Alternatives to OHIPay

Compare OHIPay alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to OHIPay in 2026. Compare features, ratings, user reviews, pricing, and more from OHIPay competitors and alternatives in order to make an informed decision for your business.

  • 1
    Virtual Examiner

    Virtual Examiner

    PCG 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.
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    MDBilling.ca

    MDBilling.ca

    MDBilling.ca

    MDBilling.ca is a secure, online medical billing software. It is the only billing software with Clinical Logic that uses an advanced rule-based engine to help you optimize claims to prevent rejections and maximize your revenue.
    Starting Price: $0.01/month/user
  • 3
    Clinicaid

    Clinicaid

    Clinicaid.ca

    ClinicAid helps you efficiently optimize your time by letting our cloud based medical billing software do the heavy lifting for you. Keeping patient care as your priority requires keeping administrative work to a minimum with next generation medical billing and coding software. Automatically add your practice and patient information to claims and avoid complicated workflows. ClinicAid physician billing software keeps your practice on track with powerful report options designed with feedback from our clients. That means you have detailed Remittance, Rejection, Efficiency, and other vital reports available at a click. The reporting within our medical billing software meets your changing practice needs. You can customize and save your own reports with up to 46 individual data points for maximum intelligence in your practice.
    Starting Price: $19 per month
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    eClaimStatus

    eClaimStatus

    eClaimStatus

    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.
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    PracticeAdmin

    PracticeAdmin

    PracticeAdmin

    PracticeAdmin Scheduling reduces no-shows and improves your patient interactions by providing the data you need on demand. Using our proprietary rules-based architecture, you can set up your own preferences — whether you’re a solo provider, small to medium sized organization or a provider with multiple locations. Create your own scheduling templates for an unlimited number of locations and set up automated patient reminders. Billing is your one stop tool to manage patient registration, claims and payment. You can track all of your patient information and prior authorizations. It integrates easily with your EHR and helps keep track of your Meaningful Use certification. Billing lets you know if your claim has an error before it’s sent. Quickly re-submit your claim with no penalty, and monitor all of your EDI rejections.
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    ESO Billing
    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.
  • 7
    Personal Billing Assistant
    The Personal Billing Assistant (PBA) is a web-based OHIP billing application that can access claims from any computer with an internet connection. It provides an incredibly simple interface and a vast array of billing features. Secure data encryption (SSL). Premiums are automatically calculated. Automatic time unit calculation for anesthetists and surgical assistants. Unlimited telephone support. Ideal for solo physicians, AFP’s, groups, and billing services. Enter and submit a bill into claim entry quickly and easily. Create a wide variety of financial and statistical reports. Integrates with CAIS Scheduler. Transition existing Desktop PBA data to Web PBA. Auto-populated new patient information from the MOH. Customizable premium and common procedure quick selection list. Elegant and efficient interface with custom colour options. Call us today to find out what makes PBA the best billing solution in Ontario.
  • 8
    ClaimBook

    ClaimBook

    Attune Technologies

    ClaimBook enables faster settlement of insurance claims, improved accountability and fewer rejections. It is well equipped with the features to address every part of the claims and evidence submission. ClaimBook supports international patient treatment with dedicated workflows, therefore enabling medical tourism. A built-in Rules Engine that disallows incomplete submissions, and knows what information and documents need to be submitted. This results in error-free submissions that are complete and guarantees that it is pre-authorized. ClaimBook's Smart Data Extraction can read documents uploaded to extract relevant data from the Hospital's Information System (if integrated with ClaimBook) to prevent the need for manual entries. ClaimBook also features Integrated Emailing by creating a virtual inbox in your dashboard. Withing the dashboard, emails can be composed, the design feature is similar to Microsoft Outlook.
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    Spenmo

