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Resolve members’ appeals and grievances while complying with regulatory guidelines and adhering to state-level and CMS (Centre for Medicare and Medicaid Services) guidelines. Optimize resources and reduce turnaround times by leveraging our rule-driven engine to prioritize and route all service requests. Capture all decisions, notes, and exceptions within the system for future reference and audits. Automate your service requests processes to future-proof your organization, stay on top of regulations, and guarantee member satisfaction.
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BridgedNest is a home health referral marketplace. Discharge coordinators, physicians, families and patients use BridgedNest to find home health agencies associated with their payer, including Medicare, Medicare Advantage, Medicaid and commercial plans, and to send referrals quickly. The patient always chooses their agency. Home health agencies subscribe to BridgedNest to receive referrals for skilled nursing, physical therapy, occupational therapy and other home health services. BridgedNest is currently piloting in Dallas–Fort Worth and expanding beyond Texas.
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Magento 2 Multi-Vendor Marketplace Extension is all you need if you’re looking to transform your default Magento 2 store into a complete multi-seller e-commerce marketplace with multiple sellers, products, and payout settings. This helpful Extension offers many exciting features like a Vendor Dashboard, Vendor Panel, Set Product Approval, Vendor Management, Product Management, Commission Management, Order Management, and more. Magento 2 Multi-Vendor Marketplace works for any theme and template. For more details, kindly contact our support team. Features 1) Product Management: Approve, add, remove, or edit products with preset parameters from the admin panel. 2) Order Management: View, approve, add, remove, or edit orders by setting parameters from the admin panel. 3) Vendor Management: Add, remove, or edit vendors from the back end. 4) Commission Management: Ability to manually set the seller’s commission from the admin panel. 5) SEO Management: Comes with SEO friendly system to make pages easily readable for web crawlers. 6) Vendor Dashboard: Vendors can view and manage their dashboards. 7) Customizable: Ability to customize the template as per your unique needs. 8) Report system: Receive detailed insights with Extension’s advanced reporting system. Admin Features 1) Add/edit vendor information: Admin can add or remove a vendor and edit vendor information from the back end. 2) Set product approval: In case of admin approval is required before a vendor’s product appears in the store, the admin can set a parameter to enable it. The admin can set ON/OFF this approval requirement. 3) Set registration approval: Vendor can register from the front end. The admin can set ON/OFF this approval requirement. 4) View vendor orders from the admin panel: This Extension adds the vendor name as a filter in the order listing page. Admin can use that to filter orders based on vendor names. 5) Manage vendor orders: While vendors can manage their orders from the vendor panel, the admin can also manage them if required. 6) Manage product commission: Commission payable to admin, which is some percentage of the product price, can be set on a global level applying to the whole store, as well as on vendor level and a category level. Customer Features 1) Review for a vendor: Customers can give reviews and ratings to vendors. But a customer should have bought something from that vendor. 2) View vendor store page: Users can view the store page for a particular vendor by clicking on the vendor name from the product listing page. 3) Become a vendor: A regular user can apply to become a vendor using the options provided on the dashboard. Vendor Features 1) Vendor Panel: Vendors can manage products, orders, and their profile information from the vendor panel. This panel is shown on the user dashboard after login. 2) Register from the front end: The vendor can register from the front end of the website using vendor registration links given on the header and footer. 3) Manage profile: The vendor can modify their profile information during or after registration. 4) Manage store: Vendors can manage their information on the store page, which is created on the website for each vendor. 5) Add/delete/edit products: Vendors can manage products from the vendor panel. The following types of products can be added/edited by vendors: a) Simple products b) Configurable products c) Virtual product d) Downloadable products 6) After adding a product, approval is sought from the admin if the admin has enabled product approvals. 7) View orders: Vendors can see all their orders in a list view in the vendor panel, with filter options available. 8) Invoicing and Shipping functions: Vendors can process their orders. Usual Magento features for order processing, like "Invoice" and "Ship," are available in the vendor panel. 9) View store reviews: Customers can review vendors, and the vendor can view the reviews and ratings from customers. 10) View commission: For every order, the admin deducts a portion of the order amount, and the rest is passed on to the vendor. In this option, the vendor can see how much funds have been received from orders and how much the commission is payable to the admin. When the admin initiates a settlement, the vendor can view those details also in the vendor panel.
