Claim Agent

Claim Agent

EMCsoft
mDOC

mDOC

Mack Software
+
+

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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

Using our claim listing page you can quickly resolve errors and omissions prior to submitting your claims. After all information has been posted, diagnosis and modifier codes applied, you can submit a group of claims to Trizetto Provider Solutions® in one quick step to upload the claims. Trizetto Provider Solutions® will in turn perform additional claim scrubbing and then send your claims on to the payers. Post payments from insurance companies against claims indicating allowed amounts, adjustments and copay, coinsurance and deductible. Payments are entered in batches to ensure accuracy. Statements are prepared at your desired frequency - daily, weekly, monthly. These statements are presented in a simple, clear format that is easy for patients to read and understand. No more confusion!! A credit card authorization area is included on the statement for convenient payment of balances due.

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

Billing and Invoicing solution for 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

No information available.
Free Version Not 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 Not Supported
Webinars Not Supported
Live Online Supported
In Person Not Supported

Training

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

Company Information

EMCsoft
Founded: 1980
United States
emcsoft.com

Company Information

Mack Software
www.macksoftware.com/mdoc.html

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Claim Agent

Claim Agent

EMCsoft

Categories

Categories

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 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

Billing and Invoicing Features

Billing Portal Supported
Contact Database Supported
Contingency Billing Not Supported
Customer Portal Not Supported
Customizable Invoices Not Supported
Dunning Management Supported
Hourly Billing Not Supported
Invoice History Not Supported
Mobile Payments Not Supported
Multi-Currency Not Supported
Online Invoicing Not Supported
Online Payments Not Supported
Payment Processing Supported
Project Billing Not Supported
Recurring/Subscription Billing Not Supported
Service Ticket Billing Not Supported
Tax Calculator Supported

Integrations

No info available.

Integrations

No info available.
Claim Claim Agent and update features and information
Claim Claim Agent and update features and information
Claim mDOC and update features and information
Claim mDOC and update features and information