Claim Agent Alternatives

NextGen Healthcare provides ambulatory practices of all sizes award-winning solutions along with dedicated support and professional services. We align with your goals to achieve the success that results in healthier patients and happier providers. NextGen® Enterprise EHR offers your practice configurable clinical content, intuitive workflows, and an integrated patient experience platform that incorporates telehealth. With NextGen® Mobile, your providers’ smartphones become an extension of your EHR, which saves valuable time. Managed cloud hosting keeps your practice secure and makes upgrades easy, though on-premise options are also available. NextGen® Office is a cloud-based EHR designed to support your practice growth, save staff time, and increase patient volume. This fully integrated clinical and billing platform features specialty-specific EHR content, mobile accessibility, a revenue cycle management system, and a convenient patient portal.

Service Center by Office Ally is a trusted revenue cycle management platform used by over 65,000 healthcare organizations processing more than 350 million claims annually. With it, providers can verify patient eligibility and benefits, upload and submit claims, correct rejected claims, check claim status, and obtain remits. With multiple claim types and submission options, providers can easily submit claims to any payer from any practice management system. Transactions are secure, ensuring the confidentiality of sensitive patient information. With no needed implementation, providers can quickly and effortlessly streamline their billing processes, increase their financial performance, simplify medical billing, and reduce claim rejections for faster reimbursements.

Our human services software offers full functionality for case management, client tracking, electronic health record (EHR), and homeless information management (HMIS) all under one roof. We work with agencies across the spectrum of human services: including developmental disabilities, mental health, substance use disorder, homelessness, supportive housing, HCBS, and much more. Foothold is HIPAA-compliant mental health software, federally certified as an EHR, and offers full interoperability as you navigate the new landscape of care coordination and value-based care. Transform the way you provide care with nimble software and a partnership guided by experience.

A secure, SaaS-based Medical Billing, RCM software that helps doctors to increase the collection, and receive faster payment with improved automation. Features like Seamless Insurance Eligibility Verification (IEV), Appointment scheduling, Claims scrubbing, Claim Status Inquiry (CSI),Auto Posting, and Public health clinic make the software efficient and easy to use. expEDIum SDK is available with several APIs to integrate EMR software seamlessly with expEDIum Medical Billing / RCM software.

Virtual Examiner®, PCG Software’s flagship product, monitors the internal claims process of an organization to trend provider data for fraudulent and abusive billing patterns, and maximizes financial recoveries. PCG Software’s Virtual Examiner® allows healthcare organizations to enhance their current claims adjudication system with more than 31 million edits per claim. The software solution monitors an organization’s internal claims process to identify unclean claims and reduce payment for improper or erroneous coding to conserve premium dollars. Virtual Examiner® is more than a claims review solution with a focus on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.

EDI Compatible Medical Billing (E-COMB) is a web based solution for generating medical claims complying with the HIPAA transaction and code set standards, regulated by the US Government following the recommendations of American National Standards Institute (ANSI). The application is designed to generate, submit and reconcile the claims to the insurance carriers, guarantors and/or patients. This is one of the most important tools for doctors in realizing their revenue by reducing the turnaround time in the claims reimbursement. All the information related to environment of the Doctor’s Office/Hospital is grouped together as Master Data. This information is frequently used for claims processing and is less likely to change quite often. Master Data contains details of the Procedures, Diagnoses, Doctors, Payers, and Billing Providers etc. This data is created as part of the initial set up and can be updated easily at any time.

eClaimStatus provides simple, practical, efficient and cost effective real time Medical Insurance Eligibility Verification system and Claim Status solutions that power value added healthcare environments. At a time when healthcare insurance companies are reducing reimbursement rates, medical practitioners must monitor their revenue closely and eliminate all possible leakages and payment risks. Inaccurate insurance eligibility verification causes more than 75% of claim rejections and denials by payers. Furthermore, refiling rejected claims cost an organization $50,000 to $250,000 in annual net revenue for every 1% of claims rejected (HFMA.org). To overcome the revenue leakages, you need a no-fuss, affordable and effective Health Insurance Verification and Claim Status software. eClaimStatus was designed to solve these specific challenges.

