Primrose Vs Traditional Billing

Why Choose Primrose Over Traditional Billing?

Are you relying on your colleagues and friends to tell you their favorite billing company? What if we were to lay out the facts so you can make the right decision for your practice?

Basic Billing functions

AREA TRADITIONAL BILLING COMPANY PRIMROSE ADVANTAGE
Data Entry

Manual data entry from paper notes or EHR exports; prone to human error

Automated extraction using AI/NLP from structured and unstructured notes

Primrose

Coding Assistance

Often relies on external coders; delay in identifying proper codes

AI assists with real-time code suggestions based on captured notes

Primrose

Charge Lag

24–72 hour lag between visit and billing

Real-time charge capture using NLP and OCR

Primrose

EHR Integration

May require staff to manually export data or copy-paste

Direct EHR integration with automatic data pulling

Primrose

Audit Trail

Minimal logging or version history for entered data

Complete data lineage; every extraction is time-stamped and trackable

Primrose

Staff Involvement

High staff burden to translate clinical notes into billable data

Low staff involvement; AI automates first-pass data capture

Primrose

Accuracy

Varies by staff experience; error rates can be significant

AI maintains consistent accuracy with low error rate

Primrose

Custom Rules

Staff follows general payer rules; updates may lag

AI scrubber updates rulesets dynamically based on payer feedback

Primrose

Exception Handling

Human staff manually investigates edge cases

AI flags unclear inputs for human review, reducing oversight time

Both

Learning Curve

Trained staff with billing knowledge required

Minimal training needed as system handles most first-line capture

Primrose

Core Software

AREA TRADITIONAL BILLING COMPANY PRIMROSE ADVANTAGE
Note Parsing

No parsing; staff reads and enters manually

Parses free-text notes and extracts CPT/ICD codes

Primrose

Template Support

Templates are static or paper-based

AI dynamically adapts to varied note structures

Primrose

Real-time Feedback

No feedback; errors discovered during denial phase

Instant validation and alerts for missing data

Primrose

Billing Interface

Data entered via external billing tool or spreadsheet

Unified platform with embedded AI tools

Primrose

Structured Output

Requires formatting by staff

Structured data generated automatically for downstream systems

Primrose

OCR Capability

Not standard; scanning handled separately

Built-in OCR for reading face sheets, forms, and notes

Primrose

Audit-Friendly

Depends on documentation habits

Standardized structured output ready for audit

Primrose

Notes Reuse

Needs reentry of past visit data

Can retrieve and reuse past structured notes for billing continuity

Both

Software Updates

Requires vendor coordination

Frequently updated with new features and rules

Primrose

Speed

Staff-limited throughput

Processes claims at machine speed

Primrose

Previsit Services

AREA TRADITIONAL BILLING COMPANY PRIMROSE ADVANTAGE
Previsit Eligibility Check

Manual or skipped due to workload

AI fetches and validates eligibility in real-time

Primrose

Previsit Notes Review

Done manually a day before (if at all)

AI scans upcoming appointments and reviews notes for completeness

Primrose

Coverage Flags

Requires staff to notice coverage gaps

AI highlights plan mismatches or expired policies

Primrose

Authorization Needs

Determined post-visit or overlooked

Flagged by AI before visit based on service/note patterns

Primrose

Estimation Accuracy

Estimates are skipped or based on general fee schedules

AI uses note content + payer policy to generate accurate estimates

Primrose

Missed Documentation Alerts

Not flagged before visit

AI pre-checks documentation readiness (e.g., missing diagnosis)

Primrose

Insurance Card OCR

Manual key-in required

Scan via app; OCR extracts and validates data

Primrose

Form Completion

Patients fill out paper forms

Previsit forms prefilled using existing structured data

Primrose

Chart Prep

Paper-based review by staff

AI generates structured preview of visit data

Primrose

Appointment Scheduling

Disconnected from billing intelligence

Scheduler linked to billing engine to prompt financial readiness

Both

Setup & Support Services

AREA TRADITIONAL BILLING COMPANY PRIMROSE ADVANTAGE
System Training

Training focuses on software navigation

Also includes training on AI functionality and interpretation

Primrose

Custom Mapping

Manual mapping of fields for each EHR

AI auto-maps and learns optimal data paths

Primrose

Ongoing Optimization

Ad hoc based on feedback

AI continuously improves via machine learning

Primrose

Support Tickets

Human-handled with delay

Many minor issues self-resolve via intelligent prompts

Primrose

Transition from Manual

Requires heavy involvement from staff

AI onboarding includes auto-import of past notes and history

Primrose

Pre-launch Audits

Manual preflight by biller

AI performs automated audits to find potential documentation gaps

Primrose

Team Familiarity

Relies on the expertise of the assigned staff

Cross-trained team plus AI assistance minimizes dependency on individuals

Primrose

System Monitoring

Basic logs or user feedback

AI monitors system health and alerts for anomalies

Primrose

Report Customization

Limited by reporting tool

AI-curated insights plus customizable filters

Primrose

EHR Compatibility

Often requires vendor coordination

Plug-and-play AI layer adapts to EHR data structure

Primrose

¹ – feature is available only in our Premium & Enterprise plans. Click to view our plans

³ – Assumes that Primrose gets sufficient lead time to transition billing service

Primrose is here to help you all the way

Enable the success of your practice. From day one, we make it easy to get up and running with Primrose. Once onboarded, our support team is ready to make sure that your success continues with our specialized services.

  • Dedicated team member for personalized services

  • Risk free data migration to our system

  • Contact us via phone or email with instant responses

Starting a clinic does not have to be difficult

Schedule a 1:1 with a startup specialist to see how we can help you