Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
The process of patient access serves as the foundation for the entire revenue cycle management in healthcare. By ensuring that patient information is accurate from the outset, healthcare providers can minimize errors that often lead to additional work in administrative departments. A significant portion, between 10 to 20 percent, of a healthcare system's revenue is spent on addressing denied claims, with a staggering 30 to 50 percent of these denials originating from the initial patient access phase. Transitioning to an automated, data-oriented workflow not only mitigates the risk of claim denials but also enhances patient care access, thanks to features such as round-the-clock online scheduling options. Furthermore, patient access can be refined by streamlining billing processes through real-time eligibility checks, which provide patients with precise cost estimates during registration. Additionally, enhancing registration accuracy leads to greater staff efficiency, allowing for immediate rectification of discrepancies and errors, thereby preventing expensive claim denials and the need for further administrative corrections. Ultimately, focusing on these elements not only safeguards revenue but also elevates the overall patient experience.
Description
InvisaClaim stands out as the premier all-in-one revenue platform, leveraging AI to enhance Revenue Cycle Management by streamlining denial management, appeals, prior authorizations, and compliance with the No Surprises Act for billing companies and RCM teams. Users can upload or utilize a live feed to submit denial letters or 835 ERAs, allowing the AI to swiftly extract essential patient information, CARC/RARC codes, CPT/ICD-10 codes, amounts, and deadlines, subsequently generating tailor-made appeal letters for over 30 payers in just one minute.
The system comprises various modules, including a Denial Workbench, NSA/IDR for eligibility verification and QPA capture, Prior Authorization, Pre-Check AI, A/R aging, NPPES NPI verification, deadline alerts, and a comprehensive audit trail. In addition, InvisaClaim seamlessly connects with your clearinghouse and EHR systems, boasting integration partnerships with notable entities such as Change Healthcare/Optum for features like ERA, eligibility checks, claim status, and prior authorizations, while Availity integration is currently underway and Waystar facilitates Provider Access Requests.
Furthermore, strategic EHR collaborations with Athenahealth are in the works, alongside the implementation of a FHIR R4 layer for interoperability with Epic and Cerner systems, ensuring a robust and flexible service. With a commitment to security, InvisaClaim adheres to HIPAA compliance and holds SOC2 certification, demonstrating its dedication to maintaining the highest industry standards.
API Access
Has API
No
API Access
Has API
No
Integrations
ABLE Platform
Yes
Authorize.Net
No
Availity
No
Change Healthcare
No
Change Healthcare Data & Analytics
No
Chase Merchant Services
No
Docusign
No
EpicCare EMR
No
Optum AI Marketplace
No
Optum Patient Care Management
No
Integrations
ABLE Platform
No
Authorize.Net
Yes
Availity
Yes
Change Healthcare
Yes
Change Healthcare Data & Analytics
Yes
Chase Merchant Services
Yes
Docusign
Yes
EpicCare EMR
Yes
Optum AI Marketplace
Yes
Optum Patient Care Management
Yes
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
$349
Pricing starts at $349 per month per provider with tiers between $349-Enterprise.
Free Trial
Yes
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
Yes
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
Yes
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
Experian Health
Founded
1994
Country
United States
Website
www.experian.com/healthcare/products/patient-access-registration
Vendor Details
Company Name
InvisaClaim, LLC
Founded
2026
Country
United States
Website
www.Invisaclaim.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
Medical Scheduling
Appointment Management
No
Billing & Invoicing
No
Drag & Drop
No
Facility Scheduling
No
Multi-Location
No
No-Show Tracking
No
On Call Scheduling
No
Patient Records
No
Patient Scheduling
No
Physician Management
No
Recurring Appointments
No
Self Service Portal
No
Staff Scheduling
No
Patient Scheduling
Analytics/Reporting
No
Approval Process Control
No
HIPAA Compliant
No
Mobile Access
No
Notifications/Alerts
No
Online Scheduling
No
Patient Communications
No
Patient Intake
No
Patient Portal
No
Patient Records Management
No
Payment Processing
No
Reminders
No
SMS Messaging
No
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
Product Features
Medical Billing
Claims Processing
Yes
Claims Scrubbing
Yes
Code & Charge Entry
Yes
Compliance Tracking
Yes
Customizable Dashboard
Yes
Dunning Management
No
Invoice History
Yes
Patient Eligibility Checks
Yes
Practice Management
Yes
Quotes/Estimates
Yes
Remittance Advice
Yes
Revenue Cycle Management
Accounts Receivable
Yes
Claims Management
Yes
Collections Management
Yes
EHR/EMR Integration
Yes
For Healthcare
Yes
ICD-10 Compliance
Yes
Insurance Verification
Yes
Medical Billing
Yes
Patient Portal
Yes
Patient Registration
Yes
Patient Scheduling
Yes
Payment Processing
Yes