Alternatives to OneTouch Claims Processing Software

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.

Parascript software automates mortgage and loan document processing faster and more accurately. It also automates insurance document-based tasks that allow for the intake and review of healthcare insurance data. Document processing automation automates the process of processing documents to improve efficiency, data accuracy, and reduce costs. Parascript software is driven by data science and powered by machine learning. It configures and optimizes itself for automating simple and complex document-oriented tasks like document classification, document separation, and data entry for payments and lending. Parascript software processes over 100 billion documents each year in the areas of banking, government, insurance, and other related fields.

RXNT's cloud-based, ambulatory healthcare software empowers medical practices and healthcare organizations of all sizes and most specialties to launch, succeed, and scale through innovative, data-backed, AI-powered software. Our integrated, ONC-certified healthcare software system—including Electronic Health Records, Practice Management, Medical Billing and RCM, E-Prescribing, Practice Scheduling, Patient Portal, and more—will streamline clinical outcomes, practice management, and revenue cycle management for your medical organization. RXNT is trusted by over 60 thousand providers and medical professionals across all 50 states in the U.S.A. to drive business growth, optimize operations, and improve the quality of patient care. All of our SaaS-based software products can be purchased standalone, but you can run you entire practice—from encounter to billing—with our unified Full Suite system. It utilizes a secure, central database so your data passes through every product in real-time from anywhere. Using our software, more than 125MM prescriptions have been transmitted and over $7B in claims have been processed. Our predictable, transparent subscription pricing model includes free setup & training, support, mobile apps, and more.

QuickCap, developed by MedVision Solutions, is a comprehensive management tool designed to handle both administrative and clinical data processes, enabling users to prioritize their business operations instead of getting bogged down by paperwork. This solution offers scalable control over workflow and information, allowing for more efficient work practices. Users benefit from a customizable dashboard that enhances usability and automates processes for increased speed. Additionally, QuickCap simplifies claims handling, making the overall work experience smoother for users. Furthermore, it provides valuable analytics that assist users in easily assessing the profitability of individual providers. This combination of features ultimately empowers organizations to operate more effectively and make informed decisions.

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.

SpyGlass, our advanced software for managing health claims at the enterprise level, presents a robust and adaptable solution for efficient and accurate claims processing. The platform simplifies the setup of benefits and plans significantly. Fully integrated with SpyGlass, BenefitDriven offers eligibility verification, contribution accounting, and pension management specifically tailored for the Taft-Hartley sector, encompassing a comprehensive suite of data and processes for both Participants and Employers. Our all-encompassing EDI gateway and scheduler, HIPAA Director, functions as a central hub, enabling seamless connections with vendor partners to minimize transaction costs, streamline batch transfers, and automate the transfer process. With SpyGlass, you gain an in-depth, panoramic view of your population while also having the capability to drill down to granular details with ease. You can access an extensive selection of unique reports, fully customizable dashboards, and maintain total control over your system, ensuring that you have everything you need at your fingertips to make informed decisions and optimize your operations. In this way, SpyGlass empowers organizations to enhance their efficiency and effectiveness in managing health claims.

Enhance your claims management process while reducing denials with superior edits and a top-tier clean claim rate. Healthcare organizations need advanced technology to ensure precise claim submissions and swift reimbursements. Claims Director, the claims management solution from SSI, simplifies billing procedures and offers transparency by assisting users throughout the entire electronic claim submission and reconciliation journey. As reimbursement criteria from payers undergo modifications, the system continuously tracks these changes and adapts accordingly. Furthermore, with an extensive array of edits across industry, payer, and provider levels, this solution empowers organizations to maximize their reimbursement efforts effectively. Ultimately, utilizing such a comprehensive tool can significantly improve financial outcomes for health systems.

PLEXIS offers a comprehensive suite of top-tier applications designed to equip payers with the advanced capabilities required for contemporary core administrative systems. These applications encompass functionalities such as real-time benefit management, adjudication, automated EDI transmission, and self-service customer portals, ensuring that PLEXIS Business Apps meet all your needs. The Passport feature facilitates crucial connections between core administration and claims management systems, PLEXIS business applications, custom applications, and existing internal systems. Its adaptable API layer allows for real-time integration with various portals, automated workflow tools, and business applications, ensuring that connectivity knows no bounds. By employing this centralized, modern core administration and claims management platform, you can enhance workflows effectively. This approach enables the efficient processing of claims while simplifying the complexities associated with benefit administration, resulting in a swift return on investment and the ability to provide exceptional customer service. Ultimately, PLEXIS empowers organizations to thrive in an increasingly complex healthcare landscape.

