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Description

CareCost Estimate provides a solution for infusion centers and specialized medical practices to address a common patient query: what will the treatment cost? By selecting the medication, dosage, and insurance details, staff can utilize CareCost to swiftly determine the patient's out-of-pocket expense, typically within a 90-second timeframe. This calculation considers various factors such as Medicare Part B coinsurance, any applicable secondary insurance, Medigap, weight-based dosing, and potential vial waste (JW/JZ). Furthermore, it incorporates any manufacturer copay assistance programs and foundation grants the patient may be eligible for, ensuring that the figure presented reflects the actual financial responsibility of the patient. In addition to cost estimates, the platform provides insights into the prerequisites set by payers, including necessary prior authorizations, step therapy protocols, and site-of-care stipulations, all directly sourced from the payer's policy along with relevant links for reference. The pricing information is derived from the CMS Average Sales Price files, which are refreshed quarterly, and since the estimates are processed directly in the browser, patient data remains secure and does not get transmitted to external servers. Moreover, CareCost also offers complimentary resources related to billing and coding, including infusion CPT codes, J-codes, and modifiers, along with a quarterly Infusion Reimbursement Index to assist healthcare providers further.

Description

Utilize automation and advanced intelligence to tackle challenges related to patient access and the revenue cycle while enhancing reimbursements for the care provided. Even with the advancements in AI and automation streamlining patient access and revenue cycle operations, there remains a critical requirement for personnel skilled in revenue cycle management, clinical practices, and compliance to ensure that patients are financially vetted and that services rendered are billed and reimbursed correctly. We offer our clients a comprehensive combination of technology and team support, backed by extensive knowledge of the intricate reimbursement landscape. Drawing insights from billions of transactions processed for prominent healthcare providers and over 1,400 payers nationwide, our technology and team are uniquely equipped to deliver optimal results. Experience faster financial clearance for patients prior to receiving care with our patient access platform, which offers a holistic approach to eligibility verifications, benefit checks, patient payment estimates, and prior authorization approvals, all integrated into a single system. By streamlining these processes, we aim to enhance the overall efficiency of healthcare delivery and financial operations.

API Access

Has API No 

API Access

Has API Yes 

Screenshots View All

No images available

Screenshots View All

Integrations

Atellica Inventory Manager No 
Avalon Laboratory System No 
EPIC HRMS No 
Exa PACS No 
FrameworkLTC No 
NextGen Healthcare EHR No 
athenaOne No 
eClinicalWorks No 
eRAD No 

Integrations

Atellica Inventory Manager Yes 
Avalon Laboratory System Yes 
EPIC HRMS Yes 
Exa PACS Yes 
FrameworkLTC Yes 
NextGen Healthcare EHR Yes 
athenaOne Yes 
eClinicalWorks Yes 
eRAD Yes 

Pricing Details

$189/month (first seat), $89/m
Free Trial Yes 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
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 No 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

CareCost

Founded

2026

Country

United States

Website

carecostestimate.com

Vendor Details

Company Name

Infinx Healthcare

Country

United States

Website

www.infinx.com

Product Features

Medical Billing

Claims Processing No 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking No 
Customizable Dashboard No 
Dunning Management No 
Invoice History No 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates No 
Remittance Advice No 

Product Features

Revenue Cycle Management

Accounts Receivable No 
Claims Management No 
Collections Management No 
EHR/EMR Integration No 
For Healthcare No 
ICD-10 Compliance No 
Insurance Verification No 
Medical Billing No 
Patient Portal No 
Patient Registration No 
Patient Scheduling No 
Payment Processing No 

Alternatives

No Alternatives

Alternatives

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