    Spenmo

    Spenmo

    Spenmo understands that different companies have different spending patterns. Simply forward your bill payments to Spenmo- be it 1 or 1000s. Our system scans the invoice and carries out the payment. Spenmo allows you to use your credit cards to make non-card payments. Use Spenmo to easily log, check and pay employee expense claims. Spenmo helps you empower all your employees with virtual and physical corporate cards. Simply forward your bill payments to Spenmo- be it 1 or 1000s. Our system scans the invoice and carries out the payment. When turned on, submitted invoices will be assigned to an Admin for review. Admins can approve, reject transactions or reassign to another admin.
    Starting Price: $0.5 per transaction
  • 10
    CureAR

    CureAR

    TechMatter

    CureAR is an AI-powered medical billing and revenue cycle management software designed for in-house billers, billing companies managed-service providers and DME companies. The software consolidates eligibility verification, charge capture, AI-assisted coding suggestions, claim scrubbing, electronic claim submission, ERA ingestion, and automated payment posting into a single cloud-hosted system. It is configurable for specialty billing rules and supports multi-tenant operations for practices that handle multiple client accounts. Key Features: AI-assisted coding and claim scrubbing: Machine learning highlights likely coding errors and applies payer-specific validation rules before submission. Real-time claim status and alerts: Tracks claims from submission to adjudication and surfaces exceptions for prioritized follow-up. ERA ingestion and automated posting: Electronic remittance advice handling with configurable reconciliation workflows reduces manual posting effort.
    Starting Price: $129/month/user
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    ARIA Coding Services

    ARIA Coding Services

    CompuGroup Medical US

    ARIA Coding Services is designed to assist healthcare providers in navigating the complexities of medical coding, ensuring accurate documentation and timely reimbursements. The service offers three customizable levels to meet varying practice needs. Experts conduct monthly reviews of coding denials and rejections, providing recommendations to improve standard operating procedures and offering optional baseline evaluations of Evaluation and Management (E&M) documentation. Specialists review documentation to confirm coding accuracy, examining superbills, invoices, claims, E&M visits, surgeries, procedures, tests, modifiers, and ICD-10 usage. They deliver regular reports and address discrepancies to enhance coding procedures. A comprehensive service where specialists handle coding directly from provided documentation, ensuring proper entry of charges, thorough documentation in patient notes, and correction of coding rejections or denials as needed.
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    QuickClaim

    QuickClaim

    Hype Systems

    We understand that people don't need their software to do everything. Especially not across specialties, practices, clinics, and hospitals. That is why we have created systems that are modular and will fit what YOU need. The front end (users) offers an intuitive, clutter-free interface; while the back end utilizes cutting-edge technology and database engines to ensure your data is safe and secured. And so you get paid... the first time! Used and loved by over 1,200 Ontario physicians, billing agencies and small to large multi-location clinics and hospitals. QuickClaim’s finesse has the feel of a well-thought-out tool. QuickClaim fulfills many roles. QuickClaim works with other systems like QuickReq, QuickDOCs and third-party systems via HL7 and flat files. Additionally, QuickClaim acts as the offline version of HYPE Medical during rare occasions of Internet failure. As an offline system, it runs independently of the Internet.
    Starting Price: $1400 one-time payment
  • 13
    ImagineBilling

    ImagineBilling

    ImagineSoftware

    The industry’s first intelligent, multi-specialty medical billing software. Streamlining billing and patient collections for over 75,000 physicians across the country. Globalized data eliminates the need for duplicate entry. Visit-driven to allow for large volume and complex information. Flexible data structure accommodates requirements across multiple practices and specialties. Helping you get paid faster. Post payment manually or through electronic remittance. Automatically scrub claims for errors and missing information. Automatically refile insurance claims based on selected criteria. Fast review to evaluate and approve charges. Audit charges by modality, procedure, insurance, user, doctor or date of service. Intuitive reports for tracking the financial health of your front-end and back-end billing. Never lose another charge again. Integrates with your preferred clearinghouse or statement vendor.
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    AltuMED PracticeFit
    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.
  • 15
    Vyne Trellis

