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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

Payers and provider networks that encompass over 10 million patients have successfully overseen 200,000 transitions in care using ReferWell. This platform enhances Medicare Advantage offerings, elevates member satisfaction, and facilitates the closure of care gaps to drive quality improvements. It also works to bolster network adequacy across various electronic medical records (EMRs), while simultaneously minimizing expensive transitions and preventing revenue leakage. By enhancing access to care and uncovering new revenue opportunities through the 340B program, ReferWell aims to support community health initiatives. Additionally, the solution helps to fortify partnerships with local providers, ensuring that patient referrals are directed to appropriate hospital specialists, thus further reducing financial losses. Fully compliant with HIPAA regulations, ReferWell seamlessly integrates with leading EMRs and scheduling systems, promoting efficient clinical data sharing among providers and improving care coordination without the delays associated with traditional communication methods. Supporting all integration protocols, the ReferWell system empowers provider networks to effectively manage patient and member care transitions while maintaining comprehensive oversight of patient and provider interactions. This innovative approach not only streamlines processes but also enhances the overall quality of care provided to patients.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

No images available

Screenshots View All

Integrations

No details available.

Integrations

No details available.

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 Yes 
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 No 
Live Training (Online) No 
In Person Yes 

Vendor Details

Company Name

CareCost

Founded

2026

Country

United States

Website

carecostestimate.com

Vendor Details

Company Name

ReferWell

Country

United States

Website

public.referwell.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 

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