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AplonAPI is a comprehensive Open Banking API management platform designed exclusively for financial institutions navigating the evolving landscape of open banking and PSD2 regulations. It empowers banks and financial entities to offer Banking as a Service (BaaS or Banking as a Platform (BaaP solutions, enabling seamless integration with Third-Party Providers (TPPs such as Account Information Service Providers (AISPs and Payment Initiation Service Providers (PISPs. By facilitating the creation of a connected FinTech ecosystem, AplonAPI opens new revenue channels and positions institutions at the forefront of the multibanking movement. Key Features and Functionality: - Value Generation: AplonAPI acts as a value generator for business and technology from day one. The Billing and SLA modules let you monetize your APIs. You start seeing revenue from a channel much broader than your web or mobile apps. Start creating beneficial partnerships with AISPs and PISPs and create your own ecosystem. Go beyond Open Banking Regulation and use the platform to manage private APIs to harmonize internal development. This way you expedite and normalize your own development projects. You can also expose B2B APIs to attract and facilitate communication with large corporates. - Ready-to-Use Sandbox: Immediately initiate your online presence with an out-of-the-box sandbox. It comes with prebuilt and tested PSD2 APIs in any of the major open banking standards. Without any effort on your part, you get a sandbox for - Authentication / Account Owner Consent, - Payment Initiation API, - Funds Availability API, - Account Information API, - Second Factor Authentication (using the OAUTH 2.0 protocol. Any AISP and PISP can test their applications immediately as sample users, accounts, and Strong Customer Authentication (SCA features are included. - Branded Developer Portal: It comes prebuilt and ready to launch with out-of-the-box developers onboarding, application registration, logging, billing, and marketplace features for AISP, PISP, and client applications. With the provided source code you can customize it and brand it. You can even extend it for any future regulated or not API, or functionality you want to provide to your fintech ecosystem. With this unparalleled flexibility, you can even modify the UI or use the underlined APIs to integrate it into your website. - Comprehensive Open Banking Support: Supports out-of-the-box Berlin Group, Open Banking UK, or any other Open Banking standards. It fully supports the PSD2 directives on Strong Customer Authentication (SCA, Consent management, and TPP verification through QSEAL and QWAC validation. Helps you define multi-tier billing layers & combine them with actual usage logs to generate all the necessary billing information. It also monitors the performance of Payment Initiation, Account Details, Funds Availability, and any other exposed APIs. PaymentComponents even provides you with client applications in Sandbox to test the data of your financial transactions and start populating your marketplace. - Tailored for Financial Institutions: Generic API management tools are not the best solution for financial institutions. AplonAPI platform was created by financial technology experts and is optimized and customized for Financial Institutions specifically for Open Banking. Working with Paymentcomponents, you partner with a Fintech specialized in Open Banking and Payments and therefore leverage the first-mover advantage of our continuous innovation. You become part of the global thought leadership on open banking and get the opportunity to be awarded as "leading digital initiative" and "Usability / User Experience Excellence" as some of our customers. - Advanced Technology Stack: AplonAPI is built from the ground up, as a truly open API platform. All internal functionality is exposed as APIs, to access them from your web banking or mobile banking. It fully leverages cutting-edge technology trends such as microservices, dockers, Kubernetes for unparalleled elasticity and scalability. For blazing speed, it utilizes in-memory databases, ELK stack (Elasticsearch, Logstash, and Kibana asynchronous traces, and can be installed in the cloud or on-premise. Primary Value and User Solutions: AplonAPI addresses the critical need for financial institutions to adapt to the open banking era by providing a robust, secure, and scalable platform for API management. It enables banks to comply with PSD2 regulations, monetize their APIs, and foster innovation through partnerships with FinTechs. By offering a ready-to-use sandbox and a customizable developer portal, AplonAPI accelerates the development and deployment of new financial services, enhancing customer engagement and opening new revenue streams. Its advanced technology stack ensures high performance and scalability, allowing institutions to stay competitive in a rapidly evolving financial landscape.
