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Description

Insurance firms utilize artificial intelligence to analyze, modify, and reject claims, yet many processes remain manual. Altair bridges this divide by offering AI-driven medical billing that handles the entire revenue cycle—from verifying eligibility and obtaining prior authorization to managing claims, denials, and appeals—supported by a team of skilled billers located in the United States. Altair meticulously reviews claims against payer edits and medical necessity criteria prior to submission, investigates denials to uncover their root causes, and efficiently processes appeals. The system adapts to the behaviors of your payers over time, resulting in higher first-pass acceptance rates and improved net collection rates the longer it is employed. Users can access a real-time dashboard that provides insights into billed amounts, ongoing claims, payments received, and potential risks. The platform integrates seamlessly with your existing electronic health record (EHR) system, with a quick onboarding process that takes just hours. Independent practices, medical groups, and billing companies can leverage the robust billing capabilities typically associated with larger organizations, all without the need to expand their workforce significantly. While payers have designed their AI to minimize payouts, Altair ensures you receive the full compensation you deserve, enhancing your financial health in the process. With Altair, you can focus more on patient care and less on billing complexities.

Description

Virtual Examiner®, PCG Software’s flagship product, monitors an organization's internal claims process to track provider data for fraudulent or abusive billing patterns and maximizes financial recovery. The Virtual Examiner®, a PCG Software product, allows healthcare organizations to improve their claims adjudication system by allowing for more than 31,000,000 edits per claim. The software monitors an organization's internal claim process to identify and reduce payments for incorrect or erroneous code to save premium dollars. Virtual Examiner®, is more than a claims management solution that focuses on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.

API Access

Has API

API Access

Has API

Screenshots View All

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Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

5%
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Altair Health

Founded

2025

Country

United States

Website

www.altair-health.com

Vendor Details

Company Name

PCG Software

Founded

1984

Country

United States

Website

pcgsoftware.com/product-offerings/virtual-examiner/

Product Features

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Revenue Cycle Management

Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing

Product Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

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