Revu Billing is a medical billing and revenue cycle management (RCM) company based in Bloomingdale, Illinois, helping healthcare providers across Illinois and the United States improve billing efficiency and revenue performance. We provide end-to-end medical billing services, medical coding, dental billing, denial management, A/R follow-up, insurance eligibility verification, provider credentialing, claims submission, payment posting, and revenue cycle management. Our team supports physicians, c
CriteriaIQ RCM is a behavioral health revenue cycle management platform built specifically for substance use disorder and psychiatric treatment centers. Designed by a clinician with 20 years of utilization review experience, CriteriaIQ RCM gives UR and billing teams the tools they need to stop losing revenue to authorization lapses, unmanaged denials, and missed concurrent review deadlines. Core Features: CriteriaIQ RCM provides real time authorization tracking with concurrent review deadline
Kaylie helps dentists get paid by insurance. Kaylie automates the whole RCM cycle: Insurance Verification, Treatment Planning, Claims Status Tracking, Reconcilliation & EoB Posting. Kaylie learns from every EoB and brings those lessons into every verification and treatment plan.
Bill Assure is iTEDIUM's commercial product for independent, pre-payment carrier invoice verification. It confirms that health insurance invoices are accurate before an organization pays them, by comparing carrier billing records against enrollment, eligibility, payroll, and HRIS data. It operates on the employer side of the health plan relationship, giving plan sponsors, including large private employers and public-sector retirement systems, an independent check between what a carrier bills and
eCareMedCoder is an AI-powered revenue cycle platform built around three intelligent agents that support eligibility verification, prior authorization, and denial prevention. It helps healthcare organizations improve reimbursement accuracy by validating patient eligibility, streamlining authorization workflows, and identifying potential claim issues before submission. The platform works by using AI to analyze payer rules, patient data, and claim information to reduce errors, prevent denials, a
Pledge Health is a comprehensive healthcare platform designed to streamline patient care and enhance operational efficiency for healthcare providers. By integrating advanced technology with user-friendly interfaces, Pledge Health offers a suite of tools that facilitate seamless communication, data management, and patient engagement. Key Features and Functionality: - Electronic Health Records (EHR): Secure and accessible storage of patient information, enabling quick retrieval and updates. - Ap
Nova Swarm AI is a proactive Revenue Cycle Management (RCM) and Claim Recovery platform for hospital systems and insurance organizations. Unlike traditional RCM tools that react to denials after they occur, Nova Swarm's AI monitors the full revenue cycle in real time, identifying risk before claims are submitted, recovering denied and underpaid claims at scale, and surfacing coverage opportunities for patients before service is rendered. Key capabilities: • Proactive denial prevention — flags