    Vyne Trellis

    Vyne Dental

    You have better things to do than sit on the phone. That’s why our real-time eligibility tool allows you to quickly verify your patients’ benefits, regardless of their plan. Gone are the days of paying transaction fees for claims, attachments, and checking eligibility! Our plan includes all features for one monthly fee. Subscribe to Vyne Trellis™ and gain the benefit of our team of industry professionals. With us, you can keep a tab on claims, claims that put money back in your firm’s pocket. Regardless of the size of your practice, our platform can handle any volume of claims. Vyne Trellis™ is integrated with the claims administrators and clearinghouses you need. Our dashboard sends you rejection reasons, status updates, and other smart notifications, so you can keep your claims moving. And if you get a little stuck on a claim, our support team is here to help! No more multiple tabs or windows. You can access virtually all of your data and documents, like ERAs and attachments.
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    AdvanceClaims

    AdvanceClaims

    MP Cloud Technologies

    Our seamless ePCR and Clearinghouse integration means no more switching back and forth between different apps to get things done. It doesn't matter which ePCR system your customers use, AdvanceClaim for billing companies handles them all. With Automated Imports from most ePCRs, one-click searches, and auto-population of key claims data, AdvanceClaim for agencies maximizes accuracy and efficiency by reducing redundancy and human error. Say goodbye to downloading massive remittance files, uploading claim files to your clearinghouse, and waiting for validation. AdvanceClaim does automatic submission through our fully integrated clearinghouse so you be confident claims or batches are processed. Quickly get a view of performance across all your clients with our multiple tax ID rollups, or break the reporting down by geography, client size, billing volume, and much more. The entire system is 100% HIPAA, ICD-10, and HITECH compliant; and runs on AWS.
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    Dr. Bill

    Dr. Bill

    Grouse Software Labs

    Dr. Bill makes billing on the go easy and pain free. Add a patient in as little as 3 seconds and submit a claim with just a few taps. Remove the pain of manual data entry, paper, index cards and clunky software. Take a picture of a patient label and log your claims in seconds. We alert you in real-time with tips and suggestions to help you maximize your billing. No need to memorize codes. Select from a list of favorites or simply search by keyword. Our easy-to-use app makes billing simple and convenient. As new patients roll in, Dr.Bill keeps up. All it takes is a simple snap of a patient’s label to add their profile information to your account. Find the Right Codes Quickly. When it’s time to find the code you need, Dr.Bill is ready. We make it easy to search and even save the ones you use the most. Get Helpful Tips. It pays to know the ways to maximize your claims. Dr.Bill keeps you up to date with tips and suggestions.
    Starting Price: $30 per month
  • 18
    ClaimScore

    ClaimScore

    ClaimScore

    ClaimScore is the only independent software solution dedicated to resolving the ever-expanding claim fraud problem in class action settlements. Each claim is reviewed individually using our proprietary AI, ML, & Cloud Architecture in real-time and each result is reported instantaneously in an interactive dashboard. Each claim begins with a ClaimScore of 1,000 and is reduced each time it fails a criterion. Each criterion has either a fixed weight or sliding weight depending on both the correlation to fraudulent claims and the correlation to valid claims. To maximize transparency, each claim is tagged with deduction codes associated with the criteria it fails, thus ensuring that the parties, the administrator and the court definitively know all specific reasons why each claim was rejected.
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    PatientStudio

    PatientStudio

    PatientStudio

    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.
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    Nobility RCM

    Nobility RCM

    NobilityRCM

    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.
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    PatentSolve

    PatentSolve

    PatentSolve

    PatentSolve is an AI-powered platform that helps patent practitioners respond to USPTO office action rejections in minutes instead of hours. Upload an office action and PatentSolve analyzes every rejection — §102, §103, §101/Alice, and §112 — mapping claim limitations to examiner arguments automatically. It generates attorney-quality draft responses with proper claim-by-claim structure and accurate citations. Key features: - Office action analysis and response drafting - Real-time examiner intelligence from USPTO data (allowance rates, art unit trends) - Patent proofreading (antecedent basis, claim dependencies, spec cross-references) - Glass Box transparency — every AI conclusion links back to source text for verification Built for patent practitioners at firms of all sizes who want to spend less time on mechanical analysis and more time on prosecution strategy. Free tier available — try it with no credit card required.
    Starting Price: $75
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    Reimbursify

