Paramount Billing Solutions

Supergood | Paramount Billing Solutions API

Alex Klarfeld

Alex Klarfeld

— 6 min read
Supergood | Paramount Billing Solutions API

Programmatically access insurance verification, prior authorizations, charge capture, claim submission, claim status, and ERA/EOB reconciliation workflows in Paramount Billing Solutions with a stable REST API. Supergood builds and operates production-grade, unofficial Paramount Billing Solutions integrations so your team can automate critical billing and revenue cycle pipelines without heavy custom engineering.

Paramount Billing Solutions is medical billing and revenue cycle management software and services used by clinics, provider groups, and practice management teams to verify benefits, obtain prior authorizations, enter and code charges, submit and track claims, post payments, manage denials, and produce financial reporting. With an unofficial API, you could synchronize patient and payer rosters from your EHR, validate eligibility, create and manage prior authorizations, assemble and submit 837P/I claims, pull claim statuses, and reconcile 835 ERA remittances—end to end.

If you’re a healthcare tech startup, provider group, or revenue cycle team, integrating your stack with Paramount Billing Solutions unlocks concrete data flows and features:

  • Pull: Patient demographics, payer/plan enrollments, eligibility results, authorization records, charge batches, claim statuses, denial codes, ERA/EOB summaries
  • Push: New/updated patients from your EHR, charge entries and service lines with CPT/HCPCS modifiers, prior authorization requests, claim submissions, corrected claims
  • Build: Authorization-aware charge capture, automated 837 generation, real-time claim status dashboards, denial workqueues, ERA-driven reconciliation and reporting

What is Paramount Billing Solutions?

Paramount Billing Solutions provides end-to-end medical billing, prior authorization, and revenue cycle management for healthcare providers. Practices use Paramount to verify insurance, capture and code encounters, obtain necessary pre-approvals, submit claims to payers and clearinghouses, track adjudication, post payments and adjustments from ERAs/EOBs, and manage aging AR and denials with timely follow-up.

Core product areas include:

  • Insurance verification and eligibility checks
  • Prior authorizations and service approvals
  • Charge entry and medical coding (CPT/HCPCS, ICD-10, POS, modifiers)
  • Claim submission (837P/I) and payer portal workflows
  • Claim status tracking and denial management
  • Payment posting and ERA/EOB reconciliation (835)
  • Provider credentialing and enrollment support
  • Financial reporting and AR analytics

Common data entities:

  • Patients and guarantors
  • Providers (billing/rendering) and facilities
  • Payers and plans
  • Eligibility checks and benefit summaries
  • Authorizations (service code, units, validity dates)
  • Encounters and charge batches (service lines)
  • Claims (837P/I, service lines, diagnosis pointers)
  • Remittances (835 ERA, payments, adjustments)
  • Denials and follow-up tasks

The Paramount Billing Solutions Integration Challenge

Organizations rely on Paramount daily, but turning portal-based billing workflows into automated pipelines is hard:

  • Payer-specific rules: Each payer can require distinct coverage rules, service codes, modifiers, and prior auth criteria
  • Strong enterprise security: SSO/MFA and network controls complicate headless automation for billing portals
  • Portal-first operations: Key authorization, eligibility, and claim status workflows live in web apps or batch exports, not unified public APIs
  • EDI and timing windows: SFTP/EDI feeds (837/835), batching constraints, and submission windows must be respected
  • Compliance nuances: HIPAA/PHI handling, audit trails for claim edits, and timely filing rules vary by payer and program

How Supergood Creates Paramount Billing Solutions APIs

Supergood reverse-engineers authenticated browser flows, batch interfaces, and network interactions to deliver a resilient API endpoint layer.

  • Handles username/password, SSO/OAuth, and MFA (SMS, email, TOTP) securely
  • Maintains session continuity with automated refresh and change detection
  • Normalizes authorization, charge, claim, and remittance objects so you can integrate once across payers and clearinghouses
  • Aligns with customer entitlements and licensing constraints to ensure compliant access
  • Bridges batch exports and SFTP/EDI flows where applicable with signed URL retrieval and delivery (837 generation, 835 ingestion)

Use Cases

EHR-to-RCM Synchronization

  • Push patient and provider rosters from your EHR into Paramount Billing Solutions
  • Create charge batches automatically from your scheduling or encounter system with correct CPT/HCPCS, modifiers, and POS
  • Maintain a single source of truth for demographics, subscriber data, and payer enrollments

Authorization-Aware Charge Capture

  • Validate eligibility before encounter creation and charge posting
  • Track remaining authorized units and prevent over-utilization
  • Surface payer-specific rules to care coordinators and front office staff

