Average Ratings 0 Ratings
Average Ratings 0 Ratings
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
Utilizing our claims listing page enables you to swiftly address any errors or omissions before you submit your claims. Once all necessary information has been recorded and the relevant diagnosis and modifier codes have been applied, you can effortlessly upload a batch of claims to Trizetto Provider Solutions® in a single action. Following this, Trizetto Provider Solutions® conducts an additional round of claim scrubbing before forwarding your submissions to the appropriate payers. After payments from insurance companies are processed, you will see updates against claims that reflect allowed amounts, adjustments, copays, coinsurance, and deductibles. To maintain precision, payments are entered in groups. Statements are prepared according to your specified frequency—be it daily, weekly, or monthly—and are designed in a straightforward format that patients can easily comprehend. This clarity eliminates any prior confusion! Furthermore, a section for credit card authorization is included on the statement to facilitate the convenient settlement of any outstanding balances, ensuring a smooth payment process for patients.
API Access
Has API
No
API Access
Has API
No
Screenshots View All
No images available
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
No
Webinars
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
CareCost
Founded
2026
Country
United States
Website
carecostestimate.com
Vendor Details
Company Name
Mack Software
Website
www.macksoftware.com/mdoc.html
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
Billing and Invoicing
Billing Portal
Yes
Contact Database
Yes
Contingency Billing
No
Customer Portal
No
Customizable Invoices
No
Dunning Management
Yes
Hourly Billing
No
Invoice History
No
Mobile Payments
No
Multi-Currency
No
Online Invoicing
No
Online Payments
No
Payment Processing
Yes
Project Billing
No
Recurring/Subscription Billing
No
Service Ticket Billing
No
Tax Calculator
Yes
Alternatives
No Alternatives