Alternatives to Eligible

Service Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status online, and receive remittance advice. Accepting standard ANSI formats, data entry, and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers.

Elation Health is the leading platform for primary care, empowering 32,000 clinicians to deliver personalized care to over 16 million patients. With a clinical-first EHR, integrated billing, and AI-powered tools, Elation simplifies care workflows to help independent practices thrive.

Maximize your revenue, streamline automation, and gain immediate insights while ensuring compliance with ease. Start your transition to an automated future today with BFLOW®. Distinct from other solutions, BFLOW® is specifically tailored for DME businesses, providing all necessary forms and tools to keep your cash influx steady and your operations compliant. Avoid the pitfalls of DME platforms that complicate processes, leading to frequent errors in medical claims and diminished cash flow. Our innovative cloud-based DME software offers operators an intuitive interface at significantly lower costs. With the BFLOW Performance Management Dashboard, you can simplify your operations through multi-channel billing from a single, cohesive application. This includes features for retail POS, insurance billing, patient billing, and B2B invoicing—all integrated into a comprehensive solution that comes with our standard pricing plan. Experience the difference of a software designed specifically for your needs and watch your business thrive.

To ensure the well-being of both patients and providers, independent practices require comprehensive solutions. Each product offered by Tebra is specifically designed to enhance and streamline the entire patient-practice experience, and when integrated into a unified platform, it functions as a complete operating system that benefits both providers and patients. By utilizing this connected system, practices can effectively attract new patients while retaining existing ones through enhanced digital visibility. Furthermore, patients are empowered at every communication point, fostering a seamless experience that promotes trust and contributes to a healthier practice environment. A state-of-the-art, certified EHR solution tailored to meet the demands of today’s healthcare providers is also included, equipping practices with essential features such as advanced charting, efficient documentation processes, a holistic view of patient histories, electronic prescriptions, lab integrations, telehealth capabilities, and much more, enabling providers to maintain control over their care delivery methods. With these innovative tools at their disposal, practices can thrive in an increasingly competitive healthcare landscape.

Upfront collection and cost estimates for patients. Instantly understand patient responsibility with automatic eligibility verification and benefit verification checks. Your practice data provides hyper-accurate estimates, which can lead to better care and a healthier company. Send estimates via email or text conforming to HIPAA. It's time for 2020 to be treated like 2020. Mobile patient payments upfront can help you collect more than ever. Reduce patient AR by getting rid of the write-offs

The eligibility checker ensures comprehensive verification of patients' financial eligibility, conducting insurance analyses and monitoring for inconsistencies. Should any inaccuracies arise in the submitted data, our advanced scrubber utilizes deep AI and machine learning algorithms to rectify issues, including coding mistakes and incomplete or incorrect financial details. This robust software currently boasts 3.5 million pre-loaded edits, enhancing its efficiency in error correction. Additionally, automatic updates from the clearing house are provided to keep stakeholders informed about the status of claims in progress. The system comprehensively addresses all aspects of billing, from confirming patient financial information to managing denied or lost claims, and features a thorough follow-up process for appeals. Moreover, our intuitive platform not only alerts users about potential claim denials but also implements corrective measures to avert issues, while maintaining the capability to track and appeal lost or rejected claims. Overall, this integrated approach ensures a smoother and more efficient claims management experience for healthcare providers.

The FINEOS Platform stands out as the sole comprehensive end-to-end SaaS core product suite for clients, featuring FINEOS AdminSuite for managing everything from quote to claim, alongside add-on products such as FINEOS Engage to enhance digital interaction, and FINEOS Insight for advanced analytics and reporting capabilities. It serves as a cornerstone for your digital insurance approach. By integrating FINEOS AdminSuite, FINEOS Engage, FINEOS Insight, and robust platform capabilities, the FINEOS Platform establishes itself as the most contemporary single core insurance solution tailored for Life, Accident, and Health sectors. In contrast to outdated legacy core systems that relied on a 'one size fits all' technology model, which is no longer suitable for dynamic businesses, modern consumers, employers, and brokers now benefit from sophisticated SaaS solutions and software that elevate expectations for an insurer's digital initiatives. The previous monolithic insurance software systems primarily concentrated on the intricacies of insurance contracts, overlooking the need for flexibility and adaptability in today's fast-paced market. Embracing the FINEOS Platform means adopting a future-ready approach that aligns with current consumer demands and technological advancements.

