Source of Truth
Source of truth is a configuration, not a policy
Saying CentralReach is the source of truth is easy. Making it true takes three things: rates loaded correctly, agreed rates turned on, and a clean export. Miss any one and every number downstream is wrong, including the ones in QuickBooks Online.
The uncomfortable part is that CentralReach will not tell you. It reports confidently either way.
Requirement one: the rates are actually loaded
Every billing entry carries two rates. Billed rate is what you send the payer. Agreed rate is what the contract says you will actually receive.
Both live on the entry. In the billing export they are RateClient and RateClientAgreed. If the agreed rate was never loaded for a payer and a code, CentralReach falls back to the billed rate, and your expected collection is inflated by the entire contractual allowance.
This is the most common configuration gap we find. It is usually a payer that was added quickly, or a code that got added later and never had its rate finished.
Requirement two: agreed rates are turned on
There is one setting that controls whether your reports run at agreed rates or billed rates. It lives in the Billing module under Miscellaneous, and it can only be changed from the main organizational account.
When it is off, the RCM report shows charges, receivables, and collection rates at billed rates. The labels do not change. Nothing warns you. The report just quietly means something different.
Fast visual check: open the Billing screen and read the header. If you see both Billed Rates and Agreed Rates, and both Billed Charges and Agreed Charges, agreed rates are on. If you only see one set, stop and fix it before you close the month.
Requirement three: the export is clean before it leaves
Two filters before any total. Exclude deleted rows. Exclude voided rows. Both stay in the export and both will inflate revenue if you total the column as-is.
Then pick one date basis and hold it for the whole schedule. Date of service, creation date, first bill date, and last paid are four different questions. Mixing them in one report is how a reconciliation ends up with a plug.
What it looks like when this is right
Charges in CentralReach equal expected collection, not wishful collection. Your collection rate approaches 100 percent as a period ages, because the denominator is a real number. AR in QuickBooks Online ties to a schedule you can defend line by line. And a payer that is underpaying shows up as a variance instead of hiding inside a contractual allowance you never booked.
Where Qlarity fits
Qlarity reads the CentralReach billing export you already pull and posts revenue into QuickBooks Online through a direct QBO integration. It posts at agreed rates, on an accrual basis, in the period the service was delivered. Dates of service group by week and split at month end, so weekly and monthly QBO reports both tie. Every post is duplicate-checked, so a re-upload never doubles revenue. No PHI is stored. Billing and revenue data only.
CentralReach stays the source of truth. QuickBooks Online stops being a guess.
$199 per month. The first 30 days are free.