Manage your members' healthcare and networks with a cloud-based healthcare delivery system. Automate claims processing for managed care organizations. Includes eligibility, referral and authorization processing, provider contracting, benefit administration, auto claims adjudication, capitation (PCP and Specialty), EOB/EFT check processing, and EDI transfers and reporting. Deploy as a cloud solution or an in-house system. Ideal for managed care organizations (MCOs), independent physician organizations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. Streamline the complexities of administrating eligibility, referral authorization and claims processing. Features and functions maximize data integrity while reducing data entry.

Finally, an Electronic Health Record system for hospitals, clinics, and practices that is flexible enough to change as healthcare evolves yet doesn’t cost a fortune to implement and operate. Delivered in the cloud, the iCare Enterprise Cloud EHR is a fully integrated system which includes a full range of administrative, clinical and revenue cycle management capabilities. iCare provides a complete solution for clinical, billing and administrative functionality at a fraction of the cost of legacy software. A web-based user interface not only gives your users access to iCare from any device but it also allows the workflows to be configured to the way clinicians work. Legacy EHR systems are built on outdated client-server systems that are costly, closed, inflexible and slow to innovate. iCare is built with the future in mind. The industry’s most modern architecture, intuitive user interfaces, and rock solid performance – no other EHR comes close to iCare.

ediLive! claims processing software works with any NSF, ANSI, or print file claim image, allowing the HIPAA complaint transmittal of any practice management software's claim file. Additionally, ediLive! customers benefit from real-time connectivity and claim collections workflow management. ediLive! attaches all claim status messaging from payers directly back to the claim for easy follow-up and correction, taking all incomplete claims and compiling them into a single on-screen worksheet for fast corrections and resubmittal. If you use ediLive!, we have a wonderful product call claims scrubber that can help you to get your claims paid – not only faster, but better! Call our office to schedule a free on-line demonstration. We can scrub the first 100 claims for you as a free trial. Every coding error you make costs your practice money.

Designed specifically to mirror the typical patient journey from pre-admission to post-discharge, yet flexible enough to adjust to your unique processes, every staff member is guided to push workflows forward effortlessly and capture the information needed to ensure clean claims and maximum reimbursements. From patient intake and benefit verification, across every Utilization Review, marking attendance and getting claims out the door, working denials and collecting payment, we’ve got you covered. It has never been more critical to work smarter and not harder in the industry. We’ve raised the bar when it comes to liberating your teams from the burden of manual processes and workarounds with our automation and powerful claim rules engines. Managing your revenue cycle is like watching dominoes fall in a harmonious pattern. Continuous industry changes, new payer rules, declining reimbursements, tighter margins.

Eligible's powerful APIs are the easiest way to add insurance billing experiences into your applications. These accreditations assure patients and providers that Eligible has accomplished the strictest compliance with privacy and security best practices while processing millions of healthcare cases each month. We fully understand the role of a mature and proven information security program in meeting Eligible and customer goals. We are happy to announce the successful completion of our Type II SOC2 review. Achieving this certification helps us assure our customers and the companies with which we interact that we understand our responsibilities in keeping protected health information safe. Instantly deliver exceptional experiences for patient insurance billing to your end users. Run estimations, perform insurance verifications and file patient's claims all with simple APIs.

PlanXpand™ is Acero’s proprietary transaction processing engine, one that powers each of our products for health benefits administrators. Leveraging this engine, clients may choose to implement Acero’s products concurrently or incrementally. In addition to selecting one of our standard products, administrators also may choose to utilize PlanXpand™ to develop a custom solution to extend existing system capabilities. Acero’s unique, integrated solutions feature Service-Oriented Architecture, allowing health benefits administrators and insurers to add features and functions to existing adjudication platforms. At the same time, our sophisticated design and engineering enables real-time adjudication of every type of claim, all in direct interaction with the core claims system, resulting in more accurate processing, more satisfied customers and less need for claims adjustments.