OptiMantra is an established EMR and practice management platform focused on integrative and wellness practices. The platform is highly adaptable and robust - it includes online appointments, patient messaging and email reminders, a patient portal, intake forms and customizable charting, integrated payment processing, integrated labs and imaging, insurance billing, in-program tele-health, inventory management, and more. It's easy to get set-up! OptiMantra offers tailored onboarding support.

Oracle's Digital Insurance Platform equips insurance companies with the tools needed to create cutting-edge solutions and outstanding digital experiences for customers. This all-encompassing system simplifies everything from sales channels to back-office functions, allowing for quick introduction of new products and easy adaptation to changes. By leveraging real-time analytics, insurers can acquire critical insights that support better decision-making processes. The platform accommodates both individual and group life insurance, as well as annuities, by integrating underwriting, policy management, billing, and claims handling into one streamlined system. Health insurance providers experience enhancements in enrollment procedures, premium billing, and claims processing, which leads to greater member satisfaction thanks to clear and tailored services. Furthermore, the platform improves the bancassurance process by facilitating immediate connectivity between banks and insurance firms, which guarantees efficiency, uniformity, and trust. This interconnected approach fosters a more dynamic insurance environment, ultimately benefitting both providers and their clients.

Origami Risk offers cohesive SaaS solutions tailored for a diverse range of clients, including insured entities, brokers, insurers, third-party claims administrators, and public organizations, which empower them to enhance their workflow management, utilize analytics effectively, and improve stakeholder engagement. Consistently recognized as a five-time recipient of the Business Insurance Innovation Award, we maintain this accolade by working collaboratively with our clients to create solutions that tackle real-world issues they encounter. Since our inception, Origami Risk has committed to providing top-tier, practical solutions for risk management professionals worldwide. Our recognition with the 2021 European Risk Management Award for Technology Innovation of the Year highlights our ongoing dedication to excellence. We focus on delivering fully-integrated and comprehensive solutions aimed at minimizing incidents and hazards, reflecting our commitment to innovation in the risk management sector. By prioritizing client collaboration, we ensure our offerings remain relevant and impactful in an ever-evolving landscape.

E-COMB, or EDI Compatible Medical Billing, serves as a web-based platform designed to create medical claims that adhere to the HIPAA transaction and code set standards mandated by the US Government in accordance with the guidelines established by the American National Standards Institute (ANSI). This solution facilitates the generation, submission, and reconciliation of claims directed towards insurance companies, guarantors, and patients, making it an essential resource for healthcare providers to optimize their revenue by significantly shortening the claims reimbursement process. Additionally, all pertinent information related to the operational context of a Doctor’s Office or Hospital is compiled as Master Data, which is often utilized for claims processing and tends to remain stable over time. This Master Data encompasses critical details regarding Procedures, Diagnoses, Doctors, Payers, and Billing Providers, among others, and is initially created during the setup phase, with the flexibility for updates as necessary. Consequently, E-COMB not only streamlines the billing procedure but also ensures that healthcare professionals have easy access to the most current and relevant information for their operations.

Introducing the first-ever intelligent medical billing software that caters to multiple specialties. It simplifies the billing process and enhances patient collections for over 75,000 healthcare providers nationwide. With its global data capabilities, there's no longer a need for entering information multiple times. Designed to handle large volumes and intricate data, it features a flexible data structure that meets the diverse needs of various practices and specialties. This software ensures that you receive payments more quickly. You can input payments manually or utilize electronic remittance options. Claims are automatically scanned for errors and any missing details, ensuring accuracy. Additionally, the software can automatically resubmit insurance claims based on predetermined criteria. The rapid review feature allows for swift evaluation and approval of charges. You can audit charges by various metrics, including modality, procedure, insurance, user, or date of service. The intuitive reporting system provides insights into the financial well-being of both front-end and back-end billing processes. You’ll never miss a charge again. Furthermore, it seamlessly integrates with your chosen clearinghouse or statement vendor, making it a versatile choice for healthcare billing. With its user-friendly interface and comprehensive features, this software is set to transform the way medical billing is handled in practices.