    Reimbursify

    Reimbursify

    Reimbursify is the first and only mobile-enabled, software platform delivering a truly innovative solution empowering patients, serving practitioners, and enabling digital partners to easily file out-of-network reimbursement claims for medical and mental health services. Reimbursify is the fast, easy way to file out-of-network (OON) reimbursement claims from your health insurance company! Our intelligent app takes the pain and trouble out of claim filing to make sure you get all the money coming to you. Fast, streamlined registration for primary insured, spouse & dependents. Smart dashboard manages all your claims and keeps track of money you’re on track to collect. Proprietary Rejection Resolution Pathway to help resolve rejected claims fast. Provider search function that auto-populates provider information.
    Starting Price: Free
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    MedLedger

    MedLedger

    Health Data Services

    MedLedger includes many features that can improve your addiction clinic performance. Submit professional and institutional electronic claims for all services, both in-patient and out-patient. Easy patient billing and the ability to take pre-payments via credit card or online payment portal will make MedLedger the only software you will need to efficiently run your clinic. We have worked with traditional practices for over 25 years. We offer physicians the very best and most affordable practice management and EHR solutions available with our MedLedger software. Fast claims submission, patient statement print and mail services, electronic prescribing, and more all at a low monthly cost. Our software is being used by some of the best-known players in the addiction recovery industry. MedLedger offers a user-friendly and price-effective choice for practices that need to submit both Professional and Institutional claims.
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    Pro Health Billing

    Pro Health Billing

    Pro Health Billing

    Pro Health Billing's Medical Billing Software has simple tools that help with data entry, automated task that take only minutes to setup and very easy to use. You can print your first claim in 20 minutes! With tools like Auto-Codes, Repeat Last Claim and Auto Co-Pays. Pro Health Billing is a wrist saver! Small Medical Practice Companies love Pro Health Billing's Claim and Patient Scheduling Modules. Together they become a powerful tool that cuts your workload almost in half! With tools like Non Payment and Non Billed Alerts your revenue will increase as your workload shrinks! 'Pro Health Billing' is the best medical billing software to help you bring in more income and quickly! With our Claim Catcher Dashboard and our industry leading 'Revenue Cycle Manager' to fix those alerts, claims never go unnoticed! Know the status of all your claims with just a glance.
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    Quanum RCM

    Quanum RCM

    Quest Diagnostics

    Quanum Revenue Cycle Management (RCM) delivers a holistic solution for managing the financial component of a medical practice with a focus on increasing revenue. Created by Quest Diagnostics, a leading provider of pre-employment drugs-of-abuse screening for employers and risk assessment services for the life insurance industry, Quanum RCM offers a complete medical billing solution, from billing claims to denial management and other billing related activities and support.
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    CMS-1500 Software

    CMS-1500 Software

    Med Claim Software

    Our CMS-1500 software is an excellent choice for submitting claims by paper. Download a free trial. We can get you started with the software right away! Order online and our secure shopping cart will guide you through the process to receiving a code which will activate the software any time of the day or night. Type data on the screen as it would be typed on the form itself. Or import from excel (xls or xlsx). Print on pre-printed red Medicare forms or print the entire form in black & white. Align print perfectly with any printer. Save common data for quick completion and to eliminate redundant typing. UB-04 Forms are medical insurance claim forms used by facilities such as hospitals, inpatient and outpatient clinics and ambulatory surgery centers to bill insurance companies for services rendered. The CMS-1500 software functions on any Windows operating system. The software functions on networks or stand-alone personal computers and will work with any printer.
    Starting Price: $69.95 one-time payment
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    Altair

