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Prior authorization, minus the frustration. Rhyme connects payers and providers intelligently inside the prior authorization workflow, reclaiming the time lost on back-and-forth efforts and returning it to the patient. Join the largest integrated prior authorization network in the country.

abeo is a nationwide medical billing and software company focused on delivering revenue enhancing services to independent anesthesia practices, hospitals and surgery centers. We bridge the gap between the constant change in healthcare and your changing needs as a result.

Healthcare analytics and reporting

Dentistry Automation is a cloud platform that allows you to manage your entire dental practice from wherever you are. Scale your practice with a cloud solution that integrates with your PMS and gets you an insight into your patient's appointments, insurance, and collections with actionable insights that helps you grow like you are meant to.

RateBench shows a medical practice what each insurer has agreed to pay it, code by code, in one sheet. Enter your billing NPI, the CPT codes you bill and the payers you contract with; RateBench reads each payer's own published rate file (the federally required Transparency in Coverage files) and fills in your negotiated rate at every payer, side by side. Every figure shows where it came from: how it's priced, the network it belongs to, the setting, the month it was published and a link to the payer's source file. Where a payer doesn't list you, it says so. RateBench never invents a benchmark or a "market rate". With your rates in hand, RateBench checks you're paid them. Upload allowed amounts by code from your practice management system (aggregates only, nothing that identifies a patient) and it flags the codes allowed below the rate the payer published for you, worst first. Payers republish every month; each refresh shows which of your rates moved, by how much and when, so a quiet cut doesn't wait until renewal. RateBench reads 61 payers: the local Blue plan in 49 states and DC, plus UnitedHealthcare, Aetna, Cigna, Ambetter, Oscar and Medicare's published fee schedule. Look up a single rate free with no account. Plans start at $99 a month, priced by specialties and locations, not seats, and you can cancel anytime.

AllayAI HELIX is a healthcare software company offering AI-powered clinical documentation and workflow solutions for doctors and healthcare professionals. Its HELIX platform helps reduce administrative work by supporting clinical documentation, medical dictation, medical coding, translation, and billing workflows. The platform offers tools for capturing and summarizing clinical conversations, generating clinical notes, supporting E/M, HCC, and ICD-10 coding workflows, and streamlining insurance billing processes. AllayAI supports multiple medical specialties and is designed to integrate with healthcare workflows and EHR systems. Key capabilities include: - ✅ AI medical scribing, dictation, and transcription - ✅ Clinical note generation and customizable templates - ✅ Support for multiple medical specialties - ✅ Medical coding workflow support, including E/M, HCC, and ICD-10 - ✅ Medical language translation - ✅ Billing workflow support - ✅ Mobile and desktop access - ✅ Security features designed for healthcare environments AllayAI aims to help healthcare professionals spend less time on administrative tasks and more time with patients.

Rivio is an artificial intelligence (AI) company dedicated to enhancing the efficiency of hospital management by transforming the revenue cycle. Their AI-driven platform automates key processes such as medical auditing, billing submission, and post-billing analysis, ensuring hospitals receive full compensation from health plans while minimizing losses due to billing errors. Key Features and Functionality: - Intelligent Auditing: Rivio's AI agents perform concurrent and retrospective audits by integrating with leading electronic medical record (EMR) systems. They cross-reference clinical data with billing information to identify discrepancies, ensuring all procedures and materials are accurately billed and reducing potential claim denials. - Automated Billing Submission: The platform centralizes and automates the submission of billing data, eliminating the need to access multiple portals. AI reviews and submits XML files, ensuring timely and precise billing, and preventing missed submission deadlines. - Post-Billing Analysis: Rivio's AI agents automatically generate and execute appeals for denied claims, supervised by a team of billing specialists, to recover potential lost revenue. - Hidden Revenue Discovery: By cross-referencing EMR data with billing records, Rivio identifies and includes overlooked materials and procedures, ensuring comprehensive and fair revenue capture. - Monitoring Dashboard: Users can track the entire billing process through a comprehensive dashboard, providing transparency and oversight while AI agents and specialists manage the workflow. Primary Value and User Solutions: Rivio addresses the critical challenge of revenue leakage in hospitals by automating and optimizing the revenue cycle. By ensuring accurate billing and reducing claim denials, the platform enhances financial stability and operational efficiency. This allows healthcare institutions to focus more on patient care, confident that their financial processes are streamlined and effective.