Autorox offers a comprehensive Total Garage Management platform that integrates a variety of essential services. This innovative solution delivers instant, real-time estimates for car repairs, facilitates insurance billing, and includes an extensive parts catalog along with efficient inventory management. Users benefit from insightful reporting and dashboards, as well as vehicle condition assessments that allow for photo documentation. The platform also features a user-friendly mobile app and a product sales module, among other functionalities. By optimizing processes and ensuring prompt access to crucial information, Autorox can significantly decrease claim processing time by up to 50%. Additionally, the built-in catalog of OEM and aftermarket parts, coupled with labor pricing, enables rapid construction of repair estimates. Ultimately, Autorox helps mitigate unnecessary costs stemming from inaccurate estimates, redundant replacements, and other inefficiencies. This all-encompassing solution is designed to enhance both productivity and profitability for automotive businesses.

Our cloud-based Practice Management solution allows for seamless billing management, enabling your practice to swiftly determine and verify patient insurance benefit eligibility and copay amounts. This system works in conjunction with various clearinghouses and facilitates efficient accounting book management. It simplifies the reconciliation process for patient accounts and insurance billing and supports quick online patient payments along with EOB/ERA processing. The robust task management feature of our healthcare practice management system allows users to efficiently locate and assign claims for review through an intuitive filter-based search function. Users can filter outstanding claims utilizing approximately 100 different criteria, such as the responsibility of payment between patient and insurance, payer classification, provider details, service dates, aging buckets, and reasons for denial. Additionally, the filters can be saved for future use, enhancing workflow efficiency and organization in managing claims. This integrated approach not only streamlines operations but also significantly reduces administrative burden.

EMCsoft's Claims Management Ecosystem guarantees that healthcare providers and billing companies submit accurate claims to insurance payers for effective claim processing. This system combines our adaptable claims processing software, Claim Agent, with a comprehensive methodology known as the Four Step Methodology, seamlessly integrating into your claim adjudication workflow. By implementing this strategy, we enhance, facilitate, and automate your processes to optimize claim reimbursements. For an insightful overview of Claim Agent's features and its integration into your claims process, you can request our complimentary online demonstration. Claim Agent efficiently manages the scrubbing and processing of claims, ensuring a smooth transition from provider systems to insurance payers in a timely and cost-effective manner. The software is designed to be compatible with any existing system, ensuring a swift and straightforward implementation. Furthermore, we offer tailored edits, bridge routines, payer lists, and workflow configurations that cater specifically to each user's requirements, enhancing the overall claims management experience. This personalized approach enables healthcare providers to focus more on patient care while we take care of the complexities of claims processing.

eClaimStatus offers a straightforward, practical, and efficient real-time system for Medical Insurance Eligibility Verification and Claim Status solutions that enhance healthcare delivery environments. As healthcare insurance providers continue to lower reimbursement rates, it becomes essential for medical professionals to keep a close eye on their revenue streams and minimize any potential loss and payment risks. The issue of inaccurate insurance eligibility verification is responsible for over 75% of claim denials and rejections from payers. Additionally, the costs associated with re-filing rejected claims can reach between $50,000 to $250,000 in lost annual net revenue for each 1% of claims that are denied (according to HFMA.org). To address these financial challenges, it is crucial to have a user-friendly, budget-friendly, and efficient Health Insurance Verification and Claim Status software. eClaimStatus was specifically developed to tackle these pressing issues and improve overall financial performance for healthcare providers. With its comprehensive features, eClaimStatus aims to streamline the verification process, ultimately enhancing the efficiency and profitability of healthcare practices.

In the dynamic landscape of healthcare, the financial and operational stability of your organization plays a vital role in its overall success. To thrive, it's essential to secure the right mix of personnel, products, and processes that extend beyond merely receiving payments. Our revenue cycle management suite is designed to assist businesses in efficiently handling claims scrubbing and verifying patient eligibility. TruBridge specializes in accelerating payment processes for hospitals of all sizes by leveraging a strategic blend of people, products, and process enhancements. Our diverse range of Revenue Cycle Management offerings includes consulting services, an HFMA Peer Reviewed® product, and comprehensive business office outsourcing solutions. For years, TruBridge has been dedicated to improving the efficiency of hospitals, physician clinics, and skilled nursing facilities in their service to communities. As we move forward, our knowledgeable professionals are prepared to address the specific revenue cycle challenges your organization encounters daily, ensuring you can focus on delivering exceptional patient care.

