Essentials Features

Automates the creation and setup of contracts and applications

Configures, customizes, or modifies credentialing paperwork and/or workflow

Maintains provider database

Provides varying access levels to administrators, stakeholders, etc.

Manage the enrollment and onboarding of all new members and accepted applications

Track employee/learner's progression through training programs

Store, manage, and track all electronic documents in a centralized location

Store, manage and track all forms in a centralized location

Manage a group of members established for coordinating plans, programs, or other initiatives

Track, manage and store the applications of potential future members, customers or candidates

Track and manage expiration of various items including products, warranties, licenses, and contracts

Track and manage adherence to policies for any service, product, process, or supplier

Manage various aspects of appointments including booking, rescheduling, canceling

Manage usernames, account numbers, passwords, biometric data, public access keys, and other documentation

Create, manage and track all task activities and progression

Supports healthcare facility policies, requirements, and needs

Manages vendor or provider access controls and compliance

Adheres to or aligns with relevant industry regulation

Create, design and manage workflows for repetitive tasks

Pulls data from a regularly updated or real-time provider database

Streamlines monitoring, screening, and verification of sources

Provides a built-in commitee review process manager

Stores and maintains credentialing documentation in the cloud

Stores and maintains credentialing documentation in a secure server

Automates notifying and following up with missing information or documentation

Ensures or facilitates the compliance of an overall health care organization to current regulation and standards

Easily integrates with health care IT solutions like EHRs, medical scheduling, and medical billing softwares

Automates manual administrative tasks to reduce error

Manage the intricacies of ICD-10 cataloging and ensure clinic compliance

Regulations on a company's internal process when dealing with financial reporting

Captures invoice data and maintains comprehensive records for auditing and reporting purposes

Create, design and manage workflows for repetitive tasks

Plan, manage, and track the financial activities of an individual or organization

Process of investigating, analyzing, and resolving denied insurance claims

Monitoring, analysis, and projection of the movement of cash into and out of a business over a specific period

Manage user accounts, profiles, roles, permissions, and other details across applications, devices or networks

Process of submitting and following up on claims with insurance companies

Automates manual financial management tasks to reduce error

Streamlines any communication and data share between provider and clearinghouse

Streamlines the processing, scrubbing, and submission of healthcare insurance claims

Manage billing and payments for a healthcare provider

Automated process of charging customers at regular intervals for repeated access or use of a product or service

Manage compensation for out-of-pocket expenses incurred by an employee, client or another party

Checking eligibility of patients for different insurance claims

Allows integration with Electronic Medical Records (EMR) and Electronic Health Records (EHR) systems

Automatically populates data in claim submission fields

Supports electronically uploading and sending of healthcare insurance claims

Provides integration or facilitates relationships with clearinghouse(s)

Provides or facilitates a structured process to support the entire claims lifecycle

Promptly re-submits denied claims once providers update missing or lacking information

Ensures that patient data remains secure and confidential and that only pertinent information is shared

Digitizes, tracks, and vets submitted health insurance claims to check for errors

Enables in-platform (or provides access to services that offer) verification and validation of provider data

Supports and enables timely claims payment and reimbursement

Prompts providers to update out-of-date or inaccurate records

Improves communication between disparate health plans, systems, and plan administrators

Generates insights and reports from aggregated provider data to improve efficiencies and ready systems for audit

Manages and reconciles data from disparate sources

Automatically captures essential provider data, routes data to health plans, and tracks data to identify any data anomalies

Securely stores provider data and supports import and export to improve data governance, ensure data accuracy, and facilitate de-duplication

Process of tracking new and submitted claims and the status of submitted claims

Track and manage the scheduling of tasks

An accounting principle that identifies the specific conditions in which revenue is recognized and determines how to account for it.

A record of all activities within the system, including user access, changes made, etc.

Alter the layout and content of reports

Document insurance payer providing an explanation of benefits (EOB).

View and track pertinent metrics to find patterns and gain insights from data

Track outstanding invoices and the money owed from clients

A virtual assistant that uses AI to pursue goals and complete tasks on behalf of users

Software designed for the healthcare industry

Tracking, managing, and initiating the transfer of funds for overdue customer payments

Creation and customization of dashboards

Record of all transactions such as purchases, deposits, withdrawals and transfers within a specific period

Process of checking different types of data for accuracy to avoid errors or inconsistencies

Store and organize documents in a centralized system

Application programming interface that allows for integration with other systems/databases

Form predictions based on past and present data/trends

Clean up of claims prior to their submission and validating to determine claims are appropriate and accurate

Monitor sales and make necessary adjustment in order to increase demand and revenue

Accept, record, and reconcile financial transactions

Use AI to generate content in the form of text, images, videos, etc.

Observe and track the demand, usage, progress or quality of a system, product, or user

Access previous interactions or concerns to maintain customer relationships

Accept and process credit card transactions

Search and filter data across systems to locate required information by entering keywords or certain criteria

Electronically collect payments for goods or services

Manage patient documentation describing all clinical interactions, diagnoses, procedures, medications, etc.

Online portal where patients can access information such as health records, treatment plants, etc.

Compliant with HIPAA, which sets standards for sensitive patient data protection

Manage the pre-registration process

Patients can register for appointments in advance online

A collection of customer information such as contact details, demographics, previous interactions, etc.

Software's ability to perform similar action on multiple similar files simultaneously

Timed notification for any upcoming task, deadline, appointment, or activity

Book and manage patient appointments and follow-ups

Compliant with HIPAA, which sets standards for sensitive patient data protection

Generate one-off reports that meet information requirements

Timed notification for any upcoming task, deadline, appointment, or activity

Track and document all activities across devices, networks, and other systems

Verify the member/provider has a valid license, certification, or registration for specific jobs, procedures, or industry standards.

Application programming interface that allows for integration with other systems/databases

Observe and track the demand, usage, progress or quality of a system, product, or user

Web form that allows users to enter data that is sent and processed for different reasons

Alerts or notifications of various types such as pop-up messages, sounds, banners, or badges

Import and export data to and from software applications

A virtual assistant that uses AI to pursue goals and complete tasks on behalf of users

Online portal through which end users can access the system, manage tasks, or obtain information

Securely stores data to prevent data loss or breaches

Set up connections to third-party platforms to improve business processes

Reporting on how each user, task or process has advanced since its initiation

Use AI to generate content in the form of text, images, videos, etc.

Process of checking different types of data for accuracy to avoid errors or inconsistencies

Collection, analysis, and representation of numerical data and generation of reports to understand various patterns

Reminders sent via email

Ability to fill out and submit application forms on the web