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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Ensure a steady stream of revenue by utilizing a robust platform that accelerates reimbursements through eligibility verification, tracking claims status, conducting audits and appeals, and managing remittances for both government and commercial claims, all integrated into one cohesive system. Take advantage of a sophisticated rules engine that promptly cleanses claims in accordance with the latest CMS and commercial payer regulations, enabling you to rectify any inaccuracies prior to submission. During the claim upload process, confirm eligibility across all payers and identify any flagged issues, allowing for necessary edits before the claims are sent. Reduce the days in accounts receivable by implementing automated workflows for handling audit responses, submitting appeals, and tracking administrative dispute resolutions. Tailor staff workflow assignments based on the specific claim type and required actions. Additionally, automate the submission of secondary claims to prevent timely filing write-offs. Ultimately, enhance your claims revenue through automated workflows that facilitate quicker and more successful audits and appeals, ensuring your organization remains financially healthy. Furthermore, this comprehensive system can adapt to your evolving needs, providing long-term benefits as your operations grow.

Description

Metabridge is an innovative platform that transforms the auditing of 340B programs through a rule-based engine that streamlines and automates the entire auditing process. By ensuring that 100% of 340B claims are audited, Metabridge effectively eliminates the potential for audit discrepancies, enabling you to complete audits of 340B prescriptions in mere minutes. Why Opt for Metabridge? We provide agile and forward-thinking solutions that demystify the complexities associated with managing the 340B program while maximizing federal pricing advantages. Highlights of the 340B Compliance Manager: Dashboard This feature serves as a unified source of truth for all involved parties, offering real-time data that facilitates informed decision-making. Claims Repository Efficiently handle and archive all claims within a single, secure platform, with flexible options for either on-premise or cloud-based data storage. Auditor Module Revamp your auditing process by cutting down the time spent on sample size audits from hours to just minutes, while also optimizing savings through our Manufacturer Exclusion module. Furthermore, this module enhances overall operational efficiency, allowing healthcare providers to focus more on patient care.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

No images available

Integrations

Inovalon Provider Cloud

Integrations

Inovalon Provider Cloud

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

$1000/user/month
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

Inovalon

Founded

1998

Country

United States

Website

www.inovalon.com/products/provider-cloud/revenue-cycle-management/all-payer-revenue-cycle-management/

Vendor Details

Company Name

TheHistroke

Founded

2022

Country

United States

Website

thehistroke.com

Product Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

Product Features

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