Effective collaboration in patient care hinges on continuous connectivity and access to the latest information. It has become increasingly crucial to streamline the exchange of this information with insurers. Availity simplifies the process of working with payers, guiding you from the initial verification of a patient's eligibility to the final resolution of reimbursements. Clinicians desire quick and straightforward access to health plan details. With Availity Essentials, a complimentary solution backed by health plans, providers can benefit from real-time data exchanges with numerous payers they frequently engage with. Additionally, Availity offers a premium option known as Availity Essentials Pro, which aims to improve revenue cycle performance, minimize claim denials, and secure patient payments more effectively. By relying on Availity as your trusted source for payer information, you can dedicate your attention to delivering quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions enable providers to seamlessly integrate HIPAA transactions along with other essential functionalities into their practice management systems, ultimately enhancing operational efficiency. This comprehensive approach ensures that healthcare providers can maintain focus on their primary mission: patient well-being.

PlanXpand™ is the specialized transaction processing engine developed by Acero, which serves as the backbone for all products aimed at health benefits administrators. With this innovative engine, clients have the flexibility to implement Acero’s offerings either all at once or gradually over time. Beyond simply selecting from our standard range of products, administrators have the option to harness PlanXpand™ to create tailored solutions that enhance their current system functionalities. Acero’s distinctive, integrated solutions utilize a Service-Oriented Architecture, enabling health benefits administrators and insurers to augment their existing adjudication platforms with new features and capabilities. Furthermore, our advanced design and engineering facilitate real-time adjudication for all claim types, directly interacting with the core claims system, which leads to improved processing accuracy, increased customer satisfaction, and a reduced necessity for claims adjustments. This adaptability and precision in processing claims ultimately positions Acero as a leader in the health benefits administration sector.

PDS Cortex enhances the efficiency of your practice by offering comprehensive tools for overseeing patient appointments, billing, collections, and much more. It simplifies the intricacies of the current health insurance landscape, making it easier for practices to adapt. Some of its standout features include medical billing, which serves as the core of Cortex with dynamic cash flow management, reduced accounts receivable, and efficient data retrieval and analysis. It also provides robust insurance management tools that allow you to effectively track, manage, and report while saving valuable time. Additionally, it enables monitoring of bad debts and collection agency performance, enhancing accounts receivable efficiency. The appointment scheduling feature is user-friendly, offering customizable layouts and a powerful workflow to streamline operations. Furthermore, electronic remittance distribution allows for better control through the electronic posting of insurance payments, optimizing your insurance transaction processes. Lastly, the platform offers over 270 standard reports, providing you with the flexibility and control needed to make informed decisions based on comprehensive data insights.

Improve the quality of patient care, streamline office operations, and boost profitability with ChartLogic, a comprehensive Electronic Health Record (EHR) software solution tailored for private medical practices. This software is crafted to seamlessly align with a practice's workflow, catering to various specialties and individual preferences, enabling physicians to efficiently document patient interactions while securely and affordably managing data. The ChartLogic EHR suite encompasses tools for Electronic Medical Records (EMR), practice management, and medical billing, ensuring a holistic approach to healthcare administration. With its user-friendly interface, ChartLogic empowers physicians to enhance their productivity and focus more on patient outcomes.

Streamline revenue cycle management, care quality oversight, and workforce optimization through a unified, user-friendly portal featuring single sign-on capabilities. Over 47,000 provider locations depend on our cutting-edge tools to ease the complexities of the patient care experience. Transform the financial experience for patients while alleviating administrative and clinical challenges with the Inovalon Provider Cloud, eliminating the need for fragmented workflows. Our SaaS offerings are designed to enhance both financial and clinical results throughout the patient journey, facilitating improved revenue cycle processes for enhanced reimbursement and ensuring optimal staffing levels for high-quality care. This all-in-one portal enables your organization to elevate its performance, boosting revenue, staff satisfaction, and care standards. By enhancing operational efficiency, productivity, and overall effectiveness, you can unlock the full potential of your organization. Explore the transformative capabilities of the Provider Cloud today.

Experience seamless accessibility and top-notch security without any trade-offs. Work from anywhere, consult with patients, and maintain connectivity through an all-inclusive cloud suite that encompasses both office and remote care technologies. Since its inception in 1999, our medical office software has remained unique as the only solution built entirely on a 100% cloud framework. We are excited to provide our complete range of software and data storage on the Amazon Web Services (AWS) cloud hosting infrastructure. The collaboration between AdvancedMD and AWS results in an unparalleled experience characterized by swift and dependable access to your information, steadfast data security, and effortless storage with automatic backup features. No other ambulatory software solution matches this level of hosting quality, ensuring that starting or expanding your practice in the cloud is both simple and budget-friendly. With our software being hosted and managed on AWS, your monthly subscription includes exceptional reliability, security, and performance. Furthermore, our cloud platform facilitates easy access to our software across various devices and operating systems, enhancing the convenience of your practice even further. This combination of cutting-edge technology and user-friendly design sets a new standard in the medical software industry.

