Best Healthcare Claims Management Software - Page 10

OraClaim

Payer Compass

Payer Compass is dedicated to restoring rationality to the cost of care. We focus squarely on tackling the most elusive problems in today’s healthcare landscape: spiraling costs and associated lack of price transparency. For self-insured organizations, our innovations and services are driving down the costs of healthcare claims reimbursement. And for health plans, we are minimizing overall spend on claims pricing, administration, and processing.

PlanXpand

PlanXpand is a platform manages real-time, shared benefit accumulators; ACA cost-sharing reduction subsidies; CDH plan designs (HRA) for payors.

PokitDoc Healthcare Claims Management

PokitDok's Healthcare Claims Management suite allows you to quickly and easily automate your claims processing so that you can increase clean claim rates, minimize revenue leakage, and drive down unproductive manual procedures.

Popularis Health

Start sending claims in 5 minutes. From dealing with insurance to managing patients - we've got you covered.

PowerBilling & Revenue Collection

DatixWeb is a web-based patient safety software for healthcare risk management applications, delivering safety, risk and governance elements through a variety of integrated software modules. DatixWeb is the first step towards improving patient safety and creating a culture of learning with a locally hosted product.

ProtoMED

ProtoMED™ Practice Management Software tool offers the nation’s first Web-based electronic claims product that automatically links insurance claims with Medicare and BCBS payors who offers direct claims processing – There are no clearing house fees associated with this electronic processing! This scalable desktop solution provides complete medical management, sophisticated Claims Management Tools and Real-Time Billing solutions to your practice or facility.

Provider1

Provider1™ (formerly eProviderSync™) enables efficient and accurate provider data and contracts management across a Payer’s back and middle office functions. The Collaboration Portal manages the digital front door to Providers so they can self-serve critical functions, access real-time updates, and collaborate with their Payer counterparts to streamline processes between organizations.

Average Rating: 3.5/5.0

Total Reviews: 1

QuickClaim

QuickClaim is a user-friendly, easy to use, desktop medical billing system.

RebateRight

RebateRight is Medicare eligibility intelligence for Australian healthcare providers. It checks each claim against 300+ Medicare rules before it is submitted, surfacing issues like ineligible services, exceeded limits, and incorrect rebate assumptions, so providers reduce rejections, cut admin rework, and get paid faster. RebateRight is Services Australia Certified and does not store patient data. It is available as a web application or an API, with no integration required to get started, and covers Medicare claiming, DVA verification and claiming, AIR, and patient verification. Founded in Sydney in 2024 by Fortis Futura Pty Ltd.

RemitCenter

Medforce RemitCenter gives you the insight and tool you need to fully work a claim with all needed documentation just a click away.

Rivet

Rivet makes managing insurance reimbursement easier and more productive while helping to drive revenue acceleration for an organization. As the leading financial diagnostic and operations RCM platform, Rivet offers a suite of differentiated solutions unlike legacy healthcare IT to empower practices to level the “paying” field. With an intuitive and modern design, purposely built for healthcare, Rivet delivers what we feel member RCM professionals need: - Claims analytic dashboards to provide the RCM answers that help build a business - with no digging required - Accurate net revenue forecasting tools to drive clearer financial health and decision making - Robust payer contract management to serve as a sturdy backbone for reimbursement - Payer rate benchmarking available down to the TIN to know how your rates compare - Contract and fee schedule scenario modeling to maximize the payments that matter - Automated GFE compliant eligibility & estimate tools*for increased upfront collection - Auto-detection and AI-driven underpayment prioritization for payment variances to solve systemically and avoid them in the first place -Revenue recovery workflows for denials that maximize speed, accuracy and productivity

RxFiler

Series 3000

With over 30 years’ experience, Hi-Tech Health has the expertise to service payers of all types and sizes, including TPAs, Carriers, Insurtech, Provider Sponsored Plans, and Medicare Advantage plans. From small, startup companies to large businesses with many years in the field, we know how to customize the perfect solution for anyone in the industry. We’ll work with you to develop and implement a workhorse platform to meet the unique needs of your business. Series 3000 is a cloud-based claims administration solution for businesses within the healthcare industry. No matter what your adjudication, reporting, or plan needs are, this platform reduces time processing claims and increases productivity as it assists with: • Client management • Benefits input • Electronic claim submissions • Claims processing • Real-time status tracking • ACH deposits Our built-in database efficiently manages clients and employee benefits. This platform allows users to make real-time updates including: • Claims statuses • Currency conversion • ACH deposits and disbursements • Document printing • Claim check reconciliation No matter what happens, our cloud-based software is reliable, and we pride ourselves on 99 percent up time. Series 3000 is HIPAA compliant and ensures secure data management and backup. We upgrade our communications and IBM hardware every two to three years and maintain System Critical Support with all our vendors, keeping our technology up to date. In the event of a natural disaster, our disaster recovery hot site will get everything back up and running within a 12-hour restore time. With an implementation timeframe of 3-4 months, you can quickly get started with Series 3000. Our professional services and back office support teams are here to guide you through customization and training. With experts available at your fingertips, we’ll be able to support you so outside consultants won’t be needed. As your business grows, we’ll work with you to scale your software system to continue to meet your needs.

Average Rating: 4.5/5.0

Total Reviews: 1

Smart Data Solutions