Alternatives to Smart Data Solutions

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.

APP Tech pioneered the incident-based approach to claims and risk management. Since 2003, we’ve delivered integrated technology solutions to hundreds of customers across North America — to improve claims-management efficiency and scalability, increase visibility, shorten response times, lower premiums, and prevent risk events. Cloud Claims by APP Tech is a top-rated risk management and claims software solution. IMS is a purpose-built software solution for self-insureds, TPAs, and companies who want to track their claims and losses. It helps users manage the entire claim lifecycle, from the initial incident report to issuing payments and collections. It offers a variety of features that allow users to have complete control over their claims, as well as risk information. These include incident management and claims management, workgroup tools as well as reporting, insurance tracking, and many other features. We’re proud of our 100 percent implementation-success rate and excellent customer-retention rate, a result of our commitment to understanding our clients’ needs and rolling out solutions that work for them.

Independent practices require complete solutions to maximize provider and patient well-being. Each Tebra product is designed to modernize and optimize the patient-practice journey. The combined platform provides a complete operating platform that offers added value for patients and providers. Connect your practice with everything you need to keep current patients happy and attract new patients. Transform your practice by empowering patients through every communication touchpoint. Deliver a unique frictionless experience that is easy to use and builds trust. Modern, certified EHR system that meets the needs of today's provider. Delivers everything your practice requires. Providers have full control over how they deliver care, thanks to eRx, ELabs, and robust charting.

RXNT's cloud-based integrated Electronic Health Records (EHR), software with E-Prescribing and Patient Portal optimizes patient treatment and streamlines workflows in practices of all sizes and specialties. Providers have access to the most current patient health information and prescription history from one database, accessible from any device. Integrated communications allows providers to share real-time clinical information with patients and clinicians, allowing for better care coordination. The use of "smart keys" and intake forms allows for customization and eliminates redundancy. Your practice will enjoy the Patient Check-In feature and integrated Electronic Prescribing. HIPAA compliant, ONC certified, EPCS-certified and meets MACRA/MIPS requirements. RXNT also offers Practice Management (PM), which includes Medical Billing, Scheduling, and standalone E-Prescribing. You can choose a solution by the piece with predictable pricing or you can implement our Full Suite for one, integrated platform.

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.

PLEXIS' suite best-in-class apps have a proven track record of providing payers with the advanced functionality they need to support modern core administrative ecosystems. PLEXIS Business apps provide a range of services, including real-time benefit administration and adjudication, automatic EDI transmission, and self-service customer portals. Passport provides essential connectivity between the core admin and claims management engines, PLEXIS business applications, your own apps and existing in-house system. Passport's flexible API layer allows for real-time integration to portals, business apps, and automated workflow toolsets. Connectivity is unlimited. Streamline workflows using a central, modern core administration and claims management platform. To provide superior customer service and a quick ROI, process claims quickly and accurately.

Duck Creek Claims, a comprehensive solution for claims management, is designed to streamline the claims lifecycle. It automates workflows and simplifies data analysis with integrated analytics. It also ensures seamless integration of existing systems. The key features include dynamic first-notice-of-loss (FNOL) capabilities. They also include automated assignment based upon adjuster skills and workload. Instant access to policy and coverage information is also available. Duck Creek Claims improves operational efficiency by reducing manual workloads. This leads to faster claims resolutions, improved customer satisfaction and compliance with latest regulations.

Analytics-driven claims and remittance management software for healthcare providers. It is designed to automate workflows, increase resource utilization, prevent denials and accelerate cash flow. Your first pass claim acceptance rate will increase. Our comprehensive edits package will help you keep up to date with changes in payer rules and regulations. Automated tasks and intuitive workflows that are exception-based will increase productivity. Our flexible, cloud-based technology is available to your staff from any computer. Automated generation of secondary claims and explanations of benefits (EOB), from the primary remittance advisor, will help you manage your secondary claims volume. Predictive artificial intelligence (PAI) helps you focus on the claims that are most urgent. Avoid denials and errors before submission. You can process claims faster. Print and deliver primary paper claims. Collated claims and EOBs can be added for secondary claims.

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.

QuickCap by MedVision Solutions is an administrative and clinical process management solution that allows users to focus on the business, not paperwork. QuickCap gives users scalable control over their workflows and information, allowing them to work smarter. QuickCap provides users with a customizable dashboard that allows them to control their workflow and automate their processes for speed. QuickCap makes claims processing easier and streamlines it. QuickCap allows users to quickly determine profitability for individual providers using analytics.