We recognize that not every piece of software needs to cater to every possible requirement, particularly when it comes to diverse fields such as specialties, practices, clinics, and hospitals. This understanding has led us to design modular systems tailored specifically to meet YOUR needs. The user interface is streamlined and user-friendly, while the underlying technology employs state-of-the-art database engines to keep your information safe and secure. This ensures that you receive your payments accurately and promptly! With over 1,200 physicians, billing agencies, and clinics of various sizes across Ontario utilizing our services, QuickClaim has gained a reputation as a meticulously crafted tool. QuickClaim serves multiple functions and seamlessly integrates with other systems, including QuickReq, QuickDOCs, and third-party solutions through HL7 and flat file formats. Moreover, QuickClaim can function as an offline alternative to HYPE Medical, ensuring continuity in the rare event of an Internet outage, operating independently without needing a connection. This flexibility makes QuickClaim a reliable choice for healthcare providers.

At SpeedBuilder Systems, we are dedicated to creating software solutions that streamline business operations for you and your clients. Our BindExpress Suite package serves as a comprehensive policy administration system tailored for both insurance agents and their clients, offering remarkable usability, rapid adjustments, and outstanding outcomes across both personal and commercial insurance sectors. Covering all aspects from policy management to claims processing and billing, this innovative technology ensures you stay significantly ahead of your competitors in the industry. With our commitment to excellence, we aim to transform how you engage with your business.

Transform and enhance every element of your benefits program using PlanSource. Reach your employees through personalized messaging and communication initiatives that can be tailored by group and automatically disseminated via email, text, mobile app, and additional platforms. With integrated self-billing and invoice reconciliation, you'll spend less time auditing and correcting insurance bills monthly, allowing for a more productive workflow. Our comprehensive compliance solutions provide reassurance regarding ACA measurement and reporting, COBRA administration, eligibility criteria, and much more. Efficient workflows and immediate integrations offer an enrollment process crafted to increase engagement and participation in plans. Our fully mobile experience—available on both our app and website—simplifies the process of exploring benefits, making it as easy as online shopping. By removing manual tasks and countless hours of HR administrative duties, you can achieve genuine end-to-end automation for your benefits system. This not only elevates employee satisfaction but also enhances the overall effectiveness of your benefits administration.

Trusted by over 100 insurers across North America, BriteCore provides P&C insurers with a cloud-native core insurance platform designed to drive business growth, enhance operational efficiency, and offer unparalleled flexibility. The BriteCore Platform enables insurers to seamlessly manage policies, billing, and claims; rapidly configure new products; and access comprehensive reporting and analytics—all within a unified core insurance system that includes user-friendly portals for agents and policyholders. For more information, visit britecore.com.

Pysquel represents a cutting-edge solution for insurance billing, collections, and practice management tailored specifically for mental health professionals. This robust software platform not only enhances the efficiency of mental health practices but also significantly boosts their profitability through its extensive range of features. Among its primary functionalities are claims management, appointment scheduling, Electronic Data Interchange (EDI), billing and invoicing, as well as tools for creating assessment and treatment plans, progress notes, and a patient portal. Additionally, Pysquel includes personnel management capabilities, making it a comprehensive tool for mental health service providers looking to streamline their operations. Overall, Pysquel stands out as an essential resource for practitioners aiming to improve both administrative tasks and patient care.

Steer clear of practice management software that locks you into an electronic health record system. At BrickMed, our primary goal is to enhance the success of your business. Enjoy the flexibility of scheduling patient appointments, including the management of recurring visits and the option to export data to third-party reminder systems. Improve the efficiency of front desk payments and checkouts by utilizing integrated credit card and check processing support. Regardless of whether you operate a fully insurance-based practice, an ambulatory surgery center, or a cosmetic practice that occasionally provides reconstructive services, the landscape of consumer-driven healthcare necessitates a practice management solution that equips your team to adeptly manage everything from retail operations and product sales to conventional insurance billing. In today's environment, billing centers must evolve past mere claim processing to become reliable consulting partners for healthcare providers, especially amid the rapid transformations in the medical industry. BrickMed solutions are designed to empower billing centers with the tools they need to succeed. Our commitment is to ensure that your practice thrives in a competitive marketplace.