Denial Management and AR Automation

  • Pull denial codes and workqueue items; route issues for correction and resubmission
  • Apply compliant claim edits with audit trails and timely filing checks
  • Escalate unresolved AR prior to aging thresholds

Claims Generation and Reimbursement Automation

  • Bundle charges into 837P/I claims with payer-specific formatting
  • Submit via the configured channel (clearinghouse, payer portal) and track adjudication
  • Reconcile ERAs with posted payments, adjustments, and patient responsibility

Audit and Compliance

  • Export complete claim packets with diagnosis pointers, service lines, and edit history
  • Maintain machine-readable audit trails aligned to payer and HIPAA requirements
  • Prove coverage, authorization, and claim provenance during reviews

Available Endpoints

Authentication

POST /sessions: Establish a session using credentials. Supergood manages MFA (SMS, email, TOTP) and SSO/OAuth when enabled. Returns a short-lived auth token maintained by the platform.

curl --request POST \
  --url https://api.supergood.ai/integrations/<integration_id>/sessions \
  --header 'Authorization: Basic <Base64 encoded token>' \
  --header 'Content-Type: application/json' \
  --data '{
    "username": "[email protected]",
    "password": "<password>",
    "mfa": {
      "type": "totp",
      "code": "123456"
    }
  }'

Example response

{
  "authToken": "eyJhbGciOi...",
  "expiresIn": 3600,
  "user": {
    "id": "u_29b71a",
    "name": "RCM Admin",
    "entitlements": ["patients", "authorizations", "claims", "remittances"]
  }
}

Patients

GET /patients: Retrieve patient demographics, payer enrollments, and eligibility status. Use this to keep your EHR/practice management system synchronized.

Query parameters

  • search: string (name, MRN)
  • updatedSince: ISO 8601 timestamp
  • payerId: string
  • eligibilityOn: ISO 8601 date

Example response

{
  "items": [
    {
      "patientId": "pat_9b42f0",
      "mrn": "MRN-10527",
      "firstName": "Jordan",
      "lastName": "Patel",
      "dob": "1989-07-14",
      "sex": "M",
      "contact": {
        "phone": "+1-614-555-0112",
        "email": "[email protected]"
      },
      "guarantor": {
        "name": "Jordan Patel",
        "relationship": "self"
      },
      "primaryPayer": {
        "payerId": "payer_paramount_medicaid",
        "planName": "Medicaid",
        "memberId": "MEM-4472819"
      },
      "eligibility": {
        "status": "active",
        "verifiedOn": "2026-01-18T12:31:04Z"
      },
      "updatedAt": "2026-01-19T15:01:12Z"
    }
  ],
  "page": 1,
  "pageSize": 50,
  "total": 1
}

Authorizations

GET /authorizations: Retrieve prior authorization records with allowed units, service codes, and date ranges. Use this to validate charge capture and claim eligibility.

Query parameters

  • patientId: string
  • providerId: string
  • serviceCode: string (CPT/HCPCS)
  • activeOn: ISO 8601 date
  • payerId: string

Example response

{
  "items": [
    {
      "authorizationId": "auth_7342c1",
      "authorizationNumber": "PA-2025-11872",
      "patientId": "pat_9b42f0",
      "patientName": "Jordan Patel",
      "providerId": "prv_41cf92",
      "payerId": "payer_paramount_medicaid",
      "serviceCode": "97110",
      "modifiers": ["GP"],
      "diagnosisCodes": ["M25.561"],
      "unitsAuthorized": 24,
      "unitsRemaining": 18,
      "startDate": "2026-01-01",
      "endDate": "2026-03-31",
      "status": "active"
    }
  ],
  "page": 1,
  "pageSize": 50,
  "total": 1
}

Claims

POST /claims: Assemble an 837P/I claim from charge entries. Supergood normalizes service lines and can route the generated file to the configured submission channel.

curl --request POST \
  --url https://api.supergood.ai/integrations/<integration_id>/claims \
  --header 'Authorization: Bearer <authToken>' \
  --header 'Content-Type: application/json' \
  --data '{
    "claimType": "837P",
    "payerId": "payer_paramount_medicaid",
    "billingProvider": {
      "npi": "1234567890",
      "taxonomy": "Physical Therapy",
      "name": "BrightCare Rehabilitation",
      "billingAddress": {
        "line1": "100 Care Way",
        "city": "Columbus",
        "region": "OH",
        "postalCode": "43215"
      }
    },
    "renderingProvider": {"npi": "1987654321"},
    "patient": {"patientId": "pat_9b42f0"},
    "diagnosisCodes": ["M25.561"],
    "serviceLines": [
      {
        "cpt": "97110",
        "modifiers": ["GP"],
        "units": 2,
        "chargeAmount": 120.00,
        "dosFrom": "2026-01-19",
        "dosTo": "2026-01-19",
        "pos": "11",
        "authorizationId": "auth_7342c1"
      }
    ],
    "submissionChannel": "clearinghouse",
    "referenceId": "ehr-encounter-42391"
  }'

