InvisaClaim
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
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Healthicity Audit Manager
For medical auditing, Audit Manager streamlines the way you manage audits by merging audit workflow, management, education, and reporting into one easy-to-use, web-based solution.
Audit Manager brings simplicity by helping you:
Identify Revenue
Evaluate financial impact. Minimize denials and identify up to 10%, per provider, in missed revenue with extensive reporting and analytics tools.
Increase Efficiency
Improve your auditing efficiency by up to 40%. Reduce the amount of time you spend completing audits with our user-friendly interface.
Improve Accuracy
Customize your audit templates. Include your own standards, MAC carrier guidelines, and claim scrubber tech for ideal results.
Audit Manager features:
Built-in Tableau integration for in-depth analytics and reporting.
Flexible Audit Management: View the status, and each associated status, of every audit, by any auditor.
E/M Calculator
Automatically calculate E/M codes with a built-in calculator.
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Axora
Axora AI is an intelligent, end-to-end claims engine that blends AI-powered automation with billing expertise - managing everything from eligibility to payment posting.
But it’s more than automation. Axora AI prevents denials before they happen, adapts to payer rule changes, and prioritizes what matters - so you recover more revenue with less effort.
1. Manages your full claims cycle from start to finish
2. Flags denial risks before submission
3. Prioritizes actions that improve cash flow
4. Seamlessly fits into your EHR, payer, and finance systems
5. No migrations. No disruption. Just faster, cleaner payments
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CombineHealth AI
CombineHealth AI is the creator of Amy, Marc, Emily, and Diana — an advanced AI workforce designed to power end-to-end Revenue Cycle and Practice Management services for healthcare groups nationwide. These solutions are built on a proprietary foundational model that delivers 99.2% accuracy and ensures 100% compliance with coding and billing guidelines. The AI workforce helps reduce coding errors, enhance coder productivity, and address physician documentation challenges. Organizations using these solutions have seen a 35% increase in clean claim submissions and a significant reduction in denial rates. The AI employees work seamlessly alongside human teams, performing key functions such as medical coding, billing, data entry, A/R follow-up, and denial management — while providing detailed, auditable reasoning for every action taken.
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