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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
PayerLenz serves as a platform for benchmarking reimbursement and verifying eligibility specifically tailored for behavioral health providers, billing companies, and revenue cycle management (RCM) organizations. Unlike standard verification processes that simply confirm coverage, it addresses the more nuanced question of what a payer is expected to reimburse. The benchmarks are derived from a vast dataset of over 500,000 adjudicated claims spanning more than 260 payer groups across 21 states, with each statistic accompanied by its sample size and date, allowing users to assess the reliability of the information. Additionally, the platform offers immediate eligibility checks and comprehensive verification processes, providing billing teams with a real-time overview of their accounts receivable. As the inaugural product of Revenue Logic, a firm specializing in behavioral health billing, PayerLenz aims to enhance transparency and efficiency in the billing process. It is important to note that a benchmark reflects the distribution of payments for similar claims and should not be viewed as a guarantee or forecast for any individual case. By leveraging these insights, providers can make more informed decisions regarding their billing strategies.
API Access
Has API
API Access
Has API
Screenshots View All
No images available
Integrations
Authorize.Net
Availity
Change Healthcare
Change Healthcare Data & Analytics
Chase Merchant Services
Docusign
EpicCare EMR
Optum AI Marketplace
Optum Patient Care Management
Oracle Health
Integrations
Authorize.Net
Availity
Change Healthcare
Change Healthcare Data & Analytics
Chase Merchant Services
Docusign
EpicCare EMR
Optum AI Marketplace
Optum Patient Care Management
Oracle Health
Pricing Details
$349
Pricing starts at $349 per month per provider with tiers between $349-Enterprise.
Free Trial
Free Version
Pricing Details
Free
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, LLC
Founded
2026
Country
United States
Website
www.Invisaclaim.com
Vendor Details
Company Name
PayerLenz
Founded
2026
Country
United States
Website
payerlenz.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
Alternatives
Alternatives
No Alternatives