With over 30 years’ experience, Hi-Tech Health has the expertise to service payers of all types and sizes, including TPAs, Carriers, Insurtech, Provider Sponsored Plans, and Medicare Advantage plans. Series 3000 is a cloud-based claims administration solution for businesses within the healthcare industry. No matter what your adjudication, reporting, or plan needs are, this platform reduces time processing claims and increases productivity as it assists with: •Client management •Benefits input •Electronic claim submissions •Claims processing With an implementation timeframe of 3-4 months, you can quickly get started with Series 3000. Our professional services and back office support teams are here to guide you through customization and training. With experts available at your fingertips, we’ll be able to support you so outside consultants won’t be needed. As your business grows, we’ll work with you to scale your software system to continue to meet your needs.

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.

Startech Software’s TotalEclipse™ is a comprehensive Claims Management and Medical Bill Review Software application that operates on a single-database system. After more than three years of rigorous development and testing, this product has been crafted by actual claims adjusters, bill reviewers, and administrative managers who rely on this essential software in their daily operations. While many software developers prioritize user experience, TotalEclipse engages users directly in its development process. This collaborative effort results in an application tailored to real-world workflows, emphasizing easy access to the most frequently required information in the field. TotalEclipse is equipped with the advanced processing capabilities, functionality, and reporting features necessary to enhance productivity while effectively managing expenses. With a backend that supports scalability, it can be utilized on either the Microsoft SQL Server™ or Oracle™ platforms, making it versatile for various organizational needs. Additionally, the software's design reflects a commitment to continuous improvement based on user feedback, ensuring it evolves alongside the industries it serves.

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.

A data-driven solution for managing claims and remittances specifically designed for healthcare providers looking to streamline their workflows, enhance resource efficiency, minimize denial rates, and expedite cash flow. Boost your initial claim acceptance rate significantly. Our all-inclusive edits package ensures you remain compliant with evolving payer guidelines and regulations. Increase your team's efficiency with user-friendly, exception-based workflows and automated procedures. Your personnel can conveniently utilize our adaptable, cloud-based platform from any device. Effectively manage your secondary claims volume through the automated creation of secondary claims and explanations of benefits (EOB) derived from the primary remittance advice. Leverage predictive artificial intelligence to identify and prioritize claims that require attention, allowing for quicker error resolution and minimizing denials before submission. Achieve a more efficient claims processing experience. Additionally, print and distribute primary paper claims, or compile and send collated claims along with EOBs for secondary submissions. This holistic approach not only enhances operational efficiency but also promotes better financial performance for healthcare providers.

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.

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.

Chart Talk offers a variety of customizable features for managing program usage, document creation, claims submission, and patient interaction. Claims can be easily sent, modified, and remits received electronically, streamlining the billing process. Patients have round-the-clock secure access to their health information from any device with internet capabilities. Providers or their staff can submit an entire day's worth of claims in mere seconds. Additionally, Chart Talk Billing Service can function as your dedicated billing specialists, taking the load off your team. You can create personalized templates, attach necessary files, and import documents that have been received. The Chart Talk file cabinet serves as a multifunctional document storage solution, ensuring the secure retention and retrieval of patient records. With full encryption and regular backups, your protected health information (PHI) remains secure at all times while using Chart Talk. The user-friendly web-based calendar enables you to schedule patient appointments quickly and effectively. Furthermore, Chart Talk provides a plethora of clinic reports, allowing users to retrieve patient, financial, and performance data from any internet-enabled device conveniently. In a world where efficiency and security are paramount, Chart Talk stands out as a comprehensive solution for healthcare practitioners.

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.

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.

Speed up payment processes while minimizing administrative tasks. With over 8,000 payer connections and established collaborations with more than 650 practice management vendors, our claims management solutions lead to a reduction in pending claims and decreased need for manual efforts. Efficiently and accurately send claims for various services, including professional, institutional, dental, and workers' compensation, ensuring prompt reimbursement. Tackle the evolving landscape of healthcare consumerism by delivering a smooth and transparent financial experience. Our patient engagement tools enable you to facilitate informed discussions around eligibility and financial obligations, while also lowering obstacles that could affect patient outcomes, ultimately fostering better healthcare experiences.

