I-Med Claims
I-Med Claims provides top-tier medical billing and revenue cycle management (RCM) solutions, trusted by healthcare practices across the U.S. We handle all aspects of RCM, from eligibility verification to denial management, helping practices streamline operations and maximize reimbursements. With billing plans starting at just 2.95% of monthly collections, we offer affordable solutions that enhance financial workflows, maintain compliance, and improve cash flow. By outsourcing billing to us, practices can focus on patient care while benefiting from reduced claim denials and faster payments.
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AveaOffice
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.
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RxDelta
RxDelta is automated billing reconciliation software for independent retail pharmacies and small pharmacy groups in the US.
Every month a pharmacy bills thousands of claims and buys thousands of items from wholesalers, and the two rarely line up. The NDC billed to the insurer is often not the NDC purchased, quantities come up short, and some PBMs reimburse below acquisition cost. Finding these by hand takes hours in spreadsheets.
RxDelta takes your billing export and your wholesaler invoice files, matches them line by line at the NDC and package-size level, and returns a reconciliation report in under 3 minutes. It surfaces NDC swaps, shortages and overages, and reimbursement below acquisition cost, broken out by PBM and BIN.
Works with PrimeRx, Liberty, PioneerRx, Rx30, Computer-Rx, BestRx, QS/1, and McKesson Pharmaserv, plus any system that exports CSV or Excel.
Starts at $199 per month per pharmacy, no long-term contract.
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TriZetto
Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes.
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