Medlyze provides the rate of record: the latest commercial, Medicare and Medicaid rate for any code and provider, each with its source.

evaa.ai is an AI platform built for optometry and ophthalmology practices. It handles the documentation, billing and patient communication work that keeps doctors charting at night and staff on hold with payers, and it works inside the practice's existing EHR, so nobody has to switch systems. evaa is used by 270+ eye care practices and comes from First Insight, the company behind MaximEyes EHR. What evaa does: evaa Scribe listens during the exam and drafts a structured SOAP note in eye care terms (visual acuity, IOP, slit lamp and fundus findings, assessment and plan). The doctor reviews it and it's written back to the right places in the chart. evaa Billing Assistant verifies insurance eligibility for new and returning patients before the visit, reviews claims for missing or incorrectly formatted data before they're submitted, and helps with denials and payment posting. It can reduce verification workload by up to 75%. evaa Virtual Assistant answers patient questions, books appointments, sends reminders and handles follow-up, so the front desk isn't tied to the phone. evaa IntelliScan recognizes incoming documents and handles intake paperwork automatically, so staff spend less time scanning and retyping. evaa connects to leading optometry and ophthalmology EHR and practice management systems through API integrations and automation, including MaximEyes. It's HIPAA compliant.

RemitIntel is Aptarro’s denial-prevention intelligence solution that helps healthcare providers proactively identify and prevent claim denials. By connecting claims and remittance data, RemitIntel uncovers denial patterns and root causes, delivers evidence-backed recommendations, and helps revenue cycle teams take action to improve reimbursement performance.

Convert poor-quality, blurred, skewed, and handwritten CMS-1500 forms into EDI format with 99.5% accuracy and a false-positive rate of less than 0.5%

Foothold Care Management is a comprehensive, cloud-based software solution designed to enhance care coordination and streamline administrative processes for health homes and care management agencies. By integrating case management, client tracking, treatment planning, and billing functionalities, FCM empowers organizations to deliver efficient and effective care to their communities. Key Features and Functionality: - User-Friendly Interface: Provides an intuitive platform for managing client encounters, core service interactions, and billing statuses, enabling care managers to monitor and address gaps in member care effectively. - Integrated Billing System: Facilitates seamless billing processes by automatically handling health home billing requirements, including claim generation and submission to the Medicaid Analytics Performance Portal Health Home Tracking System . - Comprehensive Reporting and Analytics: Offers robust tools for tracking outcomes, generating reports, and analyzing data to support informed decision-making and demonstrate population health outcomes. - Interoperability: Ensures compatibility with other essential tools, such as referral management systems, to foster effective data sharing and coordination across networks. - Security and Compliance: Maintains high standards of data security, adhering to HIPAA regulations and achieving notable scores in security assessments. Primary Value and Solutions Provided: FCM addresses the complexities of care coordination by offering a centralized platform that simplifies administrative tasks, enhances data accuracy, and improves service delivery. By automating billing processes and providing insightful analytics, FCM enables care management agencies to focus more on client engagement and outcomes, ultimately leading to better health results and operational efficiency. Its interoperability and compliance features ensure that organizations can adapt to evolving healthcare regulations and integrate seamlessly with other systems, positioning them for success in a dynamic healthcare environment.

Waizant™ delivers secure & efficient data capture for anesthesiology groups and billing companies alike. Enjoy fluid data transmission through a variety of products and empower your providers with the ability to securely capture and transmit billing, quality, and PHI data.

Essentials Pro is Availity’s premier revenue cycle management clearinghouse, enabling some of the nation’s largest and most successful providers, hospitals, and health systems to streamline their workflows, prevent denials, and get paid faster. Integrated with many practice management systems and EHRs, Essentials Pro lets you make the most out of your technology. Whether your goal is to send cleaner claims, prevent denials up front, cut paper processes out of your workflow, or all of the above, Essentials Pro’s end-to-end claims workflow can help you achieve it.

HIPAA compliant loud based EHR designed to accelerate the exchange of up-to-date medical records throughout the medical community.

Rural Health Administrator PM system provides a set of features and functions to help RHCs overcome operational challenges and better serve their patients.