Eligible offers robust APIs that seamlessly integrate insurance billing functionalities into your applications. Our certifications provide reassurance to patients and healthcare providers that Eligible adheres to the highest standards of privacy and security while managing millions of healthcare cases monthly. We recognize the importance of a well-established information security framework in fulfilling both Eligible's and our clients' objectives. We are pleased to share that we have successfully completed our Type II SOC2 audit, which reinforces our commitment to safeguarding protected health information. This achievement not only underscores our dedication to security but also builds trust with our customers and partners regarding our obligations to protect sensitive data. With our APIs, you can effortlessly enhance the patient insurance billing experience for your users, allowing you to run estimates, verify insurance, and submit claims for patients seamlessly. Experience the ease and efficiency that our technology brings to healthcare billing processes.

ScanNStore is a compact yet comprehensive electronic document management and storage system designed to enhance productivity through effective organization of paper files. This innovative solution allows both you and your team to efficiently scan, categorize, store, and retrieve essential documents such as claims, attachments, and remittance notices. With its powerful search capabilities utilizing multiple indexes, ScanNStore presents claims and associated information on-screen, mimicking the experience of reviewing the original paper documents. When immediate access to crucial claim information is essential, ScanNStore proves to be the ideal choice. Reach out to us for a 30-day trial of our fully functional multi-user version, complete with options for volume seat licensing and vendor discounts. The system is compatible with an extensive range of TWAIN and production-level scanners, including models from HP, Fujitsu, Ricoh, Bell & Howell, and Panasonic, and also accommodates single or multi-page batch scanning, automated document feeding, and various adjustments such as page size and contrast. Additionally, ScanNStore's user-friendly interface simplifies the transition from paper to digital, ensuring that your team can start benefiting from its features right away.

ClaimLogik ensures seamless connectivity among all parties involved in a property claim, facilitating the process from the initial report of loss to final resolution. This comprehensive property assessment and repair network links everyone engaged in your claim from beginning to end. The platform emphasizes stakeholder management by providing each participant with real-time access to perform tasks and oversee activities in an organized, timely manner while maintaining full transparency. Every stakeholder benefits from tailored workflow modules designed to help them monitor, manage, and complete their responsibilities throughout the claims process. By keeping all parties connected on a single claim, ClaimLogik guarantees complete visibility into the status of the claim for everyone involved. With a clear overview of all actions taken during the entire claim journey, the platform promotes accountability and efficiency. It also features digital contracts between insurers and their supply chains, along with service level agreements that ensure all suppliers and trades meet key performance indicators, thus allowing for effective measurement and comparison of supplier performance. Additionally, automated exception management is in place to address any tasks that fall outside the established service level agreements, ensuring a smooth claims process overall. This holistic approach enables improved collaboration and reduces delays in claim processing, ultimately benefiting all stakeholders.

Claimable claims management software is designed for businesses to manage insurance claims. Reduce admin time and increase your claims handling capabilities. Stop searching shared folders or inboxes. All you need to access your claims data is a few clicks away Your data is safe and secure stored in the cloud. It is accessible from anywhere. No more paper! Prepare for an audit with a detailed history of each claim at hand. Keep track of all your documents so you can access them whenever you need. Filter and report on claims data to increase productivity and keep you informed. To organize and categorize your claims, label them. Keep detailed notes about each claim and share them with your team. You can quickly see which tasks are due and completed by assigning tasks to your team. You can quickly build and manage your contacts for claims and find contacts instantly.

Utilizing advanced automation for the processing of substantial amounts of medical claims allows businesses to achieve remarkable efficiency, transcending mere cost reduction. For those companies still dependent on manual methods, the handling of medical claims documentation and data becomes a tedious and error-filled endeavor, introducing unwarranted risks into the workflow. With Artsyl's ClaimAction medical claims processing software, organizations can enhance their profit margins, lessen the number of touch points involved, and eradicate processing delays. Capture essential medical claims data effortlessly, without the necessity for intricate software coding. Automatically direct claims information and documents to the appropriate examiner, adhering to your established business rules. Additionally, adjust intricate benefits and reimbursement guidelines to facilitate smoother processing and minimize payment holdups. This innovative solution also enables rapid responses to evolving government regulations, ensuring compliance across data, documentation, and procedural aspects, ultimately leading to a more robust operational framework.

Claim Leader specializes in delivering technological solutions designed to enhance the efficiency of communication and workflow within insurance claims organizations. Our innovative software simplifies operational processes, significantly boosting productivity through a comprehensive and interconnected web platform. The robust modules within Claim Leader's systems facilitate a more straightforward workflow for both administrative personnel and field operators. Additionally, our management tools empower internal users to assign tasks to field personnel, manage workloads, identify files for assessment, and optimize overall workflow efficiency. Ultimately, we are committed to transforming the way insurance claims organizations operate, ensuring a seamless integration of technology into their daily tasks.

