Availity vs. CAQH Comparison Chart

Service Center by Office Ally is a trusted revenue cycle management platform used by over 65,000 healthcare organizations processing more than 350 million claims annually. With it, providers can verify patient eligibility and benefits, upload and submit claims, correct rejected claims, check claim status, and obtain remits. With multiple claim types and submission options, providers can easily submit claims to any payer from any practice management system. Transactions are secure, ensuring the confidentiality of sensitive patient information. With no needed implementation, providers can quickly and effortlessly streamline their billing processes, increase their financial performance, simplify medical billing, and reduce claim rejections for faster reimbursements.

Running a successful therapy & rehab organization takes dedication, effort, and time. Hours spent on administrative tasks, billing, and planning can add up quickly, leaving you with little time to focus on the most important aspects of your practice. Taking on an Electronic Medical Records (EMR) system can help alleviate some of the burden and make the management of your practice more efficient. Raintree's EMR is the perfect solution for streamlining your practice's administrative duties while allowing you to focus on providing quality care to your clients. With Raintree's EMR, you can easily manage patient information and data, quickly generate reports, and easily access patient records. With our all-in-one solution, you’ll get the tools you need to streamline your therapy and rehab practice, improve patient care, and get back to doing what you love. Our electronic medical records solution is the most comprehensive and user-friendly EMR on the market.

Finally, a single solution to affirm and continuously assess medical provider competency. Ensure excellence in care by offering the industry-leading software for enrolling, onboarding and privileging to continuously evaluate your providers. CredentialStream® incorporates patented technology that provides everything necessary for requesting, gathering, and validating information about a provider, all to establish a reliable Source of Truth for downstream processes. With a modern platform that is continuously updated, along with best-practice content libraries and industry-leading data sets, CredentialStream stands out as the most comprehensive provider lifecycle management solution available. Say goodbye to the headaches, hassles and manual processes that slow you down. Say hello to a modern, continuously updated platform, best-practice content, and industry-leading data that all works together to get your providers where they need to be— seeing patients.

Open Practice is pleased to present OpenPM, our cloud-based RCM platform that has propelled the company through 17 consecutive years of double-digit growth. OpenPM connects all the disparate elements of the revenue cycle including; Scheduling & Registration, Billing, Clearinghouse, and Patient Payments/Collections. The result is highly automated accounts receivables management for optimized cash flow, and extensive reporting to help you proactively manage your organization. All of this control is securely hosted and delivered through the browser you already have, providing the perfect combination of security and availability. Medical billing software, revenue cycle management solutions, practice management software, practice management system, medical practice management, EMR integration, EHR integration, practice management scheduling, patient scheduling, online patient billing, patient billing, automatic patient billing and payments, patient payments, electronic patient payments.

Mercury One Plus is a Medical Practice Management solution that puts the fundamentals of Revenue Cycle Management at your fingertips; it acts as a stepping stone from standard billing to intermediate billing. Mercury One Plus is offered exclusively on the cloud, with the highest level of security- you can access your data anywhere 24/7. A complete product with big functionality, Mercury One Plus includes: patient demographics input, 100 plus reports to choose from, charge entry, full history of patient activity, ERA posting, credit card acceptance, and much more. Mercury Products are HIPAA compliant with a guaranteed connection to any clearinghouse or insurance company. Mercury One Plus's automated job system will facilitate a daily system tune-up: housecleaning; folder maintenance; daily backups; 837 exports; 835 imports;HL7. All subscriptions come with the expert help of CrisSoft Support. Willing to partner/intergrate with all EMR's through REST.

NextGen Healthcare provides ambulatory practices of all sizes award-winning solutions along with dedicated support and professional services. We align with your goals to achieve the success that results in healthier patients and happier providers. NextGen® Enterprise EHR offers your practice configurable clinical content, intuitive workflows, and an integrated patient experience platform that incorporates telehealth. With NextGen® Mobile, your providers’ smartphones become an extension of your EHR, which saves valuable time. Managed cloud hosting keeps your practice secure and makes upgrades easy, though on-premise options are also available. NextGen® Office is a cloud-based EHR designed to support your practice growth, save staff time, and increase patient volume. This fully integrated clinical and billing platform features specialty-specific EHR content, mobile accessibility, a revenue cycle management system, and a convenient patient portal.

XpertCoding is an AI-powered medical coding software by XpertDox that uses advanced AI, natural language processing (NLP), and machine learning to code medical claims automatically within 24 hours. It automates the coding process, enabling faster and more accurate claims submissions to maximize financial gains for healthcare organizations. Features include minimal human supervision, easy EHR connectivity, flexible cost structure, a significant reduction in denials and coding costs, a HIPAA-compliant business intelligence platform, risk-free implementation with no initial fee and a free first month, and higher coding accuracy. XpertCoding's autonomous coding solution helps healthcare providers and organizations get paid faster, accelerating the revenue cycle and allowing them to focus on patient care. Opt for XpertCoding for a reliable and accurate medical coding software solution for your practice.

Elation Health is the most trusted technology platform for independent primary care. Since 2010, the company has delivered clinical-first solutions — built on an award-winning collaborative EHR platform — that help practices start, grow, communicate, and succeed in delivering the highest quality personalized care to patients. Elation Health supports primary care providers in upholding the craft of medicine while thriving in an evolving healthcare landscape. Today, Elation Health serves 32,000 active clinicians, caring for millions of Americans. Elation’s clinical-first EHR is designed and built for independent primary care practices and physicians. With Elation, practices can manage patient records, book and arrive appointments, and view provider schedules. Physicians receive and share patient information, including labs or consults, referrals to specialists, and other documentation, eliminating duplicate data entry and ensuring all information is correct and up-to date.

AZZLY Rize is the premier clinical and business platform for addiction treatment and mental health organizations. As an all-in-one substance use disorder and mental health specific EHR, Patient Engagement and RCM platform, we serve small, medium, and large clinics. Key features for OUTPATIENT Programs include: scheduling, appointment reminder, Zoom telehealth, treatment plans, progress notes, assessments and surveys. For RESIDENTIAL programs: census, medication management, bed board, withdrawal management, DrFirst e-prescribing, EPCS, PDMP, labs. For all levels of care: alerts, patient engagement portal, electronic billing and claims submission built in. AZZLY Rize empowers your staff through its 5 star training and support services, its simplicity and automation. As a true all-in-one EHR/PM/RCM platform, improved compliance, workflow and accurate billing are achieved real-time. We proudly serve programs in over 33 states and are hosted in Microsoft Azure's private cloud network.

Valant’s Behavioral Health EHR and Practice Management Software includes all the tools you need to provide exceptional individual and group care while running a successful private practice. Valant is designed to increase the administrative and clinical efficiency of your practice. The software includes built-in outcome measures, billing, reporting, telehealth, clinical documentation, and patient engagement tools – all tailored to the unique needs of mental health. Access the only integrated tool that streamlines your prospective patient process. Receive requests for services directly in your EHR, manage new patient inquiries, and get an automatic data-driven analysis of your best patient-provider matches. With Valant, you can schedule assessments to automatically send to patients with upcoming appointments. Valant's integrated patient portal called MYIO is built to automate your patient onboarding process and give your patients the user-friendly experience they expect.