You can improve your claims management process and reduce denials with unmatched edits. Access to technology that allows for accurate claim submission and quick reimbursement is essential for health systems. Claims Director, SSI’s claims management software, streamlines billing processes and provides visibility by guiding users throughout the electronic claim submission process and reconciliation process. The system monitors changes in reimbursement criteria and incorporates them as they occur. The solution allows organizations to make the most of their reimbursement efforts by allowing them to edit at all levels: payer, industry, and provider.

PlanXpand™, Acero's proprietary transaction processor engine, powers all of our products for administrators of health benefits. Clients can leverage this engine to implement Acero products simultaneously or incrementally. Administrators can choose from one of our standard products or PlanXpand™, which allows them to create a custom solution that extends existing system capabilities. Acero's unique integrated solutions feature Service-Oriented Architecture. This allows health benefits administrators and insurers the ability to add functions and features to existing adjudication platforms. Our sophisticated design and engineering allows real-time adjudication for every type of claim in direct interaction with core claims system. This results in faster processing, happier customers, and less need to adjust claims.

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.

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.

Ahshay Platform by DataCare offers a variety of software solutions for medical management. It includes a medical process manager, nurse management software, utilization review, auto case management software, and many other software solutions. The platform can be used to meet the needs of insurance providers, self-insured group, managed care, and individual nurses case managers.

Anagram Prosper gives money back to your patients -- at no cost for your practice. You can increase your margins and delight your patients. We partnered with top vendors to create wholesale price lists that better fit your needs and those of your patients. Rebate on products you already own. Incentivize your patients, increase conversions, and earn more revenue. Anagram Prosper allows you to save money for your patients without having to offer discounts or lower your margins. Our rebate program will help you increase sales and make your patients happy. Patients don't know what their out-of network benefits are. Anagram Access allows you to determine your patient's eligibility for vision plans in real time. This will maximize your savings. Anagram Access allows you to quickly calculate the amount your patient owes, and how much their vision plans reimburses.

FINEOS Platform offers clients the only comprehensive SaaS core product suite. It includes FINEOS AdminSuite, which allows for quote to claim administration, as well as FINEOS Engage which supports digital engagement, and FINEOS Intelsight for analytics. Your digital insurance strategy's foundation. FINEOS Platform seamlessly combines FINEOS AdminSuite, FINEOS Engage, FINEOS Insight, and Platform Capabilities to create a modern, single-core insurance platform for Life, Accident, and Health. Legacy core systems used a single-size-fits-all approach to business technology that does not fit the needs of agile businesses. Consumers, brokers, and employers have access to powerful SaaS computing platforms, software tools, and a higher standard for digital strategy for insurers. The monolithic models of insurance software that were used in the past focused only on the details of the insurance contract.

FBCS Enterprise is a centralized platform for guiding decisions regarding non-VA Purchased Care to improve Fee Basis Claims Management and adjudication through efficient claim processing.

SpyGlass, our enterprise-class software for managing health claims, is a powerful and flexible solution that allows for fast and accurate claims processing. SpyGlass makes it easy to set up benefits and plans. BenefitDriven is fully integrated with SpyGlass and provides eligibility, contribution accounting, pension management, and payroll management to the Taft-Hartley sector with all the data and processes for Participants as well as Employers. HIPAA Director, our all in one EDI gateway & scheduler acts as a hub, allowing you to connect with vendor partners to help reduce transaction costs, manage batch transfer, and automate transfers. SpyGlass gives you a detailed, panoramic view of your population. You can drill down to more detail. You have access to hundreds of reports, fully customizable dashboards and total control over the system.

Origami Risk provides integrated SaaS solutions designed to help organizations--insured corporate and public entities, brokers and risk consultants, insurers, third party claims administrators (TPAs), risk pools, and more, transform their approach to managing critical workflows, leveraging analytics, and engaging with stakeholders. Origami Risk has won five consecutive Business Insurance Innovation Awards. This is because we work closely with our clients to create solutions that address real-world problems. Origami Risk was founded in order to provide real-world solutions that are industry-leading for risk professionals all over the world. This continuous effort is reflected in Origami Risk's acceptance of the 2021 European Risk Management Award as Technology Innovation of the Year. Comprehensive, integrated solutions to reduce incidents and hazards.