Provide authorizations, claims processing and payment in real-time at the point of care. Enhance care coordination and improved outcomes to lower medical cost while streamlining administrative processes. Engage providers at the point of care to capture and share data in real-time resulting in an unparalleled exchange of health information. We partner with our clients to implement risk management strategies that result in better outcomes with lower costs. We strive to improve the user experience for everyone involved in the ecosystem. We deliver a minimum 3:1 ROI for our clients to allow them to optimize their resources. Conexia has developed a core technology platform (ONE) that is customizable to meet the diverse regulatory requirements and operational processes for each client in each geography. In most cases, our initial implementation is an overlay on the payer’s existing technology ecosystem to create real-time processes.

Enter gets Providers (doctors, practices & hospitals) paid faster than anyone in history. Enter processes health insurance claims and pays in 24 hours while automatically communicating and collecting patient responsibility with a white label collection engine, complete with payment plans. Enter is 30x faster at getting claims paid and 45x faster at getting patients billed at the same cost as existing medical billers. - $150mm+ of claims processed in just 1 year of operations. - $100mm credit facility actively being deployed for providers. - Revenue Cycle Management Partner for United Healthcare Nevada. - Enter supports a wide variety of specialties including ASC, Orthopedics, Neurology, Dermatology, Emergency Rooms, Behavioral Health, Pain Management and more. - Enter works with all commercial and government health insurance carriers. - Enter integrates with all EMR / practice management systems. - No monthly fees. No integration fees. - Enter is venture backed

In July 2012, Medical Data Technologies officially released Version 6 of it flagship product, E Med Pro. This new version uses Microsoft technology combined with a SQL database to even further enhance the user experience. To enable Physicians, Dentists and Billing Center to realize that full reimbursement potential using HIPAA Compliant claim processing software. Empower healthcare professionals with the most unique software and data processing solutions. Communicating with our customers, understanding their needs and how they use technology, and providing value through software, hardware and support to help them realize their potential. Broadening choices for clients by identifying new areas of healthcare technology; designing new products; and integrating our products into existing businesses. Enabling our customers to process claims, secure their computer systems and protect patient privacy with HIPAA compliant hardware, software and operating systems.

AirCare is a robust healthcare platform designed to help private practices run more efficiently and deliver a better experience to patients. For as low as $29 per month, AirCare offers independent healthcare providers with a host of tools to manage their practice from one easy place. AirCare comes with smart scheduling, patient self-booking, payment processing, 3-click insurance claims, and a patient portal.

Advocating for independent eye care professionals. Mendable helps independent eye care professionals get the most out of their insurance billing by providing premier medical billing and revenue cycle management services. We specialize in all medical billing matters, from claim submission, to accounts receivable aging and posting payments. Experienced, professional medical billers can ensure that your claims are accurately submitted in a timely manner. Spend more time focusing on what you do best—concentrating on patient satisfaction and providing quality care to your patients. Our team of expert billers uses intelligent technology automation tools to help increase billing efficiencies and create faster processes. Get in touch with us to set up a consultation, or use the contact form at the bottom of this page to enquire whether our services are right for you.

In the ever-changing world of healthcare, business and financial health is critical to the success of your healthcare organization. Get the people, products and processes you need for success that goes beyond simply getting paid. Revenue cycle management suite that helps businesses manage claims scrubbing, and review patients' eligibility through verifications. TruBridge is in the business of helping hospitals of all sizes get paid faster and get paid more through a combination of people, products and process optimization. Our arsenal of RCM offerings ranges from revenue cycle consulting, to an HFMA Peer Reviewed® product to complete business office outsourcing. TruBridge has been helping hospitals, physician clinics, and skilled nursing organizations become more efficient at serving their communities for years. Today, our trained experts stand ready to do the same for your organization, enabling you to overcome the unique revenue cycle challenges you face every day.

