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ECP Billing — Assisted Living Billing Software

Stop losing revenue to undocumented services.

ECP Billing connects directly to clinical documentation — so when a caregiver documents a service, the charge is captured automatically. No manual reconciliation. No month-end scramble. No revenue left behind.

Trusted by 8,000+ senior living communities across all 50 states.

Charges — Anderson, Laurie · April 2026
Auto-captured from clinical
Bathing Assistance
Documented 4/1 by K. Thompson
$18.00
Medication Management
Documented 4/1 by J. Martinez
$12.00
Diabetic Meal Monitoring
Documented 4/1 by K. Thompson
$8.00
Level of Care
April base rate
$3,200.00
April charges: $3,238.00 · 3 ancillary + base rate · All auto-captured
8,000+
Senior Living Communities
120,000+
Active Users
60+
Technology Integrations
100%
US-Based Support
Charge Capture

If care is documented, it's billed.

The most common source of revenue leakage in assisted living isn't fraud — it's undocumented services. Caregivers provide care that never gets billed because no one connects the clinical record to the invoice.

ECP closes that loop automatically. When a service is documented in the EHR, the charge triggers in Billing. No manual entry. No month-end reconciliation chase.

  • Service charges trigger automatically from clinical documentation
  • Level-of-care billing calculated and applied automatically
  • Ancillary services captured at the point of care
  • No manual reconciliation between care delivery and billing
  • Month-end billing is a confirmation — not a chase
See Charge Capture →
Charges — Anderson, Laurie · April 2026
Auto-captured from clinical
Bathing Assistance
Documented 4/1 by K. Thompson
$18.00
Medication Management
Documented 4/1 by J. Martinez
$12.00
Diabetic Meal Monitoring
Documented 4/1 by K. Thompson
$8.00
Level of Care
April base rate
$3,200.00
April charges: $3,238.00 · 3 ancillary + base rate · All auto-captured
Payment Overview — Evergreen Gardens · April 2026
$142,800
Billed
$128,400
Collected
$14,400
Outstanding
ACH47%
Credit / Debit33%
Check20%
⚠️
3 accounts past due — $6,200 outstanding
Send reminders
Payment Processing

Make it easy to get paid.

Late payments aren't always about unwillingness — they're about friction. ECP gives families every way to pay: ACH, credit card, debit card, or check. All payments tracked in one place, with automated reminders and real-time AR visibility.

Integrated Care Communities increased digital payments by 33% after moving to ECP — ACH and credit card now represent 80% of all payments received.

  • ACH, credit/debit card, and check all accepted
  • Automated payment reminders reduce late collections
  • AR aging tracked in real time — see what's outstanding at a glance
  • Competitive ACH processing rates
  • All payments logged automatically — no manual reconciliation
Revenue Capture System

Every dollar of care you deliver — captured, billed, and collected.

ECP Billing isn't just invoicing software. It's the financial close of a connected care delivery loop — from clinical documentation through charge capture to payment collection and general ledger reconciliation.

🩺
Clinical Charge Capture
Documented care automatically triggers billing charges. No manual entry between clinical and billing teams.
📊
Level-of-Care Billing
Tiered care pricing is calculated and billed automatically as resident acuity changes — no manual rate updates.
Ancillary Service Tracking
Add-on services like laundry, transportation, and medication management fees captured at point of care.
💳
Multiple Payment Methods
ACH, credit/debit, and check accepted in one place. Automated reminders reduce late collections.
📋
AR Visibility
Real-time aging reports, outstanding balance tracking, and collection status — no spreadsheet required.
🔗
General Ledger Export
One-click export to QuickBooks, Sage Intacct, and bill.com. Financial systems stay in sync without manual transfer.
Invoicing & Charge Library

Precise invoicing, every month, without starting from scratch.

ECP lets you build a reusable charge library — service items, care levels, and ancillary charges defined once and applied consistently across residents. Invoices generate from real clinical activity, not estimates or manual line items.

  • Recurring billing templates for routine monthly charges
  • Customizable charge library — define once, apply consistently
  • Invoices compatible with standard accounting software
  • Easy adjustments as care levels or services change
  • À-la-carte service items for variable or one-time charges
See Invoicing →
Invoice — Anderson, Laurie · April 2026
Base Level of Care (Level 3)
Monthly
$3,200.00
Medication Management Fee
Monthly
$150.00
Bathing Assistance (31 documented instances)
Per service
$558.00
Diabetic Monitoring (31 documented instances)
Per service
$248.00
Total
$4,156.00
General Ledger Sync — Last synced: Today, 8:02 AM
QuickBooks Online
Connected · 47 transactions synced this month
Connected
Sage Intacct
Connected · AR entries auto-posted
Connected
bill.com
Not connected · Click to configure
Configure
April billing export: $142,800 · Synced in 1 click
General Ledger & Integrations

One click to your general ledger.

