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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Circle Health is an innovative AI platform tailored for behavioral health and addiction treatment facilities, offering digital assistants designed to streamline clinical documentation, utilization review, compliance, and claims processing throughout the entire patient journey from intake to discharge. The platform's Charting Assistant efficiently records encounters using ambient listening, dictation, typing, or file uploads, and it produces notes in various formats such as SOAP, DAP, BIRP, and templates specific to clinics, while also recommending ICD codes and verifying medical necessity instantly. In addition, Circle Health meticulously reviews charts, assembles comprehensive authorization packets, monitors clinical and payer standards, assists with live payer communications, and oversees eFax submissions for both initial and ongoing treatment authorizations. Furthermore, the platform consistently evaluates documentation against the standards set by payers, regulatory bodies, and accreditation organizations, delivering real-time compliance metrics to ensure adherence to industry requirements. By leveraging advanced technology, Circle Health enhances the operational efficiency of behavioral health facilities, ultimately improving patient care.

Description

HealthRules® Payer represents a cutting-edge core administrative processing system that offers transformative features for health plans across various types and sizes. For over a decade, health plans utilizing HealthRules Payer have effectively capitalized on market opportunities, maintaining a competitive edge. What sets HealthRules Payer apart from other core administrative solutions is its innovative application of the patented HealthRules Language™, which resembles English and introduces a groundbreaking methodology for configuration, claims management, and information transparency. This system empowers health plans by enabling them to expand, innovate, and outperform their peers more effectively than any other core system available today. As a result, HealthRules Payer not only streamlines operations but also fosters a culture of agility and responsiveness within health organizations.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

Google Drive
Kipu
Lightning Step
Microsoft OneDrive
Netsmart Homecare
Opus
Salesforce
Sunwave

Integrations

Google Drive
Kipu
Lightning Step
Microsoft OneDrive
Netsmart Homecare
Opus
Salesforce
Sunwave

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Circle Health

Founded

2024

Country

United States

Website

www.circlehealth.co

Vendor Details

Company Name

HealthEdge Software

Website

www.healthedge.com

Product Features

Product Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Alternatives

Alternatives

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