TruBridge Reviews

Virtual Examiner®, PCG Software’s flagship product, monitors an organization's internal claims process to track provider data for fraudulent or abusive billing patterns and maximizes financial recovery. The Virtual Examiner®, a PCG Software product, allows healthcare organizations to improve their claims adjudication system by allowing for more than 31,000,000 edits per claim. The software monitors an organization's internal claim process to identify and reduce payments for incorrect or erroneous code to save premium dollars. Virtual Examiner®, is more than a claims management solution that focuses on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.

eClaimStatus offers simple, cost-effective, efficient, and cost-effective real-time Medical Insurance Eligibility Verification system. Claim Status solutions are designed to create value added healthcare environments. Medical practitioners need to be vigilant about their revenue and avoid any payment leakages at a time when healthcare insurers are cutting reimbursement rates. Inaccurate eligibility verification can lead to more than 75% of claim rejections or denials by payers. Refiling rejected claims can cost organizations $50,000 to $250,000 annually in net revenue (HFMA.org). You need a simple, affordable, and reliable software to verify and track your health insurance claims. These are the specific challenges that eClaimStatus was created to address.