Easily manage revenue cycle management, quality of care management, and staff management with a single sign-on portal. Our innovative tools simplify complex operations throughout the patient care journey for more than 47,000 providers sites. Inovalon's Provider Cloud simplifies administrative and clinical complexities, while improving the patient experience. Our SaaS-based solutions can help you improve financial and clinical outcomes throughout the patient journey. From creating front-end and back-end revenue-cycle processes for better reimbursement, to ensuring adequate staffing levels for optimal health care. All of this is managed through a single portal that will take your organization to greater heights in terms of revenue, staff equity and care quality. Enhance the efficiency, productivity and overall effectiveness of your organization. Find out what the Provider Cloud is capable of.

InsuraSphere is a complete suite of products and solutions that grow with your business. InsuraSphere is the complete product suite designed by insurance professionals for insurance professionals. All the essential information you need to manage your business, including quotes, claims, agents and policies, can be found in one place. InsuraSphere's integrated policy management system will streamline your processes. With agent and insured portals, you can give your stakeholders access the information and workflows that they require. Agents can rate, quote, or issue their own policies using your company's role-based permissions and business rules. Add third-party integrations to customize your company's workflows. InsuraSphere was designed to meet the changing needs of agents and carriers. InsuraSphere can grow with your business, whether you're just starting or moving from a legacy system.

Startech Software's TotalEclipse™ product offers a fully-featured single-database Claims Management & Medical Bill Review Software Application. TotalEclipse™, the culmination over three years worth of development and testing, was created by real claims adjusters and bill reviewers as well as administration managers who use this critical software every day to do their job. Software is often designed with the user in view. TotalEclipse was developed with our users in mind. The application was built around real-world workflows and focuses on making it easy to access the most important information for the job. Eclipse provides the processing power, functionality, and reporting capabilities that you need to maximize productivity and reduce costs. The single-database backend can be scalable to work with either the Microsoft SQL Server™, or Oracle™.

EbixEnterprise, a comprehensive insurance management system, streamlines policy management through its entire lifecycle. EbixEnterprise consists of six components: Customer Relationship Management, Health Insurance Exchange, Policy Administration, Claims Administration, Data Analysis, and a Consumer Web Portal. Each component is seamlessly integrated with the other, allowing data to flow between them as required by the business. SmartOffice CRM allows organizations to manage state license information, broker information, commission rates, sales pipeline information, and agent/broker information. EbixEnterprise's Online Quoting Portal HealthConnect is the most popular health insurance exchange for buyers or sellers of health insurance and employee benefits. EbixEnterprise Administration provides all the tools necessary to manage policies, create plans, maintain plan rates information, and so on.

Insurance is seeing significant changes due to digital technologies. Those who keep up with this evolution will be able to retain a competitive edge. Cloud-native enterprise claims management platforms are replacing traditional claim management tools that required multiple systems, paper files, and manual processes. The Majesco ClaimVantage Claims Management Software L&H platform streamlines claims processing from intake to payment calculation. It also integrates multiple systems to improve information flow across your business. With timely and accurate claim decisions, you can improve customer experience and operational effectiveness. Built on the Salesforce Lightning Platform Majesco ClaimVantage Claims Manager Software for L&H allows insurance companies and TPAs modernize and optimize their claims operations.

ClaimBook facilitates faster settlement of insurance claims, better accountability, and fewer rejections. It has all the necessary features to handle every aspect of the claims and submit evidence. ClaimBook allows international patient treatment through dedicated workflows. This allows for medical tourism. The built-in Rules Engine disallows incomplete submissions and knows which information and documents are required. This ensures that submissions are error-free and complete, and that they have been pre-authorized. ClaimBook's Smart Data Extract can read uploaded documents to extract relevant data from ClaimBook's Hospital Information System (if ClaimBook is integrated with ClaimBook). This will eliminate the need to manually enter data. ClaimBook offers integrated emailing, which allows you to create a virtual mailbox in your dashboard. Emails can be written using the dashboard. The design feature is similar with Microsoft Outlook.

BirchNotes, the most intuitive practice management and client-centric EHR system for mental health and substance abuse professionals, is designed to help you grow your practice and manage it with ease. An EHR was designed with a mental health therapist in view. Tools and features that are tailored to both mental and substance abuse professionals have been selected. All your EHR, billing and insurance, scheduling, telehealth, and other functions can be integrated into one system. There are no additional log-ins, systems or tools required. BirchNotes is flexible and scalable, regardless of the size or setting of your practice. Our workflows and insights are tailored to your practice. Our smart workflows, automation and customizable settings make it easy to manage your practice. This will allow you to spend more time on what is important to you. A better solution for better outcomes. You can have recurring appointments, group, telehealth, or recurring appointments. Plus, you can customize your calendar.

