Claim Agent

Claim Agent

EMCsoft
InvisaClaim

InvisaClaim

InvisaClaim, LLC
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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.

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

Healthcare providers and billing companies looking for a claim adjudication software solution for their insurance payers

Audience

Medical Practice, Providers, Physicians, Billing Companies

Support

Phone Support 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 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 Not Supported
Webinars Not Supported
Live Online Supported
In Person Not Supported

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Not Supported

Company Information

EMCsoft
Founded: 1980
United States
emcsoft.com

Company Information

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

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Categories

Categories

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

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

Authorize.Net Not Supported
Availity Not Supported
Change Healthcare Not Supported
Change Healthcare Data & Analytics Not Supported
Chase Merchant Services Not Supported
Docusign Not Supported
EpicCare EMR Not Supported
Optum AI Marketplace Not Supported
Optum Patient Care Management Not Supported
Oracle Health Not Supported
QuickBooks Accountants Not Supported
QuickBooks Live Bookkeeping Not Supported
Square Payments Not Supported
Stripe Not Supported
Supabase Not Supported
Vercel Not Supported
Waystar Not Supported
athenaOne Not Supported
athenahealth Population Health Not Supported
eClinicalWorks Not Supported

Integrations

Authorize.Net Supported
Availity Supported
Change Healthcare Supported
Change Healthcare Data & Analytics Supported
Chase Merchant Services Supported
Docusign Supported
EpicCare EMR Supported
Optum AI Marketplace Supported
Optum Patient Care Management Supported
Oracle Health Supported
QuickBooks Accountants Supported
QuickBooks Live Bookkeeping Supported
Square Payments Supported
Stripe Supported
Supabase Supported
Vercel Supported
Waystar Supported
athenaOne Supported
athenahealth Population Health Supported
eClinicalWorks Supported
Claim Claim Agent and update features and information
Claim Claim Agent and update features and information
Claim InvisaClaim and update features and information
Claim InvisaClaim and update features and information