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for healthcare & revenue cycle

The claim is the contract. Aleq is the ledger that knows it.

Aleq is the books for healthcare providers — it recognizes net patient revenue from 837 claims and 835 remittances, posts contractual adjustments under ASC 606, and keeps the revenue cycle tied to the general ledger.

See it on your booksHow it works
synced from your clearinghouse · 837 / 835 · ties to the ledger
Net patient revenue · livelive
Gross charges$840,000
estimated by payerContractual allowances$(512,000)
Net patient revenue$328,000
Net collection rate96.4%
Net of the constraint · ties to the GLon schedule
net patient revenue · recognized from remittances
96.4%
Net collection ratecash over net revenue
38
Days in A/Raged by payer, daily
6.2%
Denial rateby reason, from the 835
$0.00
Remittance-to-bank varianceties to the GL
The reality today

Gross charges aren't revenue, and the write-offs hide the truth.

Claims go out at charge-master rates no payer pays. Remittances come back days or weeks later with contractual adjustments, denials, and partial payments. Net revenue is an allowance estimate until the 835 posts, and bad-debt builds in the gap. Aleq ingests the 837s and 835s, books the right net revenue, and ages A/R against the payer that owes it.

the close, by hand
Clearinghouse837 / 835 filesExcel allowanceNetSuiteby hand
one ledger — read, derived, posted, signed
How it works

An 835 posts. Net revenue, trued up.

Claims go out at charge-master rates no payer pays; remittances come back days later with adjustments and denials. Aleq books revenue net of the expected adjustment, then trues up to cash as the 835 settles.

Remittance · 835 · commercial payerderived
1
Read · 837 claim + 835 remittance
Matched the claim to the remittance
Gross charge$4,200
Contracted rate$2,560
Denied linesnone
2
Allowed · contractual adjustment
Booked the allowance by payer
Contractual allowance$(1,640)
Patient responsibility$410
Expected payer payment$2,150
3
Booked · net revenue + true-up
Recognized net of the constraint
DRCash$2,150
DRPatient A/R$410
DRContractual allowance$1,640
CRPatient service revenuegross charge$4,200
Net of the constraint · trued to cashposted
What Aleq runsautonomous
835 / 837 recognized as net revenueAleq reads 837 claims and 835 remittance advice, posts revenue net of expected contractual adjustments under ASC 606, and trues up to actual cash as remittances settle.
Contractual adjustments, by payerThe gap between charge-master and contracted rate is booked as a contractual allowance per payer contract — not buried in a single write-off line.
The revenue cycle on the ledgerCharge, claim, remittance, adjustment, and patient balance each post in sequence, so A/R reflects exactly where every dollar sits in the cycle.
Payer mix & denials trackedRevenue and A/R are split by payer and denial reason, so net collection rate and denial trends are derived straight from the posted ledger.
Bad-debt & allowances postedImplicit price concessions and bad-debt allowances are estimated from collection history and posted automatically, then reconciled as accounts resolve.
what Aleq does

The books for healthcare & rcm, run for you.

Aleq is the system of record and the controller that runs it — it does this work autonomously, inside your policy, and signs every move. Not a tool your team feeds; the colleague that closes the books.

the whole close

And it runs the rest of your close, too.

The revenue cycle is the hard part in healthcare — but Aleq is the whole ledger behind it, from the claim to the bank.

Payer A/R aging

Receivables aged by payer and denial reason.

Bank reconciliation

Remittances and deposits matched to the bank, nightly.

Revenue · net of constraint

Net patient revenue recognized under ASC 606.

Bills & vendor pay

Supplies, locums, and vendors paid on approval.

Continuous close

Accruals and the month sealed, day by day.

Multi-entity

Sites and clinics consolidated into one close.

Tax & provision

Filings watched, the provision kept current.

General ledger

Every claim traceable, always balanced.

From the field
“Claims go out at charge-master rates no payer pays. Net revenue is an allowance estimate until the 835 posts, and bad debt builds in the gap.”
Revenue-cycle director · multi-site provider group
Clearinghouse837 / 835ExcelNetSuiteby hand
What Aleq does instead

Aleq ingests the 837s and 835s, books revenue net of the expected contractual adjustment per payer, ages A/R against the payer that owes it, and trues up to actual cash as remittances settle.

the whole batch, before you open itposted
built on the standards you live on

It speaks your accounting natively.

The standards and subledgers your model runs on — derived and posted by Aleq, not configured by you.

ASC 606 · Net patient revenue837 claims / 835 remittanceContractual allowancesImplicit price concessionAllowance for bad debtPayer A/R subledger

Booking revenue off charges, not remittances?

Connect your clearinghouse and bank read-only. In 48 hours Aleq re-recognizes a period from the 835s and ties net revenue to the GL, signed.

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