    Altair

    Altair Health

    Insurance companies run AI to review, adjust, and deny claims. Most practices still work them by hand. Altair closes that gap: an AI-native, done-for-you medical billing service that runs your full revenue cycle, from eligibility and prior authorization to claims, denials, and appeals, backed by a US-based team of expert billers. It is a service that does the work, not software your staff operates. Altair scrubs claims against payer edits and medical-necessity policies, works denials to root cause, files appeals, and learns how each payer behaves. It also runs patient billing and collections for you: statements, payment reminders, payment plans, follow-up on unpaid balances, and aged patient A/R, so the patient share is collected in full. Coding and charge capture stay with your practice; Altair runs everything else. It works with every EHR, and a live view shows what is billed, paid, and at risk. Payers built their AI to pay you less. Altair gets you paid in full.
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    Stipulate

    Stipulate

    Stipulate Technologies Inc.

    Stipulate is a web-based commercial claims evaluation platform for businesses assessing past-due B2B accounts before pursuing collection or litigation. It evaluates account information against claim-related factors, including the governing statute of limitations and jurisdiction, agreement fee-recovery provisions, and debtor classification, and returns an accept, review, or reject outcome with a supporting citation. Users can evaluate accounts individually or upload portfolios using CSV files. The platform is described as mapping columns from aging exports, calculating deadlines by jurisdiction and claim type, and retaining an evaluation history for each account. Results can be downloaded as a scored spreadsheet. Stipulate is intended to help businesses prioritize accounts for further review.
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    Paradigm

    Paradigm

    Paradigm

    Paradigm Senior Services offers a full-service, AI-powered revenue cycle management platform specifically tailored to home-care agencies that bill third-party payers such as the U.S. Department of Veterans Affairs (VA), Medicaid, and other managed-care payers. It automates and streamlines every step of the billing and claims process: from eligibility/authorization verification, state- or payer-specific enrollment and credentialing, to submission of clean claims, denial handling, and payment reconciliation. It integrates with common agency management software and electronic visit verification tools to scrub shifts, verify authorizations weekly, and reconcile payments, reducing denials and minimizing administrative burden. Paradigm also supports “back-office as a service” for providers; even if they already have internal billing staff or scheduling software, Paradigm can take over claims processing as a specialized, expert billing department.
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    Iridium Suite

    Iridium Suite

    Medical Business Systems

    Iridium Suite was developed with a focus on seamless processing of electronic claims and electronic remittances through its fully-integrated, web-based program. Shavara is an innovator in the field of medical billing software. Shavara's differentiator is the cumulative experience of 100+ years of laser focus in solving gaps and vulnerabilities in billing, coding and connectivity. Iridium Suite is purpose-built for Oncology. Built-in capability to enable Record & Verify integration; OncoChart integration; CureMD integration are powerful features matched to the requirements for Medical Oncology and Urology Billing Software. Shavara's Iridium Suite features leading-edge technology such as a built-in scheduler, a customizeable automatic medical claim scrubber, seamless electronic billing, and premium reporting. Iridium Suite is platform-agnostic, allowing you to use it as Medical Billing Software for Mac, PC, and even Linux systems.
    Starting Price: $425 per month
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    E-COMB

    E-COMB

    KBTS Technologies

    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.
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    ResolvMD

    ResolvMD

    ResolvMD

    ResolvMD is an experienced full-service medical billing company that processes all health service claims (AHCIP etc.) on behalf of physicians. Our goal is to make physicians as confident and competent in their billing as they are in their practice through surfacing data-derived insights and democratized knowledge. We have the most modern, cost-effective, and secure platform on the market for processing claims. Our target audience are physicians (mainly specialists such as emergency physicians, urgent care, plastic surgeons, anesthesiologists, paediatricians, general surgeons etc.). They need a billing agent to process their health service claims. They value time, trust, cost, efficiency and knowledge. We are targeting physicians in Alberta today (mainly in Calgary, Edmonton, Red Deer, Medicine Hat, Lethbridge, Okotoks and any other centre with a population in excess of 25,000.
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    w2bill Payments