A single platform for operators to connect with patients & families, standardize their compliance programs, provide mock survey tools & reimbursement scrubbers and so much more. We reduce software fatigue and centralize all of your operational needs under one umbrella. We make it easy to import and connect with your existing tools using our partner integrations or custom API. Connect with your EHR and other patient data platforms to close the patient data care loop. We provide baked-in services and features you'd otherwise need to buy yet another software for. Harness the power of GreyMAR's toolkits to enhance your community's efficiency, image, and overall security across multiple fronts. Enhance your organization's Disaster Recovery (DR) process with GreyMAR's emergency preparedness suite, built exclusively for healthcare. Find more IPA opportunities with our powerful workspace builders. Build a tracker and add patients to an intelligent care schedule.

Conducting thorough checks on the financial eligibility of the patients, running their insurance’s analysis and monitoring discrepancies, the eligibility checker covers all. If however any error does creeps in the data submitted, our scrubber working on deep AI&ML algorithms is capable of scrubbing errors be it coding errors, incomplete or wrong patient financial information. The software, at present, has 3.5 Million edits pre-loaded in its memory. To further streamline the process, automatic updates are issued by the clearing house to inform about the status of in-process claims. Covering the entire billing spectrum from verifying the patient financials to working on denied or lost claims and also has a through follow-up feature for appeals. Our intuitive systems warns if a claim could be denied, taking corrective actions to prevent it but also is capable of tracking and appealing for lost or denied claims.

Automate your workflow and integrations, and put an end to the repetitive manual work associated with revenue cycle management. ESO Billing frees your team to focus on what they do best. In today’s reimbursement world, efficiency counts. ESO Billing was built to save you time at every possible point in the billing process. Even its interface has been freshly redesigned for the ultimate in speed and ease of use. Customize your workflow based on your business process, task-based workflow moves each claim through its stages with minimal touches. It even alerts you automatically when payments aren’t on time, for the ultimate peace of mind. Our payer-specific proprietary audit process ensures that each claim contains all critical billing information prior to claim submission. The result? The lowest clearinghouse and payer rejection rate in the industry. Pair billing with ESO Health Data Exchange (HDE) and ESO Payer Insights to tap into hospital-generated billing information with one click.

Provide real-time visibility of payor contracts to all your facilities. Easily monitor every payor-required rule for levels, notifications, and pre-authorizations to ensure you never miss a Managed Care reimbursement. Our SMART Recovery team complements your billing staff by pursuing older unpaid claims and reducing bad-debt write-offs. Gain transparency and take action on aged claims. Get started quickly with no upfront cost. Our Smart Recovery team works in your EHR to review the aged claims you assign us. No implementation or training is needed. For SMART Case Manager software, our implementation team handles the heavy lifting of setting up your payor contracts and integrating with your EHR and therapy software. Once it’s set up, your staff can be trained in just 90 minutes. In the first 30 days, you’ll save more time than it takes to launch DART Chart!

Benchmark PM enhances patient engagement from initial intake through final encounter with features such as patient onboarding, easy appointment scheduling, customizable reminders, robust reporting, and user-friendly dashboards. For billing, Benchmark PM simplifies filing, processing, and follow-up with integrated claims management, an integrated clearinghouse, electronic billing, insurance verification, and a versatile payment portal. Benchmark Solutions operates as healthcare practices’ one-stop management solution, comprising of Benchmark EHR software, Benchmark PM software, and Benchmark RCM services. Benchmark Solutions' offerings come together to form a comprehensive electronic toolset that can streamline daily internal operations and increase revenue earned all while improving the overall patient experience. Each piece of the Benchmark Solutions suite is modular so it can easily integrate with other technologies already in place.