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Drishyam is an innovative automation hardware and software solution designed to take video advertising to the next level. Used for displaying dynamic video advertisements on large screens in malls, buildings, roadsides, parking areas, and more, Drishyam offers unmatched versatility for businesses looking to captivate audiences with engaging video content. Whether you need to promote your brand in high-traffic public spaces or display tailored ads to specific geographic locations, Drishyam simplifies the entire process, allowing you to control and manage content efficiently. With Drishyam, you can easily edit videos, add images, and include music to create eye-catching, immersive advertisements that resonate with your target audience. The software also offers a range of powerful features, including multiple user options and device management, that make it easy for businesses to organize and distribute content across various locations. Key Menus Available in Drishyam: Basic Master- The Basic Master menu serves as the foundation for the entire platform. This section allows you to set up core functionalities, configure essential settings, and manage all the basic aspects of your advertising system, providing a seamless way to begin your journey with Drishyam. Geography Master- With Geography Master, you can fine-tune your ads based on geographical locations. This feature is particularly helpful if your advertising content varies from one region to another. By managing your content based on location, you can ensure that the right audience sees the right message at the right time. User Master- In the User Master menu, you can manage all users who will have access to the system. You can assign roles, permissions, and access levels to ensure that only authorized individuals can modify content, devices, and settings. This ensures security and efficiency across your organization. Linking Master- The Linking Master menu is where you handle the relationships between different components of your advertising ecosystem. Whether it’s linking devices to playlists or connecting different elements of your ads, this menu simplifies the process of keeping everything interconnected. Device Master- Managing multiple screens and devices across various locations has never been easier. The Device Master menu lets you add, remove, and monitor all devices under your control, ensuring smooth content delivery across all display units. Customer Registration- In the Customer Registration menu, you can easily register new clients and manage their profiles. This is a valuable tool for agencies managing ads for multiple clients, ensuring a clear and organized way to handle customer data and campaigns. Playlist Master- The Playlist Master menu is the heart of Drishyam’s content management system. Here, you can create and organize playlists consisting of videos, images, YouTube links, online videos, templates, webpage URLs, and more. This flexibility allows you to build rich, engaging advertising campaigns that can be tailored to specific needs. Customer Device- With the Customer Device menu, you can manage the devices associated with a particular customer, linking multiple screens to a single client account. This makes it easy for businesses with multiple locations to display consistent and unified advertising across all their screens. Customer Device Playlist Link- In the Customer Device Playlist Link menu, you can link specific playlists to the customer’s devices. This ensures that the correct content is being shown on the correct screens, making campaign management simple and straightforward. Customer Device Playlist View- The Customer Device Playlist View menu provides an overview of which playlists are being displayed on each device, giving you clear visibility and control over the content being broadcast across different locations. Editor- The Editor menu offers powerful tools to enhance your ads. You can easily edit videos, add images, music, and other elements to your playlist content, ensuring that your advertisements are fresh, engaging, and on-brand. Dashboard- The Dashboard is your control center, offering a comprehensive view of all your advertising activities. From here, you can monitor device status, playlist performance, and geographic reach, giving you actionable insights into how your campaigns are performing in real time. Conclusion Drishyam offers a complete solution for managing video advertisements across multiple locations with ease. Its robust menus, user-friendly interface, and wide-ranging functionalities make it an indispensable tool for businesses looking to maximize the impact of their digital advertising efforts. Whether you’re managing a single location or dozens, Drishyam ensures that your content reaches the right people at the right time, every time.