    w2bill Payments

    CMAS Systems Consultants

    w2bill Payments manages the request of funds, tracks its defined time-to-live, handles the acceptance and rejection responses, and reconciles the information with the infrastructure's systems, regardless of their roles. Supporting and enabling: real-time payment requesting, cancellation, confirmation and rejection. Processing and generating files offline: received from or sent to financial institutions. Real-time communication models: synchronous and asynchronous. New payment channels (different protocols). Fault Tolerance: designed through component clustering. No central point of failure. Inter-component communication through messaging: for at-least-once delivery assurance. 'Stored credentials' result in a fierce competition between fintech startups, credit card providers and other payment handlers. Players want to ensure a friction-free and real-time payment experience.
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    iVEcoder

    iVEcoder

    PCG Software

    iVECoder, the decisive code tool with payor intellect, was built on the same intelligence of PCG's Virtual Examiner® claims review engine that healthcare payors worldwide have been using for 25 years. Users can enter multiple codes, and in just a single click, receive multiple answers on a single page. Ramp up coding accuracy and boost your bottom line by using the same billing and coding intelligence platform the payors use. iVECoder is PCG's Virtual Examiner® (VE) claims review engine. This advanced rules based engine —with 45 million edits— is used by healthcare payors throughout the USA and abroad. VE tells payors what to deny or pend for review.
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    DoctorMGT

    DoctorMGT

    Doctor Management Services

    DoctorMGT is a healthcare revenue cycle and practice support company that helps medical providers improve billing performance, reduce denials, and accelerate payments. The company supports solo providers, specialty clinics, hospitals, and medical groups with services such as medical billing, coding, claims management, AR follow-up, and compliance-focused revenue support. DoctorMGT works with complex claims across areas such as pain management, orthopedics, surgery, chiropractic care, durable medical equipment, personal injury, and lien-based billing. Its services are designed to reduce administrative workload while helping providers keep cash flow steady and claims moving efficiently. DoctorMGT also offers virtual medical assistants, virtual medical scribes, appointment scheduling, credentialing, medlegal support, and lien negotiation services.
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    KOLs.guru

    KOLs.guru

    KOLs.guru

    KOLs.guru is a web-based marketplace for fixed-price social media assignments, called quests, that connect brands with creators. Brands create a brief with required channels, deadlines, available slots and a payout; creators browse opportunities, claim slots, publish the requested content and submit a live link and screenshot for each channel. Brands review submissions within a defined 48-hour window, with automatic approval if they do not respond; a rejection requires a written reason and permits a limited revision. The platform records the workflow and transaction hash but does not custody funds. Approved payouts are sent directly from a brand wallet to a creator wallet in USDT on TRON or Solana. The marketplace supports campaigns across LinkedIn, X, Instagram, Threads, Facebook and YouTube, and is intended for brands and creators coordinating paid influencer or key-opinion-leader content.
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    EmpowerMax Billing

    EmpowerMax Billing

    Harris Coordinated Care Solutions

    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.
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    RevCycle Engine
    RevCycle Engine applies built‑in, customizable rules and AI‑powered automation to correct coding and charge errors at the source, ensuring billing data is accurate before claims are submitted. By integrating seamlessly with EMRs and practice management systems, it ingests claims data in real time, applies industry‑proven rules tailored to each organization’s needs, and fixes errors automatically, reducing preventable denials and costly rework. Streamlined workflows prioritize and route only complex or exception claims for human review, boosting team efficiency and reducing burnout. With AI‑driven charge accuracy, the platform increases clean claim rates, lowers cost‑to‑collect, and stabilizes cash flow, all visible through clear dashboards and real‑time insights. Scalable automation handles high claim volumes without overtime or late‑night efforts, while features such as charge accuracy validation, denial prevention, coding review optimization, payment collection support, and more.
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    NowMD

