The encounter is the spine.
pm_encounters is the canonical entity linking scheduling, clinical documentation, and billing. PM owns the revenue cycle; general accounting lives in Finance & Revenue.The revenue cycle
PM runs the front-to-back revenue cycle around the encounter — register and schedule the patient, verify eligibility and authorization, document and capture charges on the encounter, submit the claim through the clearinghouse, and post remittance.
What PM covers
Scheduling & registration
Appointments, patient registration, and front-office intake.
Eligibility & authorization
Insurance eligibility verification and prior authorization.
Claims & clearinghouse
Charge capture, claim submission, and clearinghouse integration.
Remittance & payments
ERA posting, payments, and value-based payment tracking.
Planned documentation (v0.10)
1
User guide
End-to-end front-office and billing workflows.
2
Admin guide
Payer setup, fee schedules, and clearinghouse configuration.
3
Developer reference
Encounter model, events, and integration contracts.
4
Compliance notes
Revenue-cycle controls and audit trails.
This page is a placeholder. Full per-core documentation (user guide, admin
guide, developer reference, and compliance notes) is planned for Encore
OS v0.10.
Related
Encounter → billing
How clinical encounters flow into claims and billing.
Finance & Revenue
General accounting, distinct from the PM revenue cycle.