Paradigm Description
Paradigm Senior Services provides a comprehensive, AI-driven revenue cycle management solution designed specifically for home-care agencies that handle billing for various third-party payers, including the U.S. Department of Veterans Affairs (VA), Medicaid, and several managed-care organizations. The platform automates and enhances each phase of the billing and claims workflow, encompassing tasks such as verifying eligibility and authorizations, managing state- or payer-specific enrollment and credentialing, submitting accurate claims, addressing denials, and reconciling payments. It seamlessly integrates with widely used agency management software and electronic visit verification systems, enabling the scrubbing of shifts, weekly authorization verifications, and efficient payment reconciliations, all of which contribute to a reduction in denials and a lighter administrative load. Additionally, Paradigm offers "back-office as a service" for healthcare providers; this means that even if agencies have their own billing personnel or scheduling applications, Paradigm is equipped to manage claims processing, functioning as a dedicated, expert billing department. This flexibility allows agencies to focus more on patient care while leaving the complexities of billing in the hands of specialists.
Paradigm Alternatives
CareLineLive is an all-in-one, cloud-based homecare management platform trusted by over 700 home care agencies and domiciliary care providers across the United Kingdom and Australia.
The platform covers rostering, scheduling, care planning, care monitoring (ECM), eMAR, payroll, invoicing and the Care Circle portal for friends and family.
Subscription includes CQC and CIW compliance tool MOA Benchmarking to deliver a solution combining both homecare management and compliance.
Customers find the comprehensive functionality easy to use because of the intuitive user interface and enjoy excellent day-to-day support which is recognised by CareLineLive’s high rating on Trustpilot.
CareLineLive is an NHS England Assured Supplier for Digital Social Care Records (DSCR). CareLineLive is accredited to ISO 27001 (Information Security), ISO 9001 (Quality Management), and Cyber Essentials Plus. In addition to being hosted on secure AWS servers with data stored in the UK (or Australia for customers there) for data sovereignty.
Founded in 2014, CareLineLive is led by Managing Director Josh Hough and is headquartered in West Sussex with offices in London and Melbourne. CareLineLive is part of MAS Technicae Group and received majority investment from technology-focused investment firm Accel-KKR in June 2025.
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RouteGenie is non-emergency medical transportation software for operations running 25 to 500+ vehicles. It combines NEMT scheduling software and route optimization with native multiload, real-time NEMT dispatch software, Medicaid and broker billing with CMS 1500 and claim scrubbing, and fleet compliance in one single-tenant platform. Multi-site operators run every location in one instance with role-based access and a full audit trail on every trip change. ImportGenie automates trip intake and status return across 28 live broker and payer integrations, including ModivCare, MTM, Veyo, Verida, SafeRide Health, Alivi, New York MAS, Uber Health and transit authorities. Subcontractor vehicles are visible on the same live map as owned fleet. SAML2 SSO (Entra ID, Okta, OneLogin, Google Workspace), SOC 2 Type 1, open REST API, iOS and Android driver apps, passenger app, and a payer and facility portal. Flat per-vehicle pricing with unlimited trips and unlimited users. 600+ fleets, 20,000+ vehicles, ~50,000 trips daily.
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InvisaClaim
InvisaClaim stands out as the premier all-in-one revenue platform, leveraging AI to enhance Revenue Cycle Management by streamlining denial management, appeals, prior authorizations, and compliance with the No Surprises Act for billing companies and RCM teams. Users can upload or utilize a live feed to submit denial letters or 835 ERAs, allowing the AI to swiftly extract essential patient information, CARC/RARC codes, CPT/ICD-10 codes, amounts, and deadlines, subsequently generating tailor-made appeal letters for over 30 payers in just one minute.
The system comprises various modules, including a Denial Workbench, NSA/IDR for eligibility verification and QPA capture, Prior Authorization, Pre-Check AI, A/R aging, NPPES NPI verification, deadline alerts, and a comprehensive audit trail. In addition, InvisaClaim seamlessly connects with your clearinghouse and EHR systems, boasting integration partnerships with notable entities such as Change Healthcare/Optum for features like ERA, eligibility checks, claim status, and prior authorizations, while Availity integration is currently underway and Waystar facilitates Provider Access Requests.
Furthermore, strategic EHR collaborations with Athenahealth are in the works, alongside the implementation of a FHIR R4 layer for interoperability with Epic and Cerner systems, ensuring a robust and flexible service. With a commitment to security, InvisaClaim adheres to HIPAA compliance and holds SOC2 certification, demonstrating its dedication to maintaining the highest industry standards.
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HHAeXchange
HHAeXchange bridges the gap between payers and providers to enhance patient outcomes. Our enterprise homecare management software not only helps expand your business but also streamlines workflows and elevates patient care. The all-encompassing platform we offer caters to every facet of your agency’s requirements, including referral and intake management, scheduling, billing, and compliance. Tailored specifically for Medicaid Managed Care, Commercial LTC, Consumer Directed, and Private Pay services, our user-friendly system is designed with the unique needs of the industry in mind. As the leading provider in fostering effective communication between providers and payers, we assist in gathering confirmed visits, generating claims, and equipping providers with workflow efficiency tools that empower them to optimize operations and grow their business successfully. By continually innovating and adapting to the landscape, HHAeXchange remains committed to driving better results in homecare management.
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Integrations
No Integrations at this time
Company Details
Company:
Paradigm
Year Founded:
2015
Headquarters:
United States
Website:
www.paradigmseniors.com
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Product Details
Platforms
Web-Based
Types of Training
Training Docs
Live Training (Online)
Webinars
Customer Support
Online Support
Paradigm Features and Options
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