Optum AI MarketplaceOptum
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RCM EdgeISpectra Technologies Global
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Related Products
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About
Optum AI Marketplace is a curated ecosystem of AI-powered solutions designed to transform healthcare by providing payers, providers, and partners with tools to deliver better outcomes efficiently. It offers a diverse range of products and services across categories such as patient & member engagement, eligibility & claims, care operations & management, payment & reimbursement, and analytics & insights. Notable offerings include the prior authorization inquiry API, which enables payers to check a patient's prior authorization status in real-time, and SmartPay Plus, an e-cashiering payment platform that simplifies patient payments and streamlines the collection process. Additionally, Optum Advisory Technology Services provides expert support for digital transformation initiatives, offering system selection, procurement, implementation, and AI tools. It also features partnerships with trusted resellers, such as ServiceNow, to offer cutting-edge healthcare solutions.
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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.
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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
Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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Audience
Organizations and technology providers seeking a solution to enhance patient care, streamline operations, and improve financial performance
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Audience
Medical billing companies, physician practices, clinics, hospitals, and healthcare revenue cycle management teams.
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Support
Phone Support
Not Supported
24/7 Live Support
Not Supported
Online
Supported
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Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Supported
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API
Offers API
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
$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
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Reviews/
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Reviews/
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Training
Documentation
Supported
Webinars
Not Supported
Live Online
Not Supported
In Person
Not Supported
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Training
Documentation
Supported
Webinars
Not Supported
Live Online
Supported
In Person
Not Supported
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Company InformationOptum
United States
marketplace.optum.com
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Company InformationISpectra Technologies Global
Founded: 2023
United States
rcmedge.ai/
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Categories |
Categories |
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Integrations
Google Cloud Healthcare API
Supported
InvisaClaim
Supported
Microsoft 365
Supported
ServiceNow
Supported
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Integrations
Google Cloud Healthcare API
Not Supported
InvisaClaim
Not Supported
Microsoft 365
Not Supported
ServiceNow
Not Supported
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