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AtlonXpense allows to number expenses (souches TVA, des tickets de caisse…) and automatically track them online. Manual codificaction and control are over. The only thing needed done: taking a picture of your bill or ticket with your smartphone, tablet or scanner.
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Cosine is a Human Reasoning Lab dedicated to codifying human reasoning and applying it to complex problems, with a primary focus on software engineering. Their flagship product, Genie, is an AI-driven, fully autonomous software engineering model designed to function as a collaborative team member. Genie integrates seamlessly with existing codebases and ticketing systems, enabling it to autonomously handle tasks from a project's roadmap or backlog. Unlike traditional tools, Genie operates asynchronously in its own environment, allowing developers to concentrate on more critical work without interruption. Built from the ground up as a truly autonomous system, Genie is equipped with purpose-built tooling that scales effectively.
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Media.io Img Sharpener is an AI-powered online tool designed to enhance and sharpen portrait images effortlessly. By leveraging advanced artificial intelligence algorithms, it automatically improves image quality, making photos clearer, crisper, and more detailed. Users can upload images up to 50MB with resolutions up to 6000x6000 pixels in formats such as JPG, BMP, WebP, JPEG, or PNG. The tool processes images swiftly, providing a side-by-side comparison of the original and enhanced versions, allowing users to preview the improvements before downloading. Key Features and Functionality: - Automatic Image Enhancement: Utilizes AI to adjust lighting, exposure, and contrast, effectively brightening underexposed portraits and correcting backlit photos. - Deblurring and Noise Reduction: Removes blur caused by camera shake or focus issues and reduces noise from high-ISO or low-light images, resulting in sharper and cleaner photos. - Depixelation: Restores details in pixelated or compressed images, making them clearer without altering dimensions. - User-Friendly Interface: Offers a simple, one-click process for uploading and enhancing images, requiring no prior photo editing experience. - Privacy Assurance: Processes images directly in the user's browser, ensuring that no one, including the service provider, can access the images. Primary Value and User Solutions: Media.io Img Sharpener addresses common challenges faced by photographers, e-commerce sellers, creative professionals, and social media users by providing a quick and efficient solution to enhance image quality. It enables users to improve the clarity and professionalism of their photos without the need for complex software or technical skills. This tool is particularly beneficial for enhancing product images for online marketplaces, improving visual content for marketing campaigns, and revitalizing old or low-quality photos for personal or professional use.
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• We're Salesforce and healthcare experts – it's all we do. We're fluent in individual, small group, large group, self-funded, worksite, Medicare Advantage, Medicare Supplement, and Medicaid. • Our AmpliFires accelerate time-to-value – pre-built stories, configurations, workflows, templates, QA'd code, & best practices coupled with our deep healthcare experience reduces your organization's implementation risk & helps you go-live even faster. • We play nice with others – we happily partner with Salesforce Professional Services as well as other consulting firms, either leading your project or rounding out your roster with our Salesforce & healthcare experts.
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CareBiller is a team of skilled medical billing professionals who can help streamline billing operations in your organization and offer expert advice to enhance the revenue cycle. We can swiftly scale up and down the team to match your ever changing needs. We have a vast network of billers and team leaders, so we can find any employee to fit your requirements and your liking. CareBiller specialists can help your practice with: • Medical Billing • Authorization Status Checks • Eligibility Verifications • Denials Management • Patient Billing and Collections • Referral Checks • Census Data Input • Payments Posting • Medicaid Redeterminations • PNA Management
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Onyx RCM is a full-service healthcare revenue cycle management company specializing in medical billing, credentialing, and practice optimization for providers across the United States. We help healthcare organizations improve cash flow, reduce denials, and streamline operations through end-to-end RCM solutions, including claims submission, AR follow-up, denial management, and payer communication. Our credentialing services cover Medicare, Medicaid, and commercial payer enrollments, along with EDI, ERA, and EFT setup to ensure seamless billing workflows. Onyx RCM also provides coding support, reporting dashboards, and virtual administrative assistance to enhance practice efficiency and compliance. With a focus on transparency, performance tracking, and timely execution, we partner with providers to maximize reimbursements and maintain financial stability.