    NowMD

    Inborne Technology

    NowMD is modern, innovative and affordable software designed for use in healthcare practices and medical billing services. NowMD is used for billing insurance carriers and patients for professional health care services. NowMD’s Appointment Scheduler is designed specifically for scheduling patient appointments. Advanced features like appointment templates, recurring appointments and a wait list make the scheduler a great addition to NowMD’s billing features. Employees can clock in and out on any computer running NowMD. Payroll day is a breeze with employee work hour reports. NowMD can create ANSI 5010 compliant electronic claim files for use with a variety of included clearinghouses, for sending claims directly to an insurance carrier, or for use with other clearinghouses. Payments and adjustments can be created automatically through Electronic Remittance Advice auto-posting.
    Starting Price: $349 per computer
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    Overjet

    Overjet

    Overjet

    Enables efficient and accurate claim review and real-time payment integrity to ensure the right claim is paid at the right time for the right amount. Helps providers manage and deliver high-quality care, automate administrative tasks, and identify key areas of practice growth. We have great opportunities for dentists, computer vision scientists, and software developers. Join us in impacting millions of lives. Move from manual and inconsistent review to automated and efficient review of every claim. Move from post-payment recovery to pre-payment & prevention model to make accurate payments. Increase dentists productivity by auto charting, identifying coding and billing errors and establishing diagnostic & treatment protocols for every appointment.
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    PDF Scout

    PDF Scout

    e-PlanSoft

    PDF Scout saves time in checking your PDF files. It identifies known issues in PDF files immediately upon upload to goPost our customer self-service portal and e-PlanREVIEW. If there is a problem with the PDF, the file will not be accepted. During the application intake process, PDFs uploaded for plan review are analyzed online via our PDF Scout inspector. Issues requiring user attention are identified by PDF Scout and communicated to the applicant so they can be addressed before submission. Documents that do not pass PDF Scout inspection will not proceed for plan review. Scout checks for passwords that prevent anyone from opening a PDF. If the PDF cannot be opened, the file will be rejected. Scout checks if the file is an invalid PDF type (such as a PDF portfolio) or is corrupt. If so, it will be rejected. Scout accepts files up to 400 MB, and file sizes larger than that will be rejected.
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    Privvy ISO CRM

    Privvy ISO CRM

    Defyne Payments

    Privvy ISO CRM is a proprietary account-management portal designed for independent sales organizations, agents, resellers, and their merchants, consolidating onboarding, servicing, and full-account visibility into one platform. It enables agents to complete applications, submit service tickets, add users, and monitor merchant activity from a single login, while providing real-time transparency into metrics such as chargebacks, ACH rejections, and batch processing. With features like offer-code pricing templates, a searchable document library, and electronic disclosure submission integrated with underwriting workflows, Privvy streamlines onboarding and risk-management operations. It also supports hierarchical merchant groups for multi-location clients, robust reporting on card batches and ACH transactions, push notifications for holds or chargebacks, and embedded email integration so agents can contact merchants directly without leaving the portal.
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    LexisNexis PatentOptimizer
    Learn how to create high-quality patent applications before they are submitted for examination. Automate the review process and eliminate the need for manual draft reviews. By quickly and effectively checking all parts of a patent application draft, from patent claims to patent drawings and everything in between, PatentOptimizer generates comprehensive error reports, revealing the actions users can take to fortify their applications before submitting them to the USPTO. There is wide variability among examiner behaviors across the USPTO and surprisingly, even within technology center groups. With the exclusive Lottery Map, you’re able to draft your patent application to better target a favorable tech center group and get the best quality patent in the shortest amount of time. Positively influence the likelihood and the time it takes to get your patent approved. Eliminate errors in your draft application and mitigate the risk of rejections and other hurdles to a grant.
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    Gentem

    Gentem

    Gentem Health

    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.
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    Dynafios APP
    Dynafios APP is a physician timekeeping compliance software tool, providing hospitals and physicians with an easy way to track physician logs associated with directorships, on-call, co-management and other hospital contractual agreements. APP provides an end-to-end approval process, which helps contract and financial managers digitally approve or reject logs prior to submission for payment. This workflow results in more efficient contract management. Plus, APP offers a multi-level review process so you can customize the workflow according to your needs. Maintain compliance with this easy to use physician timekeeping and contract compliance software tool. Quickly monitor physician hours and payments, while providing two-way transparency. TRACE is the perfect companion to Dynafios Co-Management agreements or our C2i methodology and 4CAST healthcare analytics.
    Starting Price: $10.00/month/user
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    AVIXA