ECP Billing connects directly to your accounting system — so billing data flows to your general ledger without manual export, copy-paste, or data re-entry. Whether you use QuickBooks, Sage Intacct, or bill.com, ECP keeps your financial systems in sync.

  • QuickBooks Online and Desktop integration
  • Sage Intacct integration
  • bill.com integration
  • One-click GL export — no manual data transfer
  • Billing and financial data synchronized automatically
Customer Outcomes

What communities on ECP Billing actually see.

75%
Reduction in billing time — from 4 hours to 1 hour per billing cycle
Integrated Care Communities
33%
Increase in digital payments — ACH and credit card now represent 80% of all payments received
Integrated Care Communities
12.4%
Increase in care revenue per resident per day — clinical documentation connected directly to billing charge capture
SAL Management Group
"Speed matters during transitions — but consistency and safety matter even more. This implementation has given us the ability to bring newly acquired communities onto a single clinical platform quickly, without compromising training quality, regulatory oversight, or resident care."
One Connected Platform

Billing is where documented care becomes collected revenue. Everything connects from here.

ECP Billing sits at the end of the connected care delivery loop — receiving clinical documentation from EHR, charge data from eMAR, and resident information from CRM and Move-Ins. Every service delivered flows through to a charge. Every charge flows through to an invoice.

No manual steps between care and revenue.

Explore the Full Platform →
CRM
Lead & Admissions
Move-Ins
Onboarding
eMAR
Medication Safety
EHR
Care Plans
Billing
Charge Capture
Clinical documentation captures billable services automatically. Every service delivered flows through to a charge. Every charge flows through to an invoice.
Auto charge capture No revenue leakage Single resident record
Awards & Recognition

Consistently top-rated by the operators who use us every day.

G2 Grid Leader Spring 2025
G2 Best Support Spring 2025
G2 Momentum Leader Spring 2025
G2 Easiest To Do Business With Spring 2025
G2 High Performer Spring 2025
Software Advice 4.7
Capterra 4.7
Common Questions

Frequently asked questions about ECP Billing.

Assisted living billing software is a system for capturing service charges, generating resident invoices, processing payments, and tracking accounts receivable — all specific to the private-pay AL billing model. Unlike hospital or SNF billing software (which is built around Medicare and insurance claims), AL billing software is designed around monthly private-pay invoices, level-of-care pricing, and ancillary service charges. ECP Billing is built specifically for this model.
When a caregiver documents a service in ECP's EHR — a bathing assist, a medication pass, a monitored meal — that documentation automatically triggers a billing charge in ECP Billing. No one has to manually transfer service records from a clinical system to a billing system. The connection is automatic, which means communities stop losing revenue from services that were delivered but never billed.
ECP Billing accepts ACH, credit card, debit card, and check — all managed within the same system. Automated payment reminders reduce late collections. All payment activity is logged automatically against the resident account. Integrated Care Communities increased their digital payment share by 33% after implementing ECP Billing, with ACH and credit card representing 80% of all payments received.
Yes. ECP Billing integrates with QuickBooks Online, Sage Intacct, and bill.com — so billing data flows to your general ledger with one click, without manual export or data re-entry. Financial teams can close the month faster because billing records are already synchronized with their accounting system.
ECP Billing supports tiered level-of-care pricing — so as a resident's care needs change, their billing rate updates automatically based on the care level documented in the clinical record. Communities don't have to manually adjust billing rates when care assessments change. The clinical-to-billing connection handles it.
ECP Billing was built specifically for the private-pay assisted living billing model — not adapted from a hospital billing system or SNF payment platform. It doesn't support Medicare or Medicaid claims processing, which aren't relevant to most AL operators. That focus means the billing workflows, charge structures, and invoicing formats are designed for how AL communities actually operate.

See how ECP Billing works in a community like yours.

A quick conversation. We'll walk you through the charge capture workflow, how clinical documentation connects to billing, and how ECP simplifies month-end invoicing.

You'll complete your meeting request on the next page — takes under 2 minutes.

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8,000+ communities  ·  100% US-based support  ·  SOC 2 Type II compliant  ·  Purpose-built for assisted living