RCM Edge

RCM Edge

ISpectra Technologies Global
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About

Eligibility Verification Standard streamlines patient access and billing workflows by enabling staff to assign and prioritize patients/residents, payers, and tasks during eligibility verification. This technology goes beyond basic eligibility needs, providing a dashboard to confirm, manage, and store every inquiry. Speed up eligibility verification processes with automated enrichment of incomplete or incorrectly formatted transactions from the payer. Perform multiple eligibility inquiries at once with batch file uploads that verify Medicaid, Medicare, and commercial coverage quickly and efficiently. Easily assign tasks to team members, apply follow-up flags, and create eligibility documentation for future reference. Manage patients between batches and resolve issues with just a few clicks. Save time and ensure coverage accuracy with one cloud-based, all-payer health insurance eligibility verification software that empowers staff to manage benefit inquiries however, works best for them.

About

RCM Edge is an AI-powered revenue cycle management platform for medical billing companies, physician practices, clinics, hospitals, and health systems. It automates billing workflows from eligibility verification to reimbursement and works with existing EHR and practice-management systems. Edge Verify performs real-time insurance eligibility and benefits checks across 566 payer connections. Edge Claims tracks claim status across 468 payer connections, normalizes payer responses, and routes unresolved claims to follow-up queues so staff can focus on exceptions. The platform uses robotic process automation (RPA), predictive analytics, and real-time intelligence to help teams reduce manual work. Prior authorization, denial management, and accounts receivable follow-up are in development, not live modules.

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

Audience

Health professionals seeking a tool to streamline and accelerate coverage checks with all-payer eligibility software for better workflow and accuracy

Audience

Medical billing companies, physician practices, clinics, hospitals, and healthcare revenue cycle management teams.

Support

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

Support

Phone Support Supported
24/7 Live Support 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

$200/month
The Professional plan starts at $200 per month. A free 30-day trial is offered. Enterprise pricing is customized.
Free Version 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:

Review this Software

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 Supported
Webinars Supported
Live Online Supported
In Person Supported

Training

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

Company Information

Inovalon
Founded: 1998
United States
www.inovalon.com/products/provider-cloud/revenue-cycle-management/all-payer-insurance-eligibility-verification/

Company Information

ISpectra Technologies Global
Founded: 2023
United States
rcmedge.ai/

Alternatives

Alternatives

Veritable

Veritable

314e Corporation
Altair

Altair

Altair Health
RCM Edge

RCM Edge

ISpectra Technologies Global

Categories

Credentialing Supported

Categories

Integrations

Inovalon Provider Cloud Supported

Integrations

Inovalon Provider Cloud Not Supported
Claim Inovalon Eligibility Verification and update features and information
Claim Inovalon Eligibility Verification and update features and information
Claim RCM Edge and update features and information
Claim RCM Edge and update features and information