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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.
Description
OptiPayRCM's platform offers streamlined automation for revenue cycle management, focusing on the critical "last-mile" by seamlessly connecting with EHRs, clearinghouses, payer portals, and various other systems through adaptable interfaces, ensuring that your billing workflows are efficiently managed from start to finish. The centralized engine is designed to perform functions such as eligibility verification, claim submissions, payment postings, denial management, and comprehensive accounts receivable processes, leveraging artificial intelligence and robotic process automation to minimize manual tasks and enhance cash flow. With real-time dashboards and analytical reports, users gain insights into essential performance metrics while benefiting from customizable automation that accommodates exceptions and specific workflows. Its capabilities lead to a significant reduction in first-pass denials by as much as 63%, expedite claim status inquiries up to 50 times faster than traditional methods, and shorten payment cycles by up to 35%. Additionally, the platform is compatible with over 200 healthcare systems and facilitates direct integrations through EHRs, FHIR, EDI, and HL7, making it a versatile solution for modern healthcare billing challenges. This comprehensive ecosystem ensures that healthcare providers can optimize their revenue cycles efficiently and effectively.
API Access
Has API
API Access
Has API
Integrations
Availity
Change Healthcare
Change Healthcare Data & Analytics
Chase Merchant Services
Docusign
Optum AI Marketplace
Optum Patient Care Management
QuickBooks Accountants
QuickBooks Live Bookkeeping
Supabase
Integrations
Availity
Change Healthcare
Change Healthcare Data & Analytics
Chase Merchant Services
Docusign
Optum AI Marketplace
Optum Patient Care Management
QuickBooks Accountants
QuickBooks Live Bookkeeping
Supabase
Pricing Details
$349
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
InvisaClaim
Founded
2026
Country
United States
Website
www.Invisaclaim.com
Vendor Details
Company Name
OptiPayRCM
Founded
2025
Country
United States
Website
optipayrcm.com
Product Features
Medical Billing
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice
Revenue Cycle Management
Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing
Product Features
Revenue Cycle Management
Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing