Best Healthcare Claims Management Software - Page 5

OCExaminer

OCExaminer delivers charge capture software designed to help organizations optimize its revenues.

Average Rating: 5.0/5.0

Total Reviews: 1

Parascript Healthcare & Insurance

Parascript automates the extraction of meaningful, contextual data from image and document-based information to support transactions, information governance, fraud prevention, and business processes. Parascript software processes any document with any data from any source with its easy-to-use, image-based analysis, classification, data location, and extraction technology.

Average Rating: 4.0/5.0

Total Reviews: 1

PDS Cortex

Medical practice management and billing solution with optional automated bad debts / collection agency tracking functionality.

Average Rating: 4.0/5.0

Total Reviews: 1

Pre-Auth AI

Revolutionize your healthcare operations with Pre-Auth AI, Jade Global's cutting-edge Prior Authorization Automation Solution. Say goodbye to tedious manual processes and hello to streamlined efficiency and accuracy. Jade’s Pre-Auth AI integrates Robotic Process Automation, Artificial Intelligence, Machine Learning, and HL7 FHIR (Fast Healthcare Interoperability Resources) to help you achieve 95% accuracy in your claim submission process. This AI-enabled solution streamlines your revenue cycle management workflow, reduces financial losses, and hastens care delivery with less paperwork. Together, let's experience the future of automation in healthcare with Pre-Auth AI.

Average Rating: 5.0/5.0

Total Reviews: 1

Quadax Revenue Cycle Management Solutions

With deep industry expertise and technology delivered through person-to-person contact, only Quadax gives revenue cycle professionals the freedom to consistently add value to their organization. Our clients spend less time fixing problems and more time pursuing the opportunities that move their organizations forward. Going from what feels like spinning your wheels to driving excellence in your organization—that’s the real value in partnering with Quadax. To learn more, visit us at www.quadax.com.

Average Rating: 3.8/5.0

Total Reviews: 4

QuickPractice

Quick Practice is a medical practice management software that includes electronic billing service, calendar, patient database, and more.

Average Rating: 3.0/5.0

Total Reviews: 1

Remittance360

Easy835 provides data management service statuses electronic clams for a fraction of the cost and time of billing and collections staff, which equates to more cash for our clients.

Average Rating: 5.0/5.0

Total Reviews: 1

SafeQual

SafeQual provides an enterprise software application, sold as a software-as-a-service, built from the ground up to reduce the complexity and resources needed by healthcare organizations to pursue more challenging levels of quality and their related culture and methodology needs. The software includes feature functionality and artificial intelligence that makes safety, quality, and risk processes leaner and more accountable; provides an environment for knowledge workers to make data and culture-driven decisions; and makes data more actionable as the software helps all the people involved in clinical quality work better together, with more automation, and with work product and data always inspection ready. We have developed a new pricing model that allows for all health systems to have our solutions in their hands and can be implemented within 90 days.

Average Rating: 4.8/5.0

Total Reviews: 13

SAS Payment Integrity for Health Care

Detect improper payments before they're made to save hundreds of millions of dollars that can go to improving quality of care. Improve accuracy while decreasing model-creation time from weeks to a few hours.

Average Rating: 3.0/5.0

Total Reviews: 1

Stedi

Stedi is the only programmable healthcare clearinghouse. Health tech companies use Stedi to automate healthcare transactions like eligibility checks and claims using APIs that support thousands of payers. Here is a list of the APIs available today, with more in the works: - Real-time and batch eligibility checks - Insurance discovery - COB checks - MBI lookups - Professional, dental, and institutional claims submission - Claim attachments - Claim acknowledgments - Real-time claim status checks - Electronic Remittance Advice (ERAs) - Transaction enrollment We’ve raised $142 million from Addition, Stripe, Union Square Ventures, First Round Capital, Bloomberg Beta, and other top investors.

Average Rating: 4.9/5.0

Total Reviews: 18

Team.Care Network

The Team.Care Network Remote workforce management with a focus on wellbeing The new normal is anything but normal. Employers care about employee health and welfare. Keeping abreast of a dispersed workforce at a time of unprecedented disruption presents administrative challenges. How does Team.Care help to ensure business continuity? - Team members can report their availability, location, and any technical issues they’re experiencing - Team members can stay connected, monitor concerning symptoms, and securely share their wellbeing status with their employer - Team members receive personalized tips to minimize risks to their health, address stress, and reduce excessive workloads - Forewarned is forearmed: The workforce dashboard enables employers to better anticipate where and when issues affecting productivity are likely to arise and respond accordingly An individual owns their data and has full control over who they share it with. Multi-layer data encryption means consented sharing is secure. The Team.Care Network is HIPAA and GDPR compliant.

Average Rating: 4.0/5.0

Total Reviews: 1

TruBridge

TruBridge is a service provider focused on providing business office, consulting and managed IT services to community healthcare organizations.

Average Rating: 3.4/5.0

Total Reviews: 4

AcceliCLAIM

AcceliCLAIM manages every step of the Medicaid claiming process, from performing Medicaid eligibility checks, to building and submitting claims, to processing remittance files. The system performs complex validation routines to ensure only eligible services are claimed and includes a suite of reporting tools designed to help you identify where additional data can drive greater reimbursement.

AccuReg

AccuReg offers a full suite of all critical front-end RCM process solutions that hospital Patient Access departments need.

Alaffia Health

Alaffia Health offers AI-powered solutions designed to enhance the efficiency and accuracy of health plan claims operations. Their flagship product, Autodor, serves as a clinical AI coworker that integrates seamlessly with existing systems to streamline claims processing. Key Features and Functionality: - Custom AI Agents: Tailored to specific workflows, these agents incorporate a health plan's unique data, policies, and procedures, acting as an extension of the team. - Intelligent Prioritization: Autodor processes vast amounts of medical records, prioritizing claims that require human review based on clinical criteria and policies. - Clinical Reasoning: The AI cross-references medical records against relevant guidelines, providing clear rationales and citations for each recommendation. - Human Validation: Users maintain control with intuitive tools that ensure accuracy and allow for continuous refinement of the AI's performance. Primary Value and Problem Solved: Alaffia Health addresses the significant issue of medical claim fraud, waste, and abuse, which costs the U.S. healthcare system approximately $300 billion annually. By proactively detecting and correcting errors in claims before payment, their solutions reduce healthcare and administrative costs, prevent overpayments, and minimize downstream friction between payers and providers. This proactive approach enhances transparency in healthcare payments, allowing providers and payers to focus on delivering optimal patient care at fair prices.