InsureBill serves as an all-encompassing billing solution tailored to effectively oversee the revenue aspects of insurance companies. It accommodates both individual and multiple policy accounts, facilitates various payers for policies, and includes non-premium billing elements such as deductibles, claim payments, recoveries, and subrogation. The platform boasts an extensive range of features that enhance cash flow while delivering timely, comprehensive, and seamless reports that boost overall efficiency and productivity levels. With its remarkable flexibility and user-friendly design, InsureBill streamlines operational cycles, resulting in increased productivity among internal staff and lowered operational expenses. The system enables teams to manage a greater volume of transactions without increasing headcount, achieving a higher level of efficiency in the process. Furthermore, InsureBill's exceptional scalability and adaptability ensure that it can grow alongside organizations, making it a crucial consideration when assessing potential returns on investment. This adaptability not only meets current demands but also prepares businesses for future challenges in the ever-evolving insurance landscape.

For over three decades, Prime Clinical has been offering expert services alongside their proven practice management software tailored for healthcare providers. Their ICD-10 compliant system, Intellect, efficiently handles various administrative processes including appointment setting and insurance claims, allowing healthcare teams to dedicate their efforts to providing exceptional patient care. Furthermore, Intellect seamlessly integrates with electronic health records (EHR), ensuring secure and smooth data transfer across all patient management systems within healthcare organizations. Users can send appointment notifications through various channels such as email, phone, or text, and meticulously track reimbursements for each CPT code on every invoice. The software also facilitates the generation of comprehensive reports on a monthly, quarterly, or yearly basis, which can be scheduled at any chosen time. Additionally, it supports shared scheduling and billing tasks across multiple practice locations, enhancing collaborative efficiency among healthcare teams. With such features, healthcare providers can maintain a high level of organization and patient engagement.

Symplast offers an all-in-one solution tailored for Plastic Surgeons, Medical Spas, and similar practices. Featuring an easy-to-use Patient App, robust Marketing Analytics, a top-tier EHR system, a comprehensive Practice Management System, and efficient Insurance Billing, Symplast ensures your practice flourishes! Enhance patient interactions through straightforward and efficient charting methods. Accelerate your workflow by composing or dictating EHR notes using customizable templates, or even creating your own. Save countless hours in your practice with features like online appointment requests, a digital portal for new patient intakes, and secure automated appointment reminders that comply with HIPAA regulations. Your patients will appreciate the reassurance of staying connected via real-time, two-way messaging, media sharing, appointment reminders, and additional features that enhance communication. Additionally, doctors, patients, and staff can conveniently share images, videos, and files with just a click, while easily tagging media for marketing initiatives and maintaining organization through a global catalog. With Symplast, managing your practice becomes not only efficient but also more connected than ever before.

Marsh ClearSight stands out as a premier provider in the realm of risk and insurance management solutions. With our advanced software and comprehensive services, we empower clients to streamline their risk information and effectively manage claims and risk events, enabling them to gain a clearer perspective on their overall risk costs. Backed by a dedicated global workforce of over 500 technology specialists, Marsh ClearSight is committed to delivering cutting-edge, web-based risk management tools. Our knowledgeable team not only assists clients with data transformation and integration but also ensures they fully leverage their technology investments through tailored software setups and extensive user training sessions. By prioritizing client needs, we strive to enhance risk management practices across various industries.

Akhil Systems has introduced Miracle HIS, an advanced web-based Hospital Management Software designed to facilitate the operations of hospitals in a completely paperless environment. Its modular design allows for seamless integration of various hospital functions, including Patient Registration, OPD, IPD, OPD Pharmacy, and Purchase and Stores. This software is exceptionally user-friendly, making it ideal for rapid deployment across different healthcare settings, whether large hospitals, smaller facilities, or nursing homes. Miracle HIS stands out as an optimal healthcare IT solution. Utilizing a single database, it connects patient demographics, medical records, insurance details, billing, and case information, thereby enhancing the system's capability. With these innovative features, this HIS transforms from merely collecting data to actively supporting healthcare providers in delivering top-notch care to patients. Additionally, its flexibility ensures that it can adapt to the evolving needs of various healthcare institutions.