Oracle's Digital Insurance Platform empowers insurers to deliver innovative solutions, and create exceptional digital customer experiences. This comprehensive insurance system streamlines operations, from sales channels to the back-office. It allows for rapid deployment of new products and seamless implementation of required changes. Real-time analytics provide insurers with valuable insights, allowing them to make informed decisions. The platform is designed to support both individual and group annuity and life insurance. It consolidates underwriting, policy processing and billing into a single system. Health insurers can benefit from simplified enrollments and premium billing. They also get to adjudicate claims more efficiently. This increases member satisfaction by providing transparent and personalized service. The platform also accelerates the lifecycle of bancassurance by ensuring real-time connectivity between insurers and banks, ensuring speed and consistency.

The most widely used patient safety platform. Comprehensive patient safety software that can drive long-lasting change and performance improvements in your organization. Global community of patient safety experts. RLDatix is a global community of patient safety experts. RLDatix customers, industry leaders and thought leaders can share their best practices and inspire you with their ideas. RL Suite Comprehensive solutions for patient safety to support your safety and healthcare quality efforts. Your data can be turned into actionable intelligence that will help you reduce and mitigate risk. By identifying and reducing infection rates and clinical risks, you can intervene quickly and keep patients safe. Engage patients in real time to ensure that they have the best experience possible. To ensure compliance and institutional learning, centralize policies and procedures.

OneTouch allows users to send claims or statements to Apex easily, log in to the Apex website, and search for claims that were sent in the past from the comfort of their computer desktop. OneTouch can only be used by registered clients of Apex EDI. Users must have a username/password setup. OneTouch can then be set up once a user has created a username/password so that they can access the described tools. OneTouch Search allows you to search all of the Apex claim and statement files from your desktop. OneTouch Search allows you to search your claim and statement files for subscriber IDs, patient names, and many other options. After clicking the search button, you will be logged in to Apex and shown the results of the search. First, click on the magnifying glasses dropdown menu to select what you want to search.

The most accurate and powerful solution on the market for claims processing. CyberSource Medical Claims Scanning Solution is a turn-key system for HMOs, PPOs, TPAs, or Self-Funded Organizations. It can be installed at your location to automate data entry for CMS-1500, ADA 2006 UB-04, and enrollment forms. CyberSource uses advanced "intelligent", combined with your business rules to recognize, validate, and format the data from medical claims forms. Fuzzy Matching uses intelligent search to identify the exact match between your provider and member database. The matched data can then be used to verify and correct the medical claim data before it is sent through to adjudication. Combining industry-leading OCR efficiency, business rules and "Fuzzy Matching", results in exceptional accuracy for the data from your medical claim forms.

Jopari ProPay, a cloud-based solution for healthcare payers, is a payment processing system. It offers a complete suite of payment methods including EFT/ERA payments, virtual card payments and paper checks. Jopari ProPay helps healthcare payors eliminate paper and reduce operating expenses by streamlining payment and remittance processes. It allows payers to outsource payment processing so they can focus on other core tasks. Jopari ProPay gives providers a choice of multiple payment delivery methods, so that they can select the one that best suits their needs. The self-service portal allows providers to view their EOBs/Rs, and track their payments. Over 50,000 ERISA plans and fully insured groups trust Jopari ProPay as a secure, compliant and compliant payment processor.

Eligible's APIs make it easy to integrate insurance billing experiences into your applications. These accreditations are a guarantee to patients and providers that Eligible adheres to the highest standards of privacy and security while processing millions upon millions of healthcare cases every month. We understand the importance of a well-established and tested information security program in meeting customer and Eligible goals. We are pleased to announce that our Type II SOC2 review was successful. This certification allows us to assure our customers and all companies with whom we interact that we are fully aware of our responsibilities in protecting protected health information. Your end users will receive exceptional patient insurance billing experiences. Simple APIs allow you to run estimates, verify insurance and file patient claims.

bestPT is a cloud-based, complete billing and practice management software. BestPT is a cloud-based software solution that allows private practitioners of all sizes to manage their revenue and payments, as well as track claims. BestPT integrates with webPT and Cedaron EHR systems to streamline billing processes, making the office's workflow easier.

