RCM Edge

RCM Edge

ISpectra Technologies Global
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About

Conducting thorough checks on the financial eligibility of the patients, running their insurance’s analysis and monitoring discrepancies, the eligibility checker covers all. If however any error does creeps in the data submitted, our scrubber working on deep AI&ML algorithms is capable of scrubbing errors be it coding errors, incomplete or wrong patient financial information. The software, at present, has 3.5 Million edits pre-loaded in its memory. To further streamline the process, automatic updates are issued by the clearing house to inform about the status of in-process claims. Covering the entire billing spectrum from verifying the patient financials to working on denied or lost claims and also has a through follow-up feature for appeals. Our intuitive systems warns if a claim could be denied, taking corrective actions to prevent it but also is capable of tracking and appealing for lost or denied claims.

About

RCM Edge is an AI-powered revenue cycle management platform for medical billing companies, physician practices, clinics, hospitals, and health systems. It automates billing workflows from eligibility verification to reimbursement and works with existing EHR and practice-management systems. Edge Verify performs real-time insurance eligibility and benefits checks across 566 payer connections. Edge Claims tracks claim status across 468 payer connections, normalizes payer responses, and routes unresolved claims to follow-up queues so staff can focus on exceptions. The platform uses robotic process automation (RPA), predictive analytics, and real-time intelligence to help teams reduce manual work. Prior authorization, denial management, and accounts receivable follow-up are in development, not live modules.

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Audience

Clinics searching for a smart scrubbing and Claim Management platform that optimizes the medical billing process

Audience

Medical billing companies, physician practices, clinics, hospitals, and healthcare revenue cycle management teams.

Support

Phone Support Supported
24/7 Live Support Not Supported
Online Supported

Support

Phone Support Supported
24/7 Live Support Supported
Online Supported

API

Offers API Not Supported

API

Offers API Not Supported

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported

Pricing

$200/month
The Professional plan starts at $200 per month. A free 30-day trial is offered. Enterprise pricing is customized.
Free Version Supported
Free Trial Not Supported

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

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Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation Supported
Webinars Not Supported
Live Online Supported
In Person Not Supported

Training

Documentation Supported
Webinars Not Supported
Live Online Supported
In Person Not Supported

Company Information

AltuMED
United States
altumed.com/altumed-practicefit/

Company Information

ISpectra Technologies Global
Founded: 2023
United States
rcmedge.ai/

Alternatives

Altair

Altair

Altair Health

Alternatives

Altair

Altair

Altair Health
ImagineBilling

ImagineBilling

ImagineSoftware

Categories

Categories

Revenue Cycle Management Features

Accounts Receivable Not Supported
Claims Management Supported
Collections Management Not Supported
EHR/EMR Integration Not Supported
For Healthcare Not Supported
ICD-10 Compliance Not Supported
Insurance Verification Not Supported
Medical Billing Not Supported
Patient Portal Not Supported
Patient Registration Not Supported
Patient Scheduling Not Supported
Payment Processing Not Supported

Medical Billing Features

Claims Processing Not Supported
Claims Scrubbing Supported
Code & Charge Entry Supported
Compliance Tracking Not Supported
Customizable Dashboard Supported
Dunning Management Not Supported
Invoice History Supported
Patient Eligibility Checks Not Supported
Practice Management Supported
Quotes/Estimates Not Supported
Remittance Advice Supported

Medical Practice Management Features

Claims Management Supported
E-Prescribing Not Supported
EMR / EHR Not Supported
HIPAA Compliant Not Supported
Insurance Eligibility Verification Supported
Inventory Management Not Supported
Multi-Office Not Supported
Multi-Physician Not Supported
Patient Billing Not Supported
Patient Portal Not Supported
Patient Records Not Supported
Patient Registration Not Supported
Patient Scheduling Not Supported
Physician Scheduling Not Supported

Integrations

No info available.

Integrations

No info available.
Claim AltuMED PracticeFit and update features and information
Claim AltuMED PracticeFit and update features and information
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Claim RCM Edge and update features and information