.                  |
| **Patient refunds**                     | Refund on any rail, with item-level re-allocation and permission gating.     |
| **Month-end close**                     | Month-end summary, A/R aging, reconciliation exports, and cash-drawer recon. |
| **Card transaction ledger**             | Charges, refunds, disputes, and payouts, all written as they happen.         |
| **Lockbox & sweep setup**               | Lockbox accounts configured together with you. Optional.                     |
| **Payer clawbacks & reversals**         | Payer takebacks handled automatically, as reversals that preserve history.   |
| **Secondary & tertiary COB forwarding** | Automatic COB forwarding after the primary pays.                             |