Waystar offers market-leading technology that streamlines and unifies revenue cycle. Their cloud-based platform streamlines workflows, improves financials for all healthcare providers and provides more transparency to the patient's financial experience. Waystar has been ranked best in KLAS for Claims & Clearinghouse every year since 2010. It has also received #1 rankings in Black Book™, surveys since 2012, and the Frost & Sullivan North America Customer Valu Leadership Award for ambulatory RCM service in 2019. Waystar is used by over 450,000 providers, 750 hospitals and 5,000 plans. It integrates with all major HIS/PM systems. Waystar.com and @waystar on Twitter provide more information.

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.

Anagram Prosper allows you to return funds to your patients without imposing any costs on your practice. By enhancing your profit margins and pleasing your patients, you can eliminate the need for courtesy discounts. We have collaborated with top vendors to create wholesale price lists that cater to both your requirements and those of your patients. You can offer rebates on products you already have in stock, encouraging patient engagement and driving increased sales while boosting your revenue. With Anagram Prosper, you not only save your patients money but also maintain your profit margins without resorting to discounts. Utilize our rebate program to enhance customer satisfaction and stimulate more purchases. Many patients are unaware of their out-of-network benefits, and Anagram Access allows you to access real-time vision plan eligibility to ensure maximum savings for them. This tool enables you to swiftly determine the patient's financial responsibility while also showing how much they can expect to be reimbursed by their vision plan, making the entire process smoother and more efficient. By leveraging these innovative solutions, you can elevate your practice while providing exceptional value to your patients, ensuring they leave satisfied and informed.

Optimize Your Entire Healthcare Data Process. Smart Data Solutions possesses the expertise and tools necessary to enhance both your paper-based and electronic workflows. Our suite of integrated tools for validation, matching, and normalization guarantees the highest quality data, which enhances auto-adjudication and minimizes the need for manual processing. Regardless of whether you're a newcomer to Smart Data Solutions or a long-standing collaborator, our development process is designed to support you throughout your projects to maximize your chances of success. Our dedicated team will take the time to grasp your unique needs and the implications of your workflows, addressing both straightforward and intricate requirements. We prioritize your objectives, focusing on what you aim to achieve and then determining the most effective strategies to reach those goals. Smart Data Solutions delivers comprehensive front-end pre-adjudication services for numerous Payers across the country, ensuring flexibility in our offerings. Whether your requirements are minimal or you demand a fully tailored workflow, Smart Data Solutions is equipped with a diverse range of solutions to meet your needs. Our commitment to excellence sets us apart in the industry.

Quadient® Correspondence is a cloud-based solution that streamlines the management of claims correspondence for insurers. This subscription-based SaaS platform allows users to generate, validate, and send personalized claims documents that meet regulatory standards across both print and digital formats without needing extensive IT support. Tailored specifically for insurance companies aiming to enhance their digital transformation without the financial burden of a comprehensive customer communications management (CCM) system, it empowers business analysts to craft and modify templates efficiently. Claims managers and compliance specialists play a crucial role in editing and approving these templates prior to their deployment. With a user-friendly interface, business professionals can easily create correspondence by selecting relevant templates and tailoring the text within predefined fields. Furthermore, designated personnel are responsible for reviewing and greenlighting the correspondence before it is instantly dispatched via email, PDF, or SMS, ensuring timely communication with customers. The entire process promotes efficiency and compliance while enabling insurers to engage with their clients more effectively.

The Ahshay Platform, developed by DataCare, serves as a comprehensive database that encompasses a variety of software solutions aimed at enhancing medical management. Among its offerings are tools for managing medical processes, nurse care management, utilization reviews, and automated case management, among others. This versatile platform is designed to meet the requirements of diverse stakeholders, including insurance companies, self-insured organizations, managed care entities, and independent nurse case managers. As a result, it plays a crucial role in streamlining healthcare operations and improving patient care.

HealthRules® Payer represents a cutting-edge core administrative processing system that offers transformative features for health plans across various types and sizes. For over a decade, health plans utilizing HealthRules Payer have effectively capitalized on market opportunities, maintaining a competitive edge. What sets HealthRules Payer apart from other core administrative solutions is its innovative application of the patented HealthRules Language™, which resembles English and introduces a groundbreaking methodology for configuration, claims management, and information transparency. This system empowers health plans by enabling them to expand, innovate, and outperform their peers more effectively than any other core system available today. As a result, HealthRules Payer not only streamlines operations but also fosters a culture of agility and responsiveness within health organizations.