Flash Code™ is a coding product designed for the healthcare community. Our goal is to provide exceptional, simple to use, cost-effective software which is provided with unsurpassed customer service. We are a division of Practice Management Information Corporation - the leading independent publisher of coding books. Our team can provide a complete solution to meet your coding and compliance needs via our software and print products. Thanks for taking a few moments of your valuable time to explore what Flash Code can do for you. The merger creates an opportunity for MCCS to provide sophisticated electronic coding and compliance solutions to the health care industry. From the physician checking for medical necessity codes at the point of care, to the insurance manager validating diagnosis codes, or the benefits analyst reviewing health insurance claims for correct coding initiative compliance, MCCS provides a solution to facilitate the process.

Streamline the claims process for your patients with an easy-to-use online service. With eClaims you can Delight your patients by submitting claims on their behalf. You’ll reduce their out-of-pocket expenses and help give your practice an edge on the competition. Reduce clients' out-of-pocket expenses, minimizing the credit card fees associated to your practice. Help attract new clients and retain existing ones with a proven increase in return appointments. When registered, you also benefit from free marketing. Once registered, view patients’ insurance coverage and submit claims electronically. Get instant responses from insurers. Start using it without any specialized hardware or software. Save on credit card fees by charging your clients only the portion not covered by their insurer. View your past transactions to ease payment reconciliation. Select whether payment should be assigned to either the healthcare professional or the patient.

ElderSuite Adult Day Care Software is the leading management software designed specifically for Adult Day Care providers. ElderSuite Adult Day Care Software a complete solution for both medical and social based Adult Day Care service providers. ElderSuite Adult Day Care Software was initially designed for Texas based Adult Day Care providers. Since 1995, ElderSuite Adult Day Care Software has continued to evolve and currently helps increase productivity for more than 3,600 users in 26 States across the nation. It offers service providers the greatest value available by providing Adult Day Care Service providers the "Lowest Cost to Entry" and quickest "Return on Investment". ZERO-RISK & ALL-INCLUSIVE - Free Support - Free Training - Free Updates Our "Increased Revenue & Decreased Cost Guarantee" are backed by our Guaranteed "Lock-In" Subscription Rate, and our "No Questions Asked" Cancellation Policy.

Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS.

Harmony Medical is a trusted leading provider of electronic health record, practice management, and revenue cycle management software solutions. Purpose-built for independent medical practices, Harmony is a fully integrated HIPAA compliant practice management platform that helps streamline your practice in order to improve patient care and enhance your bottom line. The solution features a variety of tools for easy scheduling, robust reporting, comprehensive claims scrubbing, insurance and patient billing, patient history, patient tracking, patient referral tracking, and so much more.

A better way to improve your care and gain referrals. With Value-Based Purchasing (VBP) and the new PDPM model, it is now more important than ever to have access to actionable, real-time SNF performance data that helps to: Improve readmissions, quality of care and outcomes, Demonstrate value to referral partners and payers, Better manage high-risk residents and resource usage, Successfully navigate PDPM and VBP. SHP for Skilled Nursing is a web-based performance improvement program that enables you to proactively manage your readmissions, functional outcomes, staff resources, and helps you to improve your referral partnerships and payer relationships. Strategic Healthcare Programs improves quality and optimizes performance of home health agencies, hospices, skilled nursing facilities and hospitals by providing real-time actionable analytics, benchmarks and dashboards.

Nobility RCM offers full medical claims and collections services as well as a Pre-Funding model that eliminates financial hassles. It helps improve patient satisfaction and increase revenues. Nobility RCM offers full medical billing services, including claims and collection management and comprehensive billing reviews, to optimize revenue in-flow. Nobility RCM clients have exclusive access to Nobility Pre-Funding, an option that ensures guaranteed revenue for healthcare organizations. We pay your claims and then collect from the insurance companies on your behalf, giving you immediate access to capital alongside our all-inclusive billing solution. If the analysis and assessment lead to an approval, you are invited to apply for Pre-Funding and a revenue payment schedule is provided to stabilize your cash flow.