EXPEFLOW's workflow intelligence unlocks a new normal for hybrid work environments, digital transformation and "paperless" processes. Our no-code workflow intelligence allows your employees to concentrate on customer engagement and growing your company. Workflows are lengthy, manual, and often error-prone processes that require employees to repeatedly try to find missing information or key pieces of data. EXPEFLOW's intelligent QuickStart files help you to focus on your customers while increasing operational accuracy and efficiency. Our platform is completely non-code and you are in complete control. Our user interface makes it easy to design your workflows, without the need for additional resources or developers. To create a better customer experience, engage employees and increase productivity. Flexible workflows are essential because customers and industries are different. Our platform has the expertise and domain knowledge to help you work smarter and better.

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.

Imagine happy, efficient claim handlers, fast, accurate claims resolution, and 5-star rating from policyholders. Our platform is flexible and future-ready, enabling your employees to perform like rockstars and equipping your company with scalable, intuitive processes that will fuel profitable growth. Our clients can reduce the cost of claims by up to 30% by automating and simplifying the process. VCA Software is a highly scalable and integrated platform. VCA Software is a favorite among TPAs as well as adjusting firms due to its robust features at a moderate price point.

A new and more efficient way to process and settle claims. Modern, end-to–end solutions for settling claims for all lines, including property, liability, workers' compensation, and workers’ compensation insurance. ClaimRuler™, a cloud-based claims management software, is specifically designed for I/A companies and Third-Party administrators, CAT Adjusters and Insurance Carriers, as well as Self-Insureds and Municipalities. The platform allows for end-to-end claims processing. It includes built-in workflows, robust reporting capabilities and a fully automated diary system that streamlines the settlement of claims. ClaimRuler™, was designed to meet the needs of real people within the industry. Its intuitive and functional design makes it easier to work with forms, lists, documents, photos, and other information. ClaimRuler™, which adapts and scales with your organization, can be used by I/A firms, TPAs and insurance carriers, as well as municipalities and self-insured companies.

Auto insurers require tools to make physical damage claims processing easier, from the first notice (FNOL), to settlement. Mitchell WorkCenter is a modular, open-ended solution that allows you customize the modules and integrations to meet your business needs. You will achieve better results through increased accuracy and efficiency while lowering your total cost of ownership. Our platform allows you to send and receive all information directly into your claims management system. Mitchell WorkCenter integration is simple for IT departments. Mitchell WorkCenter has a track record of completing projects in less than 90 days. There are no two businesses the same. WorkCenter allows you to configure and manage your software according to your business needs. You can access the entire suite or choose specific features that will best fit your claims management workflow.

Don't be afraid to try something new. This software was created to be simple to use and flexible. All data is stored on secure servers in cloud. You don't need to install anything. All you have to do is go to the website using any device and log into. You no longer have to worry about updates. We will update the website at regular intervals. Every employee in your company now has access to a customized database. Everyone in your company can now use the same item if you need to adjust the price of a common item in order to match local pricing. PowerClaim XML can be used as a standalone property adjusting software package. It allows you to quickly create estimates, as well as photo sheets, diagrams and captioned reports. PowerITV Replacement Cost Calculator allows you to quickly and accurately calculate the replacement cost for virtually any structure using the Craftsman Book Company's timely data.

We transform how you do what you do to empower what you do. Your customers are concerned about how fast you and your company can compete in a market where everything is moving too quickly. Your teams must be able to work quickly and efficiently, rather than waste time sifting through data or manual processing. We can help. We empower your employees with faster, more flexible solutions that increase speed and accuracy. Everything we do is innovative. We are always looking for a better and more efficient way to do something. Ask our AI research lab. Our solution is not universal. Your team's efficiency could be improved by a little customization to address ground-level issues.

Automate business processes and consolidate information to take control of your business. This will allow you to gain real-time insight into your business environment. Caseblocks is ready-made and flexible enough to be modified as your business needs change. Customers' information is extremely sensitive, including financial and personal information. We invest heavily in technology, education, and monitoring to ensure that your data is kept safe and secure in the Caseblocks cloud. We understand that many companies prefer to keep customer and business information in their own data centers. Caseblocks is available for on-premise installation. Automate custom processes with Caseblocks Cloud to work smarter. Caseblocks Cloud is a modern platform that automates operational business processes. It allows you to quickly configure and roll out important processes.

myClaimStatus is the best tool for your staff to save time and reduce waste. You can get real-time, actionable information about all your claims. myClaimStatus's suite data tools makes it easier to reconcile claims faster. It doesn't really matter how small or large you are. MyClaimStatus allows you to save more on every claim. Are you efficient in your work? MedX medical claims services use robotic process automation in order to maximize workflow efficiency. You can easily reconcile reimbursement rates and your contracted amount to ensure you get what you deserve. You can drill down to see real-time data on every healthcare claim from any payer, regardless of the dollar amount. This is not your typical healthcare claims processing software. Optimize AR follow up activities to work by exception, and get more done in a shorter time.