Mainstreet, a frontrunner in software solutions for the glass sector, is excited to unveil GMS Dealerships, a comprehensive point of sale system designed specifically for the industry. Our Auto Glass Point of Sale (POS) and Repair Software equip car dealership service centers with essential tools for seamless quoting, effective inventory management, efficient scheduling, and streamlined insurance billing. We also offer regular updates to the National Auto Glass Specifications (NAGS™), ensure data security, and deliver outstanding support to guarantee hassle-free software upkeep, allowing our users to focus on their operations without concern. This innovative solution is set to transform the way dealerships manage their services.

FileHandler Enterprise helps TPAs, insurance carriers, public entities and self-insured organizations automate processes and improve efficiency. Our software keeps you on track with automation and customization, creating a standard claims management process for your business. From implementation to continuous, dedicated support through our Quality Assurance and Implementation Team Members, our goal is to deliver our client partners an effective business management tool, empowering them to automate workflows and increase productivity throughout their business cycle. FileHandler Enterprise allows businesses to facilitate integration with several third-party applications. We ensure that our software works well with preexisting systems in an essential part of our goal at JW Software; helping create customized third-party integrations for your preexisting ISOs, state systems, insurance systems, and much more. FileHandler Enterprise™ software will help you manage and close claims quickly, process payments to parties or vendors, and provide advanced reporting necessary to manage your business.

Take complete control of your clinic with Practice Perfect, an all-encompassing EMR and practice management system that offers a comprehensive suite of features, including online patient booking, scheduling, billing for both private and insurance claims, clinical documentation, as well as reporting on revenue and essential operational metrics. We aim to provide you with the necessary tools to efficiently manage your practice and support its growth. Our cutting-edge Practice Perfect Management & EMR application is tailored to optimize clinic operations while delivering vital operational insights. Understanding that each healthcare facility has its unique requirements, we firmly believe that software should be customized to suit the user’s needs rather than forcing the user to adapt to the software. Unlike many other EMR solutions, every component of Practice Perfect has been developed internally. This ensures a seamless integration, allowing for a single access point for your data and a unified support contact for any assistance you may require. By choosing Practice Perfect, you are not just adopting software; you are investing in a solution that grows with you and your clinic.

With automated workflows that are triggered based on policy expiration dates, you can process client renewals in fraction of the time it takes staff to do manually. With broker-tested emails and automated workflows that maximize each interaction, you can connect with prospects and policyholders at all stages of the insurance lifecycle. You can boost your online reviews and convert dissatisfied customers with the well-respected Net Promoter®, survey tool. It helps you gauge and improve the customer experience. You can reduce your call volume and improve customer experience by giving policyholders 24/7 online access to their policy documents, proofs of insurance, billing, etc. You can see how Pathway makes it easier to attract clients and keep them satisfied for your CSRs and brokers. Learn how automated marketing solutions can transform the way agents and brokers do business.

Utilize a cloud-based healthcare delivery system to effectively manage your members' healthcare and networks. This system streamlines the claims processing for managed care organizations by automating various tasks such as eligibility verification, referral and authorization handling, provider contracting, benefit management, auto adjudication of claims, capitation for primary care and specialty services, EOB/EFT check processing, as well as EDI transfers and reporting. It can be implemented as a cloud solution or operated in-house, making it suitable for a range of entities including managed care organizations (MCOs), independent physician associations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. By simplifying the intricate processes involved in managing eligibility, referral authorizations, and claims, this system enhances operational efficiency. Its features are designed to optimize data integrity while minimizing the need for manual data entry, thus improving overall accuracy and productivity. Additionally, the flexibility of deployment options ensures that organizations can choose the best fit for their operational needs.

RiskVille empowers businesses to streamline essential tasks in policy, claims, and risk management, allowing for efficient handling of daily operations such as customer interactions, claims processing, and risk assessments all within a single platform. This cloud-based solution caters to various types of insurance companies, recognizing the significance of having a comprehensive view of business performance while executing daily tasks with precision. By automating repetitive tasks, RiskVille frees up your staff from mundane duties, enabling them to focus on more valuable activities. With a commitment to compliance, we ensure that your audit processes are smooth and straightforward, allowing you to approach audits with confidence and assurance. Our platform is fully compliant with GDPR regulations and is hosted on the trusted Microsoft Azure infrastructure, guaranteeing the safety and security of your sensitive data. Additionally, RiskVille enhances client satisfaction by offering straightforward online access to policies and claims, along with friendly reminders for renewals, ensuring that you not only meet but exceed client expectations in service delivery. Ultimately, RiskVille is designed to make insurance operations more efficient and effective, creating a seamless experience for both businesses and their clients.

