Best Healthcare Claims Management Software - Page 11

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

Sohar Health

Sohar Health offers an AI-driven platform that automates insurance verification for healthcare providers, enhancing operational efficiency and reducing claims denials. By streamlining front-end revenue cycle management tasks, Sohar Health enables faster patient care and minimizes administrative burdens. Key Features and Functionality: - Insurance Discovery: Identifies patient coverage using basic information such as name, date of birth, and state, even when member ID and payer details are unknown. - Real-Time Eligibility Verification: Conducts instant eligibility and verification of benefits (VoB) checks, covering both national and regional payers, with over 90% of verifications completed within 30 seconds. - Network Status Assessment: Determines whether a patient's chosen provider is in-network, reducing unexpected costs and improving patient satisfaction. - Cost Estimation: Provides transparent pricing from the outset, giving patients a clear understanding of their financial responsibilities. Primary Value and Problem Solved: Sohar Health addresses the challenges of manual insurance verification processes that often lead to administrative inefficiencies and high claims denial rates. By automating these processes, the platform enhances accuracy, accelerates patient onboarding, and reduces operational costs. Healthcare providers utilizing Sohar Health have reported a 12% increase in patient conversion rates and an 8:1 return on investment within the first year. This solution empowers providers to focus more on patient care while ensuring financial stability through improved revenue cycle management.

Source

The Source platform offers the ability for clients to unlock transformation at the reimbursement, payment integrity, and enterprise level.

SubmitKit

SubmitKit integrates seamlessly with Cliniko and ACC, allowing you to create and submit claims and invoices, and manage your ACC payments and data.

SymKey

HCIM's flagship product, SymKey, automates the administrative operations of healthcare payers. SymKey utilizes robotic automation to streamline the processing of manual claims, provider authorizations, and eligibility workflows more efficiently.

Talix

Talix delivers #NLP powered, integrated workflow applications to improve the speed and accuracy of #riskadjustment coding.

TierBench

TierBench is a reimbursement intelligence platform providing behavioral health facilities with negotiated rates from payer machine-readable files. It offers facility-level insights via APR-DRG reimbursement data, TIN-to-facility rosters, and taxonomy details. Ratebench enables filtering and querying by payer, billing code, and market, while Peerbench allows service line comparisons. The platform simplifies data complexities with confidence-scored intelligence addressing grouped facilities, NPI/TIN/DBA variations, and carve-outs. Supporting over 150 behavioral health billing codes, including residential treatment, detox, and ABA services, TierBench normalizes data with APR-DRG to MS-DRG crosswalks, Medicaid fee schedules, and unbillable rate filtering. Custom reports aid contract negotiations, with national payer data regularly updated.

TIMS Medical

TIMS Software is an innovative solution developed for HME|DME businesses. It enables you to manage your revenue cycle from end-to-end and provides the clarity you need to make smart business decisions by giving you total access to all your business data. TIMS Software provides a customized solution to fit your business and the peace-of-mind knowing that the right people are working the right claims, at the right time, so you get paid faster.

TrackDME

Undeny

Unlimited Financials

Unlimited Financials is the core practice management and revenue cycle platform from Unlimited Systems, built specifically for specialty healthcare organizations. It brings together scheduling, patient registration, eligibility, charge capture, claims management, payment posting, reporting, and financial workflows in one connected system. By automating routine tasks, identifying issues earlier, and helping teams prioritize the work that requires attention, Unlimited Financials enables practices to improve efficiency, reduce administrative burden, and strengthen financial performance. Its specialty-focused design supports the complex clinical, operational, and reimbursement requirements that generic practice management systems often fail to address.

Average Rating: 5.0/5.0

Total Reviews: 1

Valenz Solutions For Providers

Vālenz Assurance delivers data-driven, analytical solutions for assured compliance and payment integrity. This comprehensive solution empowers you to improve medical coding efficiency, reimbursement assurance, auditing toolsets, claim accuracy, and staff licensing and exclusion monitoring – all while saving time and reducing your healthcare costs.

Vitraya

Vitraya Technologies