Gentem Health is a platform that transforms the reimbursement experience by not only handling the end-to-end billing and revenue cycle processes, but also advancing payments to private medical practices. Nothing falls through the cracks. Our platform serves as a single source of truth to understand your billing operations and monitor your core metrics so you’re always on top of your revenue. We support the imperative need for cash flow and capital to fuel sustainable growth. Get access to working capital while Gentem submits, scrubs, and pursues your claims. Our specialty-focused experts — empowered by cutting edge technology — are dedicated to maximizing your collections. Technology built to drive results. State-of-the-art analytical tools and A.I. powered automations give you more control over your practice’s revenue than ever before. Gain complete transparency into your claim process with real-time performance analytics and timely alerts to ensure that no claim is left behind.

EZClaim is a medical billing and scheduling software company that provides a feature-rich practice management system specifically tailored for small to medium-sized provider office and outsourced medical billing firms. It also includes integrations with a number of EMR/EHR vendors. Whether you are a doctor, practice manager, or billing service owner, EZClaim Billing is designed with you in mind, simplifying your claims management from data entry to payment posting, and beyond. EZClaim primarily supports the following specialties, General Practice, Therapy, Vision, Surgical, Medical Specialties, Home Health Care, and Outsourced Medical Billing Services (RCM). However, the software is very adaptable and can be used for many other billing specialties. EZClaim’s billing software allows the creation of insurance payor lists for Medicare, Medicaid, Tricare, Clearinghouse payer IDs, governmental MCO’s, auto insurance, and worker compensation groups.

Maximize your appointment calendar with improved visibility into your clinic's schedule and provider availability. View and schedule appointments across many providers, rooms or locations to ensure a steady patient flow. Automatically invite patients to complete patient intake online. Custom digital paperwork can be completed and submitted using a smartphone or personal device. The patient's data will sync directly to their patient chart. Reduce no-shows with perfectly timed patient reminders via email and text message. Patients and staff can communicate, confirm or reschedule with two-way text messaging. Easily generate claims from patient notes and suggested ICD-10 codes. Automatically scrub and submit claims electronically. Services to manage your entire billing process, from submission to payment collection. Quickly create defensible, legible, and comprehensive clinical notes with documentation templates, assessment reports and pre-populated patient data.

For providers, medical necessity denials cost thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. For payers, the same is true on the other end of the claim management spectrum: Paying for medically unnecessary procedures and treatments – and time spent working on denial appeals – raises costs without improving outcomes. And of course, for the patient, there can be unnecessary copays and other out-of-pocket costs, not to mention a poor patient experience involving costs and moments of care they did not need. ABN Assistant™ from Vālenz® Assurance delivers the prior authorization tools providers need to validate medical necessity, print Medicare-compliant ABNs with estimated cost, and stop over 90 percent of medical necessity denials by verifying necessity before care is delivered to the patient.

Transform Billing For Your Health Organization. Logik elevates health organizations by improving billing processes, increasing revenue collection, and optimizing patient care. Maximize your revenue with our powerful health billing software. Our intuitive platform streamlines billing processes from charge generation to collections, improves your clean claims rate and accelerates cash flow. It’s built for enterprise-level behavioral health practices—addressing the specific needs of this market including insurance requirements. We are industry experts with deep insight into the operational strategies that help behavioral health practices thrive. From improving claims and patient management, implementing specialized software, to other aspects of your practice, we help you identify new opportunities to optimize workflows and create efficiencies.

BellMedex offers an all-in-one, HIPAA-compliant EHR solution. Our integrated system covers everything from patient registration to claim approval. We prioritize data security, reducing breach risks with our self-contained ecosystem. What sets us apart is our customizable platform, designed to accommodate every healthcare provider's unique workflows and preferences. Trust BellMedex for efficient, safe, and personalized healthcare management. BellMedex offers an all-in-one, HIPAA-compliant EHR solution. Our integrated system covers everything from patient registration to claim approval. We prioritize data security, reducing breach risks with our self-contained ecosystem. What sets us apart is our customizable platform, designed to accommodate every healthcare provider's unique workflows and preferences. Trust BellMedex for efficient, safe, and personalized healthcare management.