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.

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.

AGO Insurance Software, Inc. stands out as a prominent provider of software and services tailored for property and casualty insurance companies, delivering reliable and economical business solutions suitable for insurers regardless of their scale. Our offerings encompass a range of solutions, including those for policy administration, claims handling, accounting, bureau reporting, and expert systems. With our software, you can enhance operational efficiency, boost productivity, and increase overall profitability. The modular design of our system allows for installation as either a fully integrated solution or as individual modules that can be licensed separately. This versatility enables seamless integration with current legacy systems or third-party applications, ensuring that our clients can adapt and thrive in a dynamic industry landscape. Ultimately, our commitment to innovation positions us as a valuable partner for insurance firms aiming to optimize their processes.

Harnessing the power of vast data resources, EvenUp transforms medical documents and case files into AI-enhanced demand packages specifically designed for injury attorneys. The skilled team at EvenUp, comprised of injury specialists, employs artificial intelligence to create these demand packages, allowing your case managers and lawyers to dedicate more time to strategizing for each case. By using EvenUp, you can expand your caseload without the need to hire additional staff, as the platform's demands improve with usage and become increasingly cost-effective as your volume grows. Each of EvenUp's demands corresponds to various aspects of damage, which can result in claims being 30% higher on average. Drawing from over 250,000 verdicts and settlements, the demands are meticulously structured to elucidate every injury and damage, expediting settlement discussions with adjusters and minimizing the likelihood of receiving low offers. This AI-driven approach is designed to enhance the success of personal injury claims, as we manage the documentation while you concentrate on securing victories. Our experienced team, which includes former defense attorneys, economists, and tech professionals, has successfully prepared thousands of demands, ensuring a high level of expertise. Additionally, a dedicated team member will customize our services to align precisely with your firm's specific requirements, ensuring optimal support throughout the process.

EzyMed Online 4 serves as a complete Medical Practice Management solution tailored for General Practices, Radiology, and Specialist Centres in Australia. Specifically designed for the unique needs of the Australian healthcare landscape, it offers all the necessary features to facilitate Medicare Australia’s Online Claiming, as well as Department of Veterans Affairs (DVA) Claims and Australian Childhood Immunisation Register (ACIR) claims. This integrated system allows for efficient management of your practice with minimal effort, streamlining operations through user-friendly navigation. It employs a secure database management system, ensuring optimal performance and reliability even when handling vast amounts of data, including over a million records. Once a patient registers at the reception, EzyMed Online 4 meticulously tracks the consultation process, storing all information in a digital format within the patient’s database. This enables healthcare providers to access a comprehensive medical history at any time, including records of every appointment ever logged, thereby enhancing continuity of care and service quality. In summary, EzyMed Online 4 not only simplifies administrative tasks but also boosts the overall efficiency of medical 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.

Veradigm Payerpath offers a comprehensive suite of revenue cycle management solutions designed to enhance financial performance for healthcare organizations by improving communications with both payers and patients, ultimately increasing practice profitability across various specialties and sizes. By addressing issues such as incomplete information, incorrect coding, and data entry mistakes, the system ensures that claims are submitted cleanly and accurately. It also guarantees that claims are correctly coded, devoid of missing details, and free from errors before submission. With advanced analytical reporting, practices can benchmark their performance against state, national, and specialty peers, enabling them to optimize productivity and boost financial outcomes. Additionally, Veradigm Payerpath helps remind patients about their appointments while confirming their insurance coverage and benefits, streamlining the process. The platform further automates the billing and collection of patient responsibilities, making it easier for practices to manage finances. Notably, Veradigm Payerpath's integrated solutions are agnostic to practice management systems, ensuring seamless compatibility with all major PM platforms, which enhances its versatility in various healthcare settings. This flexibility allows practices to focus more on patient care while efficiently managing their financial operations.

The way you tackle the obstacles in your revenue cycle significantly influences your profitability and the overall effectiveness of your organization. The influx of patients seeking your services means little if receiving the payments for those services takes an excessive amount of time. You shouldn’t be burdened with dedicating countless hours to chase after payments that you rightfully deserve. Fortunately, there are more effective strategies to enhance healthcare reimbursement. Let Quadax assist you in developing a thorough, sustainable, and well-organized strategic plan while also helping you choose the most suitable technology solutions and services aligned with your business model. By partnering with us, you can not only attain operational efficiency but also improve your financial outcomes and elevate the patient experience. Ultimately, the aim for each claim submitted is to prevent denials and secure prompt payment. Additionally, implementing robust processes can further streamline operations and ensure financial stability for your organization.