Example response

{
  "claimId": "clm_71af2b",
  "status": "queued",
  "edi": {"format": "837P", "size": 49412},
  "submissionChannel": "clearinghouse",
  "createdAt": "2026-01-19T16:05:42Z",
  "reviewUrl": "https://download.paramount.example/signed/abc123...",
  "referenceId": "ehr-encounter-42391"
}

Remittances

GET /remittances: Retrieve ERA (835) summaries with payments, adjustments, and denial reasons for reconciliation.

Query parameters

  • payerId: string
  • claimId: string
  • paymentDateFrom: ISO 8601 date
  • paymentDateTo: ISO 8601 date

Example response

{
  "items": [
    {
      "remittanceId": "era_55f1c8",
      "payerId": "payer_paramount_medicaid",
      "paymentDate": "2026-01-22",
      "checkNumber": "CHK-009821",
      "totalPaid": 108.00,
      "totalAdjustments": 12.00,
      "claimSummaries": [
        {
          "claimId": "clm_71af2b",
          "status": "paid",
          "allowedAmount": 120.00,
          "paidAmount": 108.00,
          "patientResponsibility": 0.00,
          "adjustments": [
            {"groupCode": "CO", "reasonCode": "45", "amount": 12.00}
          ]
        }
      ],
      "eraDownloadUrl": "https://download.paramount.example/signed/era_55f1c8.835"
    }
  ],
  "page": 1,
  "pageSize": 50,
  "total": 1
}

Get full API Specs →

Technical Specifications

  • Authentication: Username/password with MFA (SMS, email, TOTP) and SSO/OAuth where enabled; supports service accounts or customer-managed credentials
  • Response format: JSON with consistent resource schemas and pagination
  • Rate limits: Tuned for enterprise throughput while honoring licensing and usage controls
  • Session management: Automatic reauth and cookie/session rotation with health checks
  • Data freshness: Near real-time retrieval of authorizations, claims, and remittance artifacts
  • Security: Encrypted transport, scoped tokens, and audit logging; respects Paramount Billing Solutions entitlements and HIPAA requirements
  • Webhooks: Optional asynchronous delivery for eligibility updates, claim status changes, and remittance ingestion

Performance Characteristics

  • Latency: Sub-second responses for list/detail queries under normal load
  • Throughput: Designed for high-volume charge capture and batch claims pipelines
  • Reliability: Retry logic, backoff, and idempotency keys minimize duplicate actions
  • Adaptation: Continuous monitoring for UI/API changes with rapid adapter updates

Getting Started

  1. Schedule Integration Assessment

Book a 30-minute session to confirm your Paramount Billing Solutions product mix, licensing, and authentication model.

  1. Supergood Builds and Validates Your API

We deliver a hardened Paramount adapter tailored to your workflows and entitlements.

  1. Deploy with Monitoring

Go live with continuous monitoring and automatic adjustments as Paramount evolves.

Schedule Integration Call →

Frequently Asked Questions

Q: Which Paramount Billing Solutions products can this integration cover?

Supergood supports workflows across commonly used Paramount Billing Solutions billing portals and agency-facing tools, subject to your licensing and entitlements. We scope coverage (e.g., eligibility, prior auths, charge capture, claim submission, ERA/EOB reconciliation) during integration assessment.

Q: How are MFA, SSO, and batch interfaces handled for automation?

We support username/password + MFA (SMS, email, TOTP) and can operate behind SSO/OAuth when enabled. For batch flows, we manage SFTP/EDI timing windows, generate 837 files, and retrieve signed URLs or delivery confirmations programmatically; we also ingest ERAs (835) for reconciliation.

Q: Can I generate claims directly from charge batches?

Yes. You can assemble 837P/I from charge entries with payer-specific formatting. We can route submissions via your configured channel (clearinghouse or payer portal) and return statuses and artifacts for reconciliation.

Ready to automate your Paramount Billing Solutions workflows?

Supergood can have your Paramount integration live in days with no ongoing engineering maintenance.

Get Started →

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