Cortex EDI provides medical, institutional, and dental practices with all the services they need to increase efficiency in the workplace. Our free medical billing software and claims clearinghouse software can help you streamline your workplace processes. We have the user-friendly tools you need to help you manage client billing and save you time. Our tools also provide you with such necessities as patient eligibility verification for private health insurance, Medicare, and Medicaid. We provide our free medical billing software to medical, institutional, and dental practices with no signup fees and no contracts. Sign up today to receive free training on how to properly use our practice management and medical claims clearinghouse software. Consolidate your various EDI service needs with Cortex EDI today to start streamlining your workplace processes. Cortex EDI is a leading clearinghouse and practice management software vendor for electronic medical transactions.

Processing high volumes of medical claims through intelligent automation helps businesses deliver higher levels of efficiency that does more than reduce costs. For organizations that rely on manual processes, managing medical claims documents and data is labor-intensive and error-prone, injecting unnecessary risk into the process. With ClaimAction medical claims processing software from Artsyl, your organization can improve margins, minimize touch points and eliminate processing bottlenecks. Capture medical claims data without the need for custom software coding. Route claims data and documents automatically to the right claim examiner, based on your business rules. Configure complex benefits and reimbursement rules to streamline processing and reduce payment delays. Respond quickly to changing government regulations and support data, document and process compliance.

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.

Suitable for all skill levels. It’s as simple as taking a picture of a wound with a smartphone, and clinicians are able to evaluate wound health and create the necessary documentation for reimbursement. Improve star ratings by keeping wounds from worsening and preventing readmissions. Turn wound care success into a marketing tool to attract more patients. Admit more complex wound patients with confidence. At Swift we believe that the future of healthcare will be ushered in by reimagined health care technologies, designed with deep empathy, that enable new levels of clinical care. Smartphone cameras have reached the limits of their clinical utility. In order for healthcare on this planet to make its next great advance, we need new technologies – in the hospital and in the home – that let us reimagine how care can be provided. At Swift, we’ve built the world’s most advanced smartphone imaging platform, allowing research-grade clinical images to be taken anywhere that patients may be.

TMP streamlines regulatory compliance by helping to automate the quality assurance processes. Find out ways you can save money, grow revenue and transform your organization. Making digital transformation a reality for providers. How would you like for your QIDPs, case managers, nurses, and other members of your staff to enjoy their jobs and look forward to coming to work knowing they have a virtual assistant in TMP? We can enhance your organization’s systems, automate cumbersome tasks, eliminate duplicate efforts, and reduce the cost of delivering services; positively impacting your bottom line. Most importantly, with TMP, you can transform your resources to focus on those you serve rather than processing paper and jumping through often cumbersome regulatory hoops. For each new client, comprehensive training is provided to key staff. The flow of information is orderly and dynamic allowing for improved client care and improved operations.

Reslink is a workforce and facilities management system suitable for facilities service providers. It can be used to manage a wide range of FM services. Workforce onboarding, training and offboarding. Task assignment and scheduling. Time and attendance monitoring. Soft FM service provision. Asset and inventory management. Integration with third-party systems, such as ERP applications, and IoT technology is available. The Demo will represent a small part of our Admin-panel platform. You can always contact us to get to know more or ask for more features. Project planning and consultancy is part of our business. With our expertise, we can help you transform your business to become fully digital and remain to comply with your existing processes. A workforce and facilities management system for facilities management service providers to build processes that represent every aspect of a facilities management service contract.

Caribou automates resident care workflow processes for Community Living Centers through VistA-integration and streamlines MDS care plan scheduling and tracking within an externally hosted environment. We assist VA in meeting top initiatives, changing regulatory requirements, and implementing enhanced business processes that support clinical, financial, logistical and administrative objectives, for better Veteran outcomes. LiveData Periop Manager provides hospitals and surgeons with the tools to better manage, track and improve surgical performance. Six modules can be leveraged individually or collectively to integrate real-time data with workflow automation. In today’s increasingly value-based healthcare environment, complete and accurate documentation is vital to ensuring the highest quality of patient care. CNT Plus automates clinical note-taking, and empowers providers to save time and produce accurate, consistent, compliant progress notes.

