InvisaClaim

InvisaClaim

InvisaClaim, LLC
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About

Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS.

About

InvisaClaim AI Revenue Cycle Management that prevents denials and wins the ones that slip through. The most advanced all-in-one platform for billing companies and RCM teams. Before claims go out, Pre-Submission Check and Pre-Check AI scrub them against NCCI edits, coding conflicts, and payer rules stopping denials at the source. When one slips through, upload or live-feed a denial letter or 835 ERA and AI extracts patient data, CARC/RARC, CPT/ICD-10, amounts, and deadlines then drafts a payer-specific appeal in 60 seconds across 30+ payers. Modules: Pre-Submission Check, Denial Workbench, NSA/IDR (eligibility, QPA, GFE & IDR letters), Prior Auth, A/R aging, NPI verification, deadline alerts, full audit trail. Connects to your clearinghouse and EHR: Change Healthcare/Optum, Waystar, Availity, Athenahealth (pipeline), plus a FHIR R4 layer for EPIC/Cerner. HIPAA Compliant · SOC 2 · 256 Encryption

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 Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Audience

Companies seeking a solution for streamlining their eligibility and benefits, claims management, and authorizations processes

Audience

Medical Practice, Providers, Physicians, Billing Companies

Support

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

Support

Phone Support Supported
24/7 Live Support Not 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

$349
Pricing starts at $349 per month per provider with tiers between $349-Enterprise.
Free Version Not Supported
Free Trial Supported

Reviews/Ratings

Overall 1.4 / 5
ease 1.4 / 5
features 1.5 / 5
design 1.4 / 5
support 1.6 / 5

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

Pros & Cons from Real Users

Pros

  • No pros. None. This company is middle management at it's most absurd. No one should use Availity. Ever.
  • It is good for insurance companies as it makes submissions and thus payouts a very slow and tedious process for providers
  • Free- difficult to look up eligibility and i have to say that being free is all that is good regarding this product.
  • Nothing there is not one thing I can think of that makes this platform worth taking the time to use. If it worked and was intuitive or they had customer service maybe it would be worth trying.
  • I liked how difficult it was to log on and how long I had to wait to talk to a real person. I like how the site boasts how much it does for providers and organizations and how long it take, navigating webpages that don't give a clue to how to solve even a simple problem.

Cons

  • Impossible to log in. Impossible to get timely support. Impossible to navigate their site.
  • Availity is clearly designed and supported by most insurance companies as it makes it very difficult to submit, get claim status or appeal claims.
  • Clair does not keep my patients that I looked up in eligibility and I have to reenter everything- very time consuming and frustrating. To get assistance you need to submit a case- and that can only be on a specific patient claim- not regarding an issue with filing all claims.
  • Everything. Their training is poor, the site is not intuitive, More payers are requiring us to use it to get benefits, prior authorizations and look at claims, but most of the time I cant either find the payer on the site or get the claim information. when I put in a support ticket they don't answer what you asked and then close the ticket before you have time to answer.
  • Web pages are bulky, and are quirky. Buttons don't work unless I do something else unrelated. Instructions are neither intuitive, nor even clear when provided. Availity does not play well with other children; in this case, coordinate with MHN (a big insurance company). MHN referred me to set up ACH.

Training

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

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Not Supported

Company Information

Availity
United States
www.availity.com

Company Information

InvisaClaim, LLC
Founded: 2026
United States
www.Invisaclaim.com

Alternatives

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Alternatives

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InvisaClaim

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BillingBench

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Categories

Categories

Hospital Management Features

Accounting Integration Supported
Appointment Management Not Supported
Appointment Scheduling Supported
Bed Management Not Supported
Billing & Invoicing Supported
Claims Management Supported
In-Patient Management Supported
Inventory Management Not Supported
Medical Billing Supported
Out-Patient Management Supported
Patient Records Management Not Supported
Physician Management Not Supported
Policy Management Not Supported
Revenue Management Not Supported

Medical Billing Features

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

Revenue Cycle Management Features

Accounts Receivable Supported
Claims Management Supported
Collections Management Supported
EHR/EMR Integration Supported
For Healthcare Supported
ICD-10 Compliance Supported
Insurance Verification Supported
Medical Billing Supported
Patient Portal Supported
Patient Registration Supported
Patient Scheduling Supported
Payment Processing Supported

Integrations

Accurint Crime Analysis Supported
Availity Not Supported
Change Healthcare Not Supported
Cohere Unify Supported
Docusign Not Supported
EZBIS Supported
Juris Supported
Lexis Advance Quicklaw Supported
Motileo Supported
Nexis Data+ Supported
Nexis Social Analytics Supported
Oracle Health Not Supported
Square Payments Not Supported
Vercel Not Supported
VerifyRX Supported
Vetriq Supported
Waystar Not Supported
athenahealth Population Health Not Supported
eCitation Supported
eClinicalWorks Not Supported

Integrations

Accurint Crime Analysis Not Supported
Availity Supported
Change Healthcare Supported
Cohere Unify Not Supported
Docusign Supported
EZBIS Not Supported
Juris Not Supported
Lexis Advance Quicklaw Not Supported
Motileo Not Supported
Nexis Data+ Not Supported
Nexis Social Analytics Not Supported
Oracle Health Supported
Square Payments Supported
Vercel Supported
VerifyRX Not Supported
Vetriq Not Supported
Waystar Supported
athenahealth Population Health Supported
eCitation Not Supported
eClinicalWorks Supported
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