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About

InvisaClaim is the most advanced all in one revenue platform. An AI-powered Revenue Cycle Management platform that automates denial management, appeals, prior authorizations, and No Surprises Act compliance for billing companies and RCM teams. Upload or Live Feed a denial letter or 835 ERA and AI extracts patient data, CARC/RARC codes, CPT/ICD-10, amounts, and deadlines, then generates payer-specific appeal letters in 60 seconds across 30+ payers. Modules: Denial Workbench, NSA/IDR (eligibility checks, QPA capture, GFE & IDR letters), Prior Authorization, Pre-Check AI, A/R aging, NPPES NPI verification, deadline alerts, and full audit trail. Connects directly to your clearinghouse and EHR. Integration partners: Change Healthcare/Optum (ERA, eligibility, claim status, prior auth), Availity (in progress), Waystar (Provider Access Request). EHR partnerships with Athenahealth in the marketplace pipeline, plus a FHIR R4 layer for Epic/Cerner. HIPAA Compliant, SOC2 & 25k

About

OptiPayRCM’s platform delivers seamless, “last-mile” revenue cycle management automation by integrating with EHRs, clearing houses, payer portals, and other systems via flexible adapters so your billing workflows can be processed end-to-end. Its unified core engine handles eligibility checks, claim submissions, payment postings, denial management, and full accounts receivable workflows using AI and robotic process automation to reduce manual effort and accelerate cash flow. Real-time dashboards and reports provide visibility into key metrics and enable predictive insights, while customizable automation supports exceptions and unique workflows. It reduces first-pass denials by up to 63%, speeds claim status checks up to 50 times faster than human processing, and reduces payment cycle time by up to 35%. It is compatible with more than 200 healthcare systems and supports direct integrations via EHRs, FHIR, EDI, and HL7.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Medical Practice, Providers, Physicians, Billing Companies

Audience

Healthcare providers and billing offices seeking a solution to automate and optimize their revenue cycle operations to improve payments, reduce denials and accelerate cash flow

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

$349
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

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
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

InvisaClaim
Founded: 2026
United States
www.Invisaclaim.com

Company Information

OptiPayRCM
Founded: 2025
United States
optipayrcm.com

Alternatives

Alternatives

Categories

Categories

Revenue Cycle Management Features

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

Medical Billing Features

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Integrations

Availity
Change Healthcare
Change Healthcare Data & Analytics
Chase Merchant Services
Docusign
Optum AI Marketplace
Optum Patient Care Management
QuickBooks Accountants
QuickBooks Live Bookkeeping
Supabase
Vercel
Waystar
athenaOne
athenahealth Population Health

Integrations

Availity
Change Healthcare
Change Healthcare Data & Analytics
Chase Merchant Services
Docusign
Optum AI Marketplace
Optum Patient Care Management
QuickBooks Accountants
QuickBooks Live Bookkeeping
Supabase
Vercel
Waystar
athenaOne
athenahealth Population Health
Claim InvisaClaim and update features and information
Claim InvisaClaim and update features and information
Claim OptiPayRCM and update features and information
Claim OptiPayRCM and update features and information