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features
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support

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Description

Doctors enter the medical profession without the intention of mastering coding practices. We are revolutionizing the revenue cycle's future through autonomous coding driven by artificial intelligence. Our platform is currently utilized by over a dozen leading healthcare organizations and systems, encompassing more than 200 hospitals and 50,000 healthcare providers. CodaMetrix’s advanced coding AI system effectively converts clinical data into precise medical codes essential for patient care and the revenue cycle, accommodating both fee-for-service and value-based care frameworks. The automation process is seamless, transparent, and fully traceable. By utilizing CodaMetrix's innovative, multi-specialty autonomous medical coding platform, we harness AI to continuously analyze and utilize clinical evidence found in electronic health records. Our system autonomously converts clinical notes into billing codes that fulfill coding standards, ensuring that claims accurately reflect the intricate and comprehensive nature of each patient’s care episode, significantly alleviating the burden on human coders while enhancing efficiency. As a result, healthcare providers can focus more on patient care instead of administrative tasks.

Description

Achieving significant advancements in both clinical and administrative outcomes, Evolent Care Partners, a healthcare system in the Midwest, has earned the distinction of being ranked third nationally for both total shared savings and the percentage of savings against benchmarks. By providing independent primary care physicians with essential capital and resources, Evolent Care Partners empowers them to engage in and thrive under two-sided payer contracts while mitigating their financial exposure. New Century Health enhances cost-effectiveness and quality of care in oncology and cardiology by leveraging clinical evidence to inform care decisions, a process that enjoys support from both payers and providers alike. Furthermore, Evolent Health Services streamlines health plan operations through a suite of comprehensive services backed by a modern, integrated platform and a genuine model of strategic partnership. Additionally, the organization encourages exploration of insights and news related to value-based care, population health, health plan administration, and various topics concerning the transformation of healthcare. Through these initiatives, Evolent aims to foster a more efficient and effective healthcare landscape.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

OpenPM

Integrations

OpenPM

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

CodaMetrix

Country

United States

Website

www.codametrix.com

Vendor Details

Company Name

Evolent Health

Founded

2002

Country

United States

Website

www.evolenthealth.com

Product Features

Product Features

Benefits Administration

COBRA Administration
Claims Management
Deduction Management
Disability Insurance Administration
Employee Benefits Administration
FMLA Administration
FSA Administration
Flexible Spending Accounts
For Brokers
For Employers
HIPAA Compliant
Health Insurance Administration
Life Insurance Administration
Online Benefits Enrollment
Premium Billing
Provider Management
Retiree Administration
Retirement Plan Management

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

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