The influence of digital technologies on the insurance sector is profound, with those adapting to these changes set to gain a strong competitive edge. Outdated claim management systems that rely on numerous platforms, physical documents, and labor-intensive procedures are now being supplanted by cloud-based enterprise claim management solutions. The Majesco ClaimVantage Claims Management Software for Life and Health simplifies the entire claims process, encompassing every stage from initial intake to payment calculations, while seamlessly integrating various systems to enhance information flow throughout the organization. By ensuring precise and prompt claim decisions, businesses can elevate customer satisfaction and boost operational efficiency. Additionally, built on the Salesforce Lightning Platform, Majesco ClaimVantage Claims Management Software for L&H empowers insurance firms and third-party administrators to not only modernize their claims handling but also to position themselves for future advancements in the industry. As the landscape evolves, embracing such innovative solutions will be crucial for sustained success.

HEALTHsuite provides a comprehensive benefit management system and claims processing software solution for health plans that administer Medicare Advantage and Medicaid benefits. HEALTHsuite, a rules-based auto adjudication solution, automates all aspects of enrollment / eligibility and benefit administration, provider contracting / reimburse, premium billing, care management, claim adjudication, customer support, reporting, and more.

Amazing Charts Practice Management serves as an all-encompassing platform aimed at improving the workflow and operational efficiency of independent medical practices. Created by a physician with firsthand experience, this solution automates a variety of tasks, including the collection of patient demographics, appointment scheduling, and pre-registration of patients while verifying their insurance eligibility. Additionally, it generates insightful analytical reports and assesses patient financial obligations right at the point of care, while also managing insurance payer lists to facilitate timely and accurate billing processes. This aids practices in collecting payments more efficiently. Among its notable features are tools to monitor unpaid claims, a dedicated claims manager to analyze submissions and minimize denials, and an integrated secure connect clearinghouse that provides robust support and quick adjustments to changes from payers. Moreover, the system boasts intelligent, interactive dashboards tailored to specific roles, which automatically prioritize tasks across various departments, thereby enhancing overall productivity in the medical office. This comprehensive approach ensures that practices not only operate smoothly but also remain agile in responding to the evolving challenges in healthcare administration.

You deserve to spend your time on more important tasks than being glued to your phone. That's why our real-time eligibility tool enables you to swiftly confirm your patients' benefits, no matter their insurance plan. The era of incurring transaction fees for claims, attachments, and eligibility checks is over! Our comprehensive plan offers all features for a single monthly payment. By subscribing to Vyne Trellis™, you will benefit from the expertise of our dedicated industry professionals. With our platform, you can track claims that contribute to your firm's revenue. Whether your practice is large or small, our system is equipped to manage any volume of claims seamlessly. Vyne Trellis™ is designed to work with the claims administrators and clearinghouses you rely on. Our user-friendly dashboard provides rejection reasons, status updates, and smart notifications, ensuring your claims keep progressing smoothly. Should you encounter any challenges with a claim, our support team is always ready to assist you! Forget about juggling multiple tabs or windows; now you can conveniently access a wealth of data and documents, including ERAs and attachments, all in one place. Embrace the efficiency and ease that Vyne Trellis™ brings to your practice.

In 1989, Richard M. Mehan, the visionary founder and CEO of Noble House, created the Noble*Direct software with four primary objectives: to develop a user-friendly platform, ensure efficient task completion, innovate both existing and new functionalities, and, most importantly, to prioritize customer satisfaction. With the entrance of his son, Evan Mehan, into the business, there is a commitment to uphold these four objectives and elevate Noble House to new heights. The training of new billing staff is designed to be swift and uncomplicated, allowing for enhanced focus on delivering excellent service to clients. Noble*Direct boasts a variety of fully automated features that facilitate seamless operations for providers while expanding their patient base. We actively engage with our clients to understand their requirements, which is why we persist in designing and incorporating new functionalities that aid in refining everyday tasks. This dedication to customer feedback not only strengthens our relationship with clients but also ensures that we stay ahead in a competitive market.