Approved Admissions
Approved Admissions is a secure platform that automates tracking of coverage changes for Medicare, Medicaid, and commercial payers bundled with real-time eligibility verification and coverage discovery.
The platform's primary goal is to help providers minimize the number of claim denials due to a missed insurance coverage change and accelerate the billing cycle.
Approved Admissions is using the innovative RPA (Robotic Process Automation) Bridge solution to ensure patient data consistency across multiple systems, and benefit coverage search.
Key Features:
- Automated eligibility verifications and re-verifications
- Email or API notifications if any coverage changes are detected
- Real-time verifications
- Batch eligibility verification
- Seamless integration with RCM, EHR platforms (PointClickCare, MatrixCare, SigmaCare, DKS/Census, FacilitEase, and many others)
- RPA-powered cross/platform synchronization
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Silna Health
Silna Health’s Care Readiness Platform handles all prior authorizations, benefit checks, and insurance monitoring upfront to make sure patients are clear to receive care while providers gain capacity to focus on treatment. Its AI‑powered engine manages the entire prior authorization workflow, from tracking upcoming authorizations and sending weekly reminders to submissions and follow‑ups, automatically applying industry‑proven rules and escalating exceptions for human review. Specialty‑specific benefit checks verify coverage, accumulations, authorization requirements, and visit limits in real time, delivering accurate quotes at intake. Continuous insurance monitoring flags lost coverage, detects new plans, and safeguards against eligibility lapses. Designed for zero extra headcount, Silna ingests data directly from EMRs and practice management systems, offers configurable rule sets and strategic guidelines, and presents clear dashboards with incremental revenue insights.
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Opus
Opus is a comprehensive EHR, CRM, and RCM platform designed to streamline operations for behavioral health treatment centers, including addiction, mental health, and SUD (substance use disorder) clinics. The platform provides integrated tools for patient management, billing, scheduling, and telehealth services. Opus enhances efficiency with features like intelligent lead routing, insurance verification, automated tasks, and customizable forms. It also includes advanced reporting, AI-driven progress note generation, and seamless lab integrations. With a focus on flexibility and scalability, Opus is ideal for small to large multi-center organizations in the behavioral health space.
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expEDIum Medical Billing
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.
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