Products

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

An all-in-one reimbursement platform for Nursing Homes

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

SimiTree's CLARITY is a next-generation, real-time revenue cycle analytics platform purpose-built for home health, hospice, and behavioral health organizations. Designed to eliminate blind spots, reduce administrative burden, and drive measurable financial performance, CLARITY represents a significant leap forward in how providers manage and optimize their revenue cycle. One of its most powerful differentiators is its ability to seamlessly connect with virtually any data source in your technolo

KAIS is denial-intelligence software for independent specialty practices. It helps teams catch preventable denial risk earlier using the payer’s own published eligibility, prior-auth, and claim rules, and maps denied A/R to the pathway and coverage policy that applies. Software seats, per provider per month. Not a billing company. Not an outsourcer. No cut of collections.

Software for Medical Billing Companies

KAIS is denial-intelligence software for independent specialty practices. It helps teams catch preventable denial risk earlier using the payer’s own published eligibility, prior-auth, and claim rules, and maps denied A/R to the pathway and coverage policy that applies. Software seats, per provider per month. Not a billing company. Not an outsourcer. No cut of collections. It gives teams a practical, policy-linked view of denial risk before claims leave the building.