Artsyl Claim Action is designed to capture, verify, and route medical claim data to back-end systems without manual data entry, and is able to capture every field from professional claim forms used by individual medical providers or suppliers.
Automated severe weather monitoring and notifications prepare claims response before, during, and after an event Detailed street-level analysis identifies exact policies impacted and expedites claims processing Claims prediction optimizes resource management and loss reserving
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.
Openclaims' Track and Trace Customer Journey is a comprehensive solution designed to streamline the claims and repair process for insurers and leasing companies. By integrating digital tools and automation, it enhances operational efficiency, reduces costs, and significantly improves customer satisfaction. The platform offers a seamless, transparent experience, allowing customers to report damages, track claim statuses, and receive timely updates, all through user-friendly digital interfaces. K
Health Harbor is an AI-driven solution designed to automate and streamline interactions with health insurance companies, enabling healthcare providers to focus on patient care rather than administrative tasks. By leveraging advanced artificial intelligence, Health Harbor handles various insurance-related communications, including benefit verifications, prior authorizations, and claim follow-ups, across medical, behavioral health, and pharmacy sectors. Key Features and Functionality: - Benefit
Statewise is an AI-native EHR, EVV, and Medicaid billing platform built for home and community-based care providers. It brings scheduling, clinical documentation, state forms, authorization tracking, EVV, claims, remittance, and reporting into one connected system for IDD, pediatric private duty nursing, pediatric therapy, and personal care organizations. Unlike generic healthcare software, Statewise is built around the Medicaid programs, waivers, forms, EVV pathways, payer requirements, and bi
Overview RebateLedger is a intelligent rebate, claims, and settlement management platform designed for small and medium businesses across FMCG, pharma, auto parts, agri business, electronics, building materials, and distribution industries. We help retailers, distributors, dealers, wholesalers, manufacturers, and channel partners automate and simplify: Rebates Chargebacks Billbacks Buybacks Channel Claims Vendor Claims Customer Incentives Settlement Processes RebateLedger supports percentage-
Identifies missing charges in a claim. The model will take all the charges on the medical claim and predict the probability that certain codes are missing. By using the input data of medical claims from an insurance company (i.e. common medical codes HCPCS, CPT, ICD10, REV, LOC), a score of every possible charge code is generated. High scores mean the charge should be on the claim. To preview our machine learning models, please Continue to Subscribe. To preview our sample Output Data, you will b
Sprout.ai is a Claim Automation Product that reduces the time it takes to settle insurance claims from weeks to seconds. Customers using Sprout.ai increase policyholder satisfaction and retention while reducing operational cost and leakage, helping to focus the claim handler on what’s important.
Intelligent property claims resource identification and assignment solution that automates matching of claims with adjusters based on skills, licensing, location, and availability. Enables insurance and supply chain providers to maximize efficiency, shorten claims lifecycles, and rapidly scale during catastrophic events.
The rad app helps software startups claim their R&D tax credit by streamlining the end-to-end process of identifying and validating expenditures then calculating the credit to be claimed. The rad app is the quickest and most cost-effective way for startups to claim their credit, the result of which is a direct cash injection.
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 Prioritiza
Flexpa is the healthcare industry's claims data access layer, enabling organizations to instantly retrieve patient-authorized healthcare claims data through a single API. Flexpa aggregates connections to over 300 health plans into a unified interface where users can securely authenticate and share their claims data.
Digital Business Solutions since 2000 We are leading experts in digital media, with over 18 years’ experience in delivering digital solutions to businesses and other organisations. We help businesses strengthen their online performance, redefine their digital identity and improve their sales figures through targeted marketing. Our in-house team consists of designers, developers, programmers and marketing strategists – so we can offer you comprehensive support and direction directly fro
eCareRCM is an intelligent Revenue Cycle Management (RCM) platform designed to help healthcare organizations manage and optimize their end-to-end billing and reimbursement processes in a unified system. It streamlines key financial workflows such as patient eligibility verification, medical coding support, claims submission, payment posting, and denial management. The platform helps healthcare providers improve billing accuracy, reduce claim denials, and accelerate reimbursements by automating c
NovaClaim is an AI-powered document processing platform built for insurance agencies, MGAs, adjusters, and carriers. It automates the extraction of structured data from ACORD forms (including ACORD 25, 125, 126, 130, 140, and others) and general insurance documents, eliminating manual re-keying and accelerating submission, underwriting, and claims workflows. Documents can be submitted through multiple intake channels, including email and direct upload. NovaClaim extracts over 300 fields per doc
Medarch Billing is a medical billing and revenue cycle management solution that supports claims processing, coding assistance, and payment tracking. It helps healthcare providers improve billing accuracy, reduce claim denials, and streamline revenue operations. The platform manages end-to-end billing workflows, from claim creation to reimbursement tracking.
Smarter Health is a Singapore-based healthtech company dedicated to transforming the healthcare ecosystem by enhancing accessibility, affordability, and accountability. Their unified platform facilitates secure data exchanges among insurers, healthcare providers, and patients, streamlining processes and improving overall efficiency. By integrating advanced technologies, Smarter Health aims to simplify, standardize, and systemize healthcare delivery, ensuring a seamless experience for all stakeho
EzyMed Online 4 is a fully integrated Medical Practice Management software for General Practices, Radiology and Specialists Centres.EzyMed Online 4 encompasses all functions required for the Medicare Australia's Online Claiming Online process, Department of Veterans Affairs (DVA) Claims and Australian Childhood Immunisation Register (ACIR) claims.
RapidScrub™ is an AI-powered solution designed to transform healthcare revenue cycle management by proactively preventing claim denials, accelerating payments, and allowing healthcare providers to focus more on patient care. By integrating advanced artificial intelligence, RapidScrub™ identifies and addresses potential claim issues before submission, ensuring cleaner claims and maximizing reimbursements.