Our light-touch workflow engagement platform helps care providers automate communications and engagement to simplify healthcare journeys for patients, families and staff. Better equip your team so updating patients, resident families and staff becomes second nature. Eliminate the burden of manual outreach so teams can focus on what matters most: caring for residents/patients. Be prepared for unforeseen situations by having a good communication plan and the right tools in place. Automated Care Messaging is a communications platform that works inside and alongside the tools you already use and adapts to the way you use them. Sold and supported by PointClickCare as well as compatible with any other EHR, our light-touch solution makes communicating with residents, families and staff a breeze.

PLEXIS’ suite of best-in-class apps has a proven record of giving payers the extended functionality necessary for modern core administrative ecosystems. From real-time benefit administration and adjudication to automatic EDI transmission and self-service customer portals, PLEXIS Business Apps have you covered. Passport provides essential connectivity from the core admin and claims management engines to PLEXIS business apps, your own apps, and existing in-house systems. With its flexible API layer, Passport delivers real-time integration with portals, automated workflow toolsets, and business apps. Connectivity is limitless. Streamline workflows with a centralized, modern core administration & claims management platform. Process claims in a timely and accurate manner, and automate the complexities of benefit administration to capture a quick ROI and deliver superior customer service.

How well you manage the challenges of your revenue cycle has a direct effect on your bottom line and the success of your entire organization. It doesn’t matter how many patients seek your care if it’s taking months to receive the expected payments for the services you provide. And, you shouldn’t have to spend hours each day tracking down the payments you’ve worked hard to earn. There’s a better way to maximize healthcare reimbursement. Let Quadax be your guide to creating a comprehensive, sustainable and orderly strategic plan, and select the right technology solutions and services that best fit your business model. With us as your partner, you can achieve operational efficiency, optimize financial performance and enhance the patient experience. The goal for every claim going out the door is to avoid a denial and get paid as quickly as possible.

Nexus EHR is a cloud-based EHR and PM platform for clinical healthcare providers. Our EHR works with your clinical workflow and maximizes the physician-patient encounter. Access anywhere, any time, and with any device (PC, Tablet, Mobile). Breeze through encounters via our intuitive, easy-to-use interface that allows you to practice naturally. Multi-modal data input allows for maximum flexibility. Nexus Practice Management systems help you manage all billing activities, claims, and ERAs to maximize your revenues. Nexus EHR offers telemedicine to connect with your patients remotely. Nexus's Patient portal offers great flexibility to patients to fill all the demographics, insurance information, and histories online at their convenience.

MediFusion is a fully integrated suite of software designed to offer innovative EHR and medical billing solutions to healthcare practices and enhance clinical, administrative and financial operations. Our team is just a phone call away to provide ongoing EHR training and be there for you whenever you need help and support. Speed-up your clinical processes and automate your workflow with our all-in-one integrated solution. A system that manages the entire revenue cycle from Eligibility Verification to Claim Processing and getting paid. Our cloud-based Electronic Health Record (EHR) software is an integrated and scalable solution to enable your practice to improve the quality of care provided to patients. This easy to use web-based EHR platform allows you to document, access and track your Clinical and Financial information on any internet-ready device no matter where you are.

More compensation from payers means more services for your clients, patients, and community. Outsourced billing services through SMART Health Claims or EmpowerMax Billing provide you with all the benefits of our technology while we do most of the work to increase your funds. Designed for behavioral and mental health, EmpowerMax Billing enables your organization to eliminate common issues with in-house billing, like key personnel absence or loss, under- or over-staffing, disorganization in the department, and inadequate billing supervision. EmpowerMax Billing provides a team of billing experts to handle medical claims billing, cash application, corrections, and follow up for you.