Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
AppealsPlus™ is an innovative cloud solution designed to automatically assess ERAs, apply specific rules for categorizing questionable payments and denials into relevant work queues, and leverage dashboards alongside key performance indicators for effective quantitative management that aids in decision-making. As the regulatory landscape evolves swiftly, it often changes course unexpectedly, which can leave healthcare providers and their patients with minimal time to adapt. Uncertainty looms over whether patients will be financially prepared or willing to settle their bills post-procedure. A critical oversight in many studies, vendor offerings, and software solutions is the subjective nature of denial definitions, which can vary significantly among physicians, billers, and healthcare institutions. To address these challenges, we offer you and your team a tailored, four-week implementation phase aimed at customizing the solution to meet your unique needs. Following the completion of this initial phase, we invite you to reach out with any queries or issues that may arise, ensuring continued support and optimization of your experience. This ongoing relationship reinforces our commitment to your satisfaction and enables you to navigate the complexities of billing and denials with confidence.
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
Axys
Yes
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
Integrations
Authorize.Net
Yes
Availity
Yes
Axys
No
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
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
Yes
Live Rep (24/7)
Yes
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
No
In Person
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
No
Vendor Details
Company Name
Etactics
Country
United States
Website
etactics.com/appealsplus
Vendor Details
Company Name
InvisaClaim, LLC
Founded
2026
Country
United States
Website
www.Invisaclaim.com
Product Features
Medical Billing
Claims Processing
Yes
Claims Scrubbing
No
Code & Charge Entry
No
Compliance Tracking
Yes
Customizable Dashboard
Yes
Dunning Management
Yes
Invoice History
Yes
Patient Eligibility Checks
Yes
Practice Management
No
Quotes/Estimates
Yes
Remittance Advice
No
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