    AVIXA

    AVIXA by Medvitaa

    AVIXA (Advanced Virtual Intelligent eXecution Automation) by Medvitaa is AI automation software built for independent pharmacies processing 100–300 prescriptions daily. Unlike screen-watching tools, AVIXA integrates directly with PioneerRX at the data layer for stable, accurate automation. AVIXA Core automates e-script processing, SIG code mapping, NPI matching, and routes unresolved cases to the tech queue for review, reducing manual entry and saving staff time. AVIXA Nexus adds billing and workflow automation including auto-refill, cycle fills, rejection handling, prior auth fax routing, and the VaxFlow immunization suite. VaxFlow, also available standalone, automates patient signup, insurance capture, consent forms, PMS population, and claim adjudication under your pharmacy’s own brand and URL. AVIXA is locally installed with zero cloud storage, ensuring patient data never leaves your pharmacy. No onboarding fees, no contracts on Core and Nexus.
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    CLIN1 Web Portal

    CLIN1 Web Portal

    Clinical Software Solutions

    Clients and customers can submit samples directly to the lab system. Reduce the amount of time the lab spends on data entry and allow the lab to anticipate daily workloads. Offer your clients the ability to track the status of their samples. Users can be informed of sample issues as soon as they access the portal and track issues with the Rejected Sample Report. Fast results gives them the chance to offer better patient care with instant access to results. Utilize technology to improve lab productivity, develop better communication with clients, better patient care with instant access to results and improve laboratory Turn-Around-Time.
    Starting Price: $10000.00/one-time
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    ZOLL Billing

    ZOLL Billing

    ZOLL Data Systems

    Progressive revenue cycle management is, in many ways, the backbone of a thriving medical services operation. Controlling costs, increasing productivity, and accelerating reimbursements are essential activities that keep EMS agencies rolling. Yet efficiently progressing a claim through its lifecycle has traditionally been labor-intensive and prone to delays caused by documentation and coding inaccuracies. ZOLL® Billing is a cloud-based solution that enables revenue cycle professionals to turbo-charge billing performance and deliver more revenue. By automating workflows and eliminating billing errors, ZOLL Billing helps you process more claims with fewer resources and address compliance risk at the same time. Increase productivity and revenue with automated workflows that enable you to process more claims.
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    iCareBilling

    iCareBilling

    iCareBilling

    iCareBilling is an American Healthcare IT Company that provides Medical Billing, Practice Management, and RCM Software and Services to independent healthcare providers, small, medium, and large medical practices, medical groups, and hospitals throughout the United States. iCareBilling Practice Management Software and RCM Services can be integrated with any EHR/EMR, Practice Management, or Medical Billing Software with any healthcare EDI vendor/clearinghouse in the U.S. healthcare industry. iCareBilling offers integration with all leading EHRs/EMRs in the U.S. Healthcare industry and where EHR/EMR vendor doesn't offer integration, manual workflow is available to take out the patient non-clinical information to submit the claim and receive payments on the behalf of healthcare providers.
    Starting Price: $450 per month
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    CabMD

    CabMD

    Clinical Support Systems

    Unlike other billing programs, CabMD® is Internet-based. This enables our users to submit claims from anywhere, anytime and completely securely! Your files upload and download via MCEDT/GoSecure without you having to lift a finger, it's all automated. Just add and correct errors. CabMD® is secure. Users connect via a secure connection (SSL), our server uses a completely encrypted database and we operate enterprise-level firewalls (that's the kind that banks use). CabMD® is completely Internet-based, and support is just an email (or phone call) away. There's no waiting for support staff to stop by your home or office to resolve hardware or software issues. Please visit our dedicated support forum for issues.
    Starting Price: $.10 per paid service