Remedly offers a comprehensive software solution tailored for medical clinics, practices, and medspas, all seamlessly integrated into one platform. This innovative and future-ready system not only automates tedious tasks but also enhances overall workflow efficiency, allowing you to focus on what truly matters. When you need assistance, a dedicated Customer Success Manager is readily available to support you, and you won’t incur any additional charges for training or help. Being a cloud-based service, Remedly ensures you always have access to the latest updates and features with just a simple click, making it compatible with any device, whether it’s a Mac, PC, or smartphone. With just an internet connection, you can connect with both your staff and patients from virtually anywhere, at any time. Our subscription-based monthly plan is designed to provide peace of mind and substantial savings, making it ideal for both solo practitioners and larger groups. This means you can lower your stress levels while keeping more money in your wallet as you streamline your practice. Furthermore, Remedly's commitment to continuous improvement guarantees that your clinic will always be equipped with cutting-edge tools to enhance patient care.

Establish a collaborative effort to set up the EDI connection between your organization and each trading partner by determining the specific types of transactions to be exchanged. Additionally, include machine-readable EDI specifications that Stedi will utilize for the validation, reading, and writing of files. Set up one or multiple secure connections for file exchange with your trading partners, utilizing Stedi's comprehensive SFTP/FTPS and AS2 options, or by linking to external SFTP servers. Stedi will take care of processing incoming EDI files from your partners and will send the generated EDI files back to them through the established connection. You will also be able to create and send EDI files that meet your own needs or those of your partner, ensuring that they come with automatically generated envelopes and control numbers. Furthermore, an HTTP request containing the outputted transaction will be dispatched to your system for seamless integration, enhancing the efficiency of your operations and ensuring a streamlined workflow. This proactive approach not only simplifies the EDI process but also fosters stronger relationships with your trading partners through clear and effective communication.

Experience the advantages of seamless hosting and unique integrated features through a mobile OPIE platform, enhancing your practice management software. This essential tool is indispensable for every O&P business owner looking to monitor various trends, from patient satisfaction metrics to comprehensive financial reports. Gain valuable insights into the duration of patient care episodes while discovering strategies to minimize errors and optimize cash flow. Visualize each step of the payment procedure and delve into detailed information to refine your processes for insurance verification and authorization. By adhering to the OPIE Workflow, you establish a systematic approach to your operations, beginning with the collection of patient information and the specification of L-codes, extending through product ordering and the electronic submission of claims for billing. Ultimately, embracing this structured workflow not only enhances efficiency but also contributes significantly to overall practice management success.

Reduce administrative hours by 20% for your practice while verifying patient insurance eligibility instantly and enhancing the check-in experience with our kiosks, tablets, and software solutions. Make the check-in process easier for patients by enabling them to register before their appointments from any location at their convenience. The registration procedure is made simpler, and the intake process becomes more efficient. With our flexible workflow, you can expedite the check-in process, achieving an average of just 3 minutes for new patients and under a minute for returning ones. This not only accelerates patient processing but also boosts successful payments and enhances cash flow within your practice. Medical facilities have reported increases in their point-of-sale collections ranging from 25% to 65%. Clearwave addresses the issue of patient impatience effectively. By implementing a digital front door that remains accessible at all times, you can ensure seamless scheduling, automated eligibility checks, efficient patient check-in, and clear financial transparency for everyone involved. This innovative approach transforms the patient experience and ultimately leads to higher satisfaction rates.

The process of filing claims is intricate and essential. Over 60% of individuals refrain from submitting complex claims due to the involved procedures and the time they require. Artivatic offers a specialized claims platform tailored to various insurance sectors, empowering companies to facilitate digital claims experiences, enable self-processing, automate evaluations, and implement risk and fraud intelligence alongside claims payouts. A SINGLE PLATFORM TO ADDRESS ALL YOUR CLAIMS REQUIREMENTS. Comprehensive Automation and Assessment for Claims. AUTO CLAIMS – HEALTH CLAIMS – TRAVEL CLAIMS – ACCIDENTAL CLAIMS – DEATH CLAIMS – FIRE CLAIMS – SME CLAIMS – BUSINESS CLAIMS – COMMERCIAL CLAIMS – EVERY CLAIM MATTERS.