DataGenix was founded in 2000 and is committed to providing TPAs, adjusters, insurance companies and other entities with modern claims processing solutions. We know that claims processing and managing health benefits can be complicated. Our ClaimScape software automates the entire adjudication process so that your business doesn't suffer any losses. Our Claims software and business are designed to solve the problems that prevent you from providing a superior customer experience for your clientele. Our software products can help your business grow in the most modern ways, keeping in mind current trends and requirements. We have earned the trust of top TPAs across the country and are ready to serve you more.

The adjudication program is the core of PBM Express. Claims go through hundreds of edits to ensure accurate processing results, regardless how difficult the plan design is. The parameter drive program allows for a flexible architecture that allows clients to customize as required. Laker's innovative software solution delivers superior performance and industry-leading uptime to clients. Laker is a technology leader and continually improves its systems to meet our customers' growing needs. Customers of Laker have the advantage of the most efficient, flexible, and durable system on the market. Laker works closely alongside our customers to develop and test new products that allow them to compete and win new business. Both Laker and our customers have the best interests to make changes to the software quickly and efficiently to allow for this growth.

Remedly integrates all the software you need for your medical clinic, practice or medspa into one integrated solution. Remedly's future-proof platform helps you save time and your sanity. It automates tedious tasks while streamlining the entire clinic workflow. Get support when you need it. Remedly has a dedicated Customer Success Manager who is always available to assist you. There are no limits on training hours, and we don't charge extra for support. Remedly is cloud-based so it's future-proof. You can get updates and new features at the click of a mouse. It doesn't matter if you have an iPhone, Mac, or PC. You only need internet access to keep in touch with your patients and staff from anywhere you are. Our monthly subscription-based plan is affordable for all providers. This means less stress for you and more money for your pocket.

The first intelligent, multi-specialty software for medical billing. Over 75,000 physicians have used the software to streamline billing and patient collections. Globalized data eliminates duplicate entry. Visit-driven data allows for complex and large volumes of information. Flexible data structure allows for multiple specialties and practices to meet their requirements. We make it easier to get paid faster. You can either send payment electronically or manually. Automatically scrub claims for missing or incorrect information. Based on a set of criteria, automatically refile insurance claims. Rapid review to assess and approve charges. Audit charges by modality and procedure, insurance, user or date of service. For tracking your financial health, intuitive reports are available. Never lose another payment again. Integrates with your preferred clearinghouse, statement vendor.

PwC SMART (Systematic monitoring and review technology) improves the efficiency and effectiveness in your inpatient and outpatient quality evaluation processes and allows for a mechanism to ensure quality and compliance review. SMART, along with the support of PwC Health Information Advisory will help you monitor coding quality and data quality. SMART Inpatient has over 1,000 pre-defined business rules which help to identify potential coding errors and document improvement opportunities. You can also modify business rules to suit your particular areas of interest. Data analysis and reporting help you assess the performance of your staff and identify education opportunities for Coding, Quality, and Providers. SMART Outpatient improves accuracy and identifies areas for workflow improvement and charge capture issues. It improves regulatory compliance and reduces the risk of incorrect coding.

Our total clinic solution streamlines workflow and speeds cash flow. Our team of revenue and medical billing experts can help practices see improvements in their bottom lines, including fixed-cost reductions. Partnering with our revenue services team will give you more time to concentrate on patient care and engagement, which is what you do best.

One platform to build, optimize, maintain, and sell your network. To strengthen your position, leverage competitive intelligence. For a simplified search, standardize and clean up provider data. Network performance can be measured against quality, cost, and accessibility standards. Provide dynamic, functionally rich provider searching solutions. Know the financial performance of your network. To win market share and satisfy your members' requirements, build and optimize high-quality, competitive, accessible networks that are easy to use and highly valuable. Monitor competitor activity and market opportunities to refine and optimize your network strategy, identify the best-fit providers to keep your network competitive, and communicate the strength and viability of your network. Benefit consulting with faster, more reliable provider data will streamline your provider directory, plan design, as well as benefit consulting. Tailored network design that is tailored to each client's goals, risk profile, and access requirements.