RCM Edge

RCM Edge

ISpectra Technologies Global
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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.

About

Elevate your claims management process and decrease denials through unmatched edits and an industry-leading clean claim rate. Health systems require access to technology that facilitates accurate claim submission and rapid reimbursement. Claims Director, SSI’s claims management solution, streamlines billing practices and provides visibility by guiding users through the electronic claim submission and reconciliation process from beginning to end. As payers change or modify reimbursement criteria for services, the system actively monitors and incorporates these changes and requirements. And with a comprehensive mix of edits at the industry, payer and provider levels, the solution aids organizations in making the most of reimbursement efforts.

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

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

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

Audience

Healthcare systems

Support

Phone Support Supported
24/7 Live Support Supported
Online Supported

Support

Phone Support Not 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

$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

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:

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 Not Supported
Live Online Supported
In Person Not Supported

Training

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

Company Information

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

Company Information

SSI Group
Founded: 1986
United States
thessigroup.com/claims-management/

Alternatives

Alternatives

Altair

Altair

Altair Health
Axora

Axora

Axora.AI
Veritable

Veritable

314e Corporation

Categories

Categories

Integrations

No info available.

Integrations

No info available.
Claim RCM Edge and update features and information
Claim RCM Edge and update features and information
Claim SSI Claims Director and update features and information
Claim SSI Claims Director and update features and information