Claim AgentEMCsoft
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Related Products
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About
EMCsoft’s Claims Management Ecosystem assures that healthcare providers and billing companies deliver clean claims to insurance payers for proper claim adjudication. It is the integration of our versatile claims processing software Claim Agent and comprehensive fitting process called the Four Step Methodology into your claim adjudication process. This approach enables, supports, and automates your work process to maximize claim reimbursement. Request our free online demo for a great introduction into the functionality/features of Claim Agent and how it fits into your claim adjudication process. Claim Agent scrubs and processes your claims from the provider system to the insurance payers in a efficient, cost effective, and timely manner. The software is compatible with any system making implementation process quick and simple. We provide custom edits, bridge routines, payer lists, and work flow settings that are unique to each user.
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About
Provide authorizations, claims processing and payment in real-time at the point of care. Enhance care coordination and improved outcomes to lower medical cost while streamlining administrative processes. Engage providers at the point of care to capture and share data in real-time resulting in an unparalleled exchange of health information. We partner with our clients to implement risk management strategies that result in better outcomes with lower costs. We strive to improve the user experience for everyone involved in the ecosystem. We deliver a minimum 3:1 ROI for our clients to allow them to optimize their resources. Conexia has developed a core technology platform (ONE) that is customizable to meet the diverse regulatory requirements and operational processes for each client in each geography. In most cases, our initial implementation is an overlay on the payer’s existing technology ecosystem to create real-time processes.
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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
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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
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Audience
Healthcare providers and billing companies looking for a claim adjudication software solution for their insurance payers
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Audience
Anyone looking for a real-time point of care solution
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Support
Phone Support
Supported
24/7 Live Support
Not Supported
Online
Supported
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Support
Phone Support
Supported
24/7 Live Support
Not Supported
Online
Supported
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API
Offers API
Not Supported
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API
Offers API
Not Supported
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Screenshots and Videos |
Screenshots and Videos |
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Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Reviews/
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Reviews/
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Training
Documentation
Not Supported
Webinars
Not Supported
Live Online
Supported
In Person
Not Supported
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Training
Documentation
Not Supported
Webinars
Not Supported
Live Online
Supported
In Person
Not Supported
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Company InformationEMCsoft
Founded: 1980
United States
emcsoft.com
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Company InformationConexia
Founded: 1996
United States
conexia.com/en
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Categories |
Categories |
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Medical Billing Features
Claims Processing
Not Supported
Claims Scrubbing
Supported
Code & Charge Entry
Not Supported
Compliance Tracking
Supported
Customizable Dashboard
Supported
Dunning Management
Supported
Invoice History
Supported
Patient Eligibility Checks
Not Supported
Practice Management
Not Supported
Quotes/Estimates
Supported
Remittance Advice
Not Supported
Long Term Care Features
Claims Management
Supported
Clinical Care
Not Supported
EHR
Not Supported
Electronic Health Record
Not Supported
For Home Care Providers
Not Supported
For Nursing Homes
Not Supported
Geriatric Care
Not Supported
MDS Review
Not Supported
Patient Records
Not Supported
Staff Scheduling
Not Supported
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Medical Billing Features
Claims Processing
Supported
Claims Scrubbing
Not Supported
Code & Charge Entry
Not Supported
Compliance Tracking
Not Supported
Customizable Dashboard
Not Supported
Dunning Management
Not Supported
Invoice History
Supported
Patient Eligibility Checks
Supported
Practice Management
Not Supported
Quotes/Estimates
Not Supported
Remittance Advice
Not Supported
Benefits Administration Features
Claims Management
Supported
COBRA Administration
Not Supported
Deduction Management
Not Supported
Disability Insurance Administration
Not Supported
Employee Benefits Administration
Not Supported
Flexible Spending Accounts
Not Supported
FMLA Administration
Not Supported
For Brokers
Not Supported
For Employers
Not Supported
FSA Administration
Not Supported
Health Insurance Administration
Supported
HIPAA Compliant
Not Supported
Life Insurance Administration
Not Supported
Online Benefits Enrollment
Not Supported
Premium Billing
Not Supported
Provider Management
Supported
Retiree Administration
Not Supported
Retirement Plan Management
Not Supported
Claims Processing Features
Adjustor Management
Not Supported
Case Management
Not Supported
Claim Resolution Tracking
Supported
Co-Pay & Deductible Tracking
Not Supported
Compliance Management
Supported
Customer Management
Not Supported
Electronic Claims
Supported
Forms Management
Supported
Paper-Based Claims
Not Supported
Payor Management
Not Supported
Policy Administration
Supported
Healthcare CRM Features
Audience Targeting
Not Supported
Campaign Management
Supported
Marketing Automation
Not Supported
Medical History Records
Supported
Patient Communications
Not Supported
Patient Management
Supported
Physician Management
Supported
Predictive Analytics
Supported
Hospital Management Features
Accounting Integration
Not Supported
Appointment Management
Not Supported
Appointment Scheduling
Not Supported
Bed Management
Not Supported
Billing & Invoicing
Not Supported
Claims Management
Supported
In-Patient Management
Not Supported
Inventory Management
Not Supported
Medical Billing
Supported
Out-Patient Management
Not Supported
Patient Records Management
Not Supported
Physician Management
Not Supported
Policy Management
Supported
Revenue Management
Not Supported
Population Health Management (PHM) Features
Analytics
Supported
Cost-of-Care Analysis
Supported
Data Storage
Not Supported
EMR/EHR Integration
Not Supported
Patient Engagement
Supported
Patient Identification
Supported
Patient Risk Stratification
Supported
Patient-Reported Outcomes
Supported
Payment Bundling
Supported
Predictive Alerts
Supported
Test & Treatment Reminders
Supported
Utilization Tracking
Supported
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Integrations
No info available.
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Integrations
No info available.
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