Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Anomaly is an innovative AI-driven platform designed for payer management that empowers healthcare revenue teams to understand their payers as thoroughly as those payers understand them. By revealing hidden behaviors of payers through the analysis of intricate rules and payment trends across millions of healthcare interactions, it enhances operational efficiency. Central to this platform is its Smart Response engine, which perpetually scrutinizes payer logic, adjusts to evolving policies, and integrates its insights into current revenue cycle processes, enabling real-time predictions of denials, support in claims adjustments, and alerts regarding potential revenue threats. Users gain the ability to foresee revenue shortfalls, negotiate more effectively with payers, and proactively address or overturn denials, thereby safeguarding cash flow. This advanced system effectively bridges the gap between providers and payers, transforming complex billing frameworks into practical intelligence that informs daily financial management while also fostering an environment of enhanced strategic decision-making for revenue teams. By empowering users with this level of insight, Anomaly not only improves operational outcomes but also contributes to a more equitable balance in the healthcare financial landscape.
Description
InvisaClaim stands out as the premier all-in-one revenue platform, leveraging AI to enhance Revenue Cycle Management by streamlining denial management, appeals, prior authorizations, and compliance with the No Surprises Act for billing companies and RCM teams. Users can upload or utilize a live feed to submit denial letters or 835 ERAs, allowing the AI to swiftly extract essential patient information, CARC/RARC codes, CPT/ICD-10 codes, amounts, and deadlines, subsequently generating tailor-made appeal letters for over 30 payers in just one minute.
The system comprises various modules, including a Denial Workbench, NSA/IDR for eligibility verification and QPA capture, Prior Authorization, Pre-Check AI, A/R aging, NPPES NPI verification, deadline alerts, and a comprehensive audit trail. In addition, InvisaClaim seamlessly connects with your clearinghouse and EHR systems, boasting integration partnerships with notable entities such as Change Healthcare/Optum for features like ERA, eligibility checks, claim status, and prior authorizations, while Availity integration is currently underway and Waystar facilitates Provider Access Requests.
Furthermore, strategic EHR collaborations with Athenahealth are in the works, alongside the implementation of a FHIR R4 layer for interoperability with Epic and Cerner systems, ensuring a robust and flexible service. With a commitment to security, InvisaClaim adheres to HIPAA compliance and holds SOC2 certification, demonstrating its dedication to maintaining the highest industry standards.
API Access
Has API
No
API Access
Has API
No
Integrations
Authorize.Net
No
Availity
No
Change Healthcare
No
Change Healthcare Data & Analytics
No
Chase Merchant Services
No
Docusign
No
EpicCare EMR
No
Optum AI Marketplace
No
Optum Patient Care Management
No
Oracle Health
No
Integrations
Authorize.Net
Yes
Availity
Yes
Change Healthcare
Yes
Change Healthcare Data & Analytics
Yes
Chase Merchant Services
Yes
Docusign
Yes
EpicCare EMR
Yes
Optum AI Marketplace
Yes
Optum Patient Care Management
Yes
Oracle Health
Yes
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
$349
Pricing starts at $349 per month per provider with tiers between $349-Enterprise.
Free Trial
Yes
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
No
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
Yes
In Person
No
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
No
Vendor Details
Company Name
Anomaly
Founded
2020
Country
United States
Website
www.findanomaly.com
Vendor Details
Company Name
InvisaClaim, LLC
Founded
2026
Country
United States
Website
www.Invisaclaim.com
Product Features
Product Features
Medical Billing
Claims Processing
Yes
Claims Scrubbing
Yes
Code & Charge Entry
Yes
Compliance Tracking
Yes
Customizable Dashboard
Yes
Dunning Management
No
Invoice History
Yes
Patient Eligibility Checks
Yes
Practice Management
Yes
Quotes/Estimates
Yes
Remittance Advice
Yes
Revenue Cycle Management
Accounts Receivable
Yes
Claims Management
Yes
Collections Management
Yes
EHR/EMR Integration
Yes
For Healthcare
Yes
ICD-10 Compliance
Yes
Insurance Verification
Yes
Medical Billing
Yes
Patient Portal
Yes
Patient Registration
Yes
Patient Scheduling
Yes
Payment Processing
Yes