Althea Smart EHR connects to all major clearinghouses, including Waystar, Change Healthcare, TriZetto, Office Ally, and Emdeon, and submits to the full payer network they cover, Medicare, Medicaid, all commercial carriers, and workers’ compensation. Electronic Remittance Advice (ERA/835) auto-posts back to the patient ledger, and eligibility checks run before the visit so co-pays and deductibles are known up front.