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TierBench is a reimbursement intelligence platform providing behavioral health facilities with negotiated rates from payer machine-readable files. It offers facility-level insights via APR-DRG reimbursement data, TIN-to-facility rosters, and taxonomy details. Ratebench enables filtering and querying by payer, billing code, and market, while Peerbench allows service line comparisons. The platform simplifies data complexities with confidence-scored intelligence addressing grouped facilities, NPI/TIN/DBA variations, and carve-outs. Supporting over 150 behavioral health billing codes, including residential treatment, detox, and ABA services, TierBench normalizes data with APR-DRG to MS-DRG crosswalks, Medicaid fee schedules, and unbillable rate filtering. Custom reports aid contract negotiations, with national payer data regularly updated.
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Column Case Management provides secure investigative case management software for government agencies, Inspector General offices, Medicaid fraud units, law enforcement teams, internal affairs, and compliance-driven organizations. Our platform helps investigative teams manage intake, cases, documents, evidence, workflows, reporting, audit trails, and integrations in one configurable system. Column is built around real investigative work, giving teams faster access to case information, stronger visibility, and a reliable source of truth throughout the life cycle of an investigation. Column 9.x delivers a faster user experience, cleaner workflows, stronger search capabilities, improved reporting, and tools designed to reduce administrative burden while supporting consistent, accountable case work.
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Best for contracts managers at US federal contractors working through the FAR overhaul. Paste FAR and DFARS clause numbers. Each shows its codified number, the deviation number, the proposed number and what changed, each cited to its source. Free for eight lines with no account. Solo USD 29 a month, Team USD 99 a month. Built by The Art of Service, publishing compliance and governance material since 2000.
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Présentation du produit Winlassie est la plateforme QHSE (Qualité, Hygiène, Sécurité, Environnement) modulaire qui centralise et digitalise l'ensemble de vos processus de prévention, de sécurité et de conformité réglementaire. Forte de 25 ans d'expertise, la solution accompagne responsables QHSE, DRH, directions générales et équipes opérationnelles pour protéger les collaborateurs, sécuriser les opérations et répondre aux exigences des normes ISO 9001, ISO 14001, ISO 45001, MASE et CEFRI. Son architecture modulaire permet de composer la solution dont votre organisation a besoin, sans développement spécifique. Hautement paramétrable, Winlassie s'adapte à vos méthodes et process métier, et non l'inverse. Déployé aussi bien dans des TPE-PME que dans de grands groupes industriels, Winlassie compte parmi ses références Orano, Framatome, Lindt, Bureau Veritas, Eau de Paris et Manpower. Modules clés Socle : utilisateurs, structure organisationnelle, gestion documentaire, tableaux de bord et fonctionnalités transverses. Risques / Document Unique (DUERP) : digitalisation des évaluations des risques, cartographies et mise à jour continue du DUERP. Aptitudes : suivi centralisé des compétences, formations, habilitations et visites médicales, avec intégration de vos référentiels. Évènements / AT-MP : déclaration et analyse des accidents du travail, maladies professionnelles et presque-accidents, avec plans d'actions associés. Pilotage : audits internes, externes et de certification (MASE, CEFRI, ISO 45001/9001/14001), visites terrain, causeries et plans de prévention sur PC, tablette ou smartphone. Radioprotection : suivi dosimétrique et gestion des autorisations d'accès pour les travailleurs exposés. Gestion des équipements : inventaire, contrôles, maintenance et conformité dans la durée. Pour qui ? Winlassie s'adresse aux organisations soumises à de fortes exigences QHSE : nucléaire, ferroviaire, BTP, industrie manufacturière, sociétés de services, entreprises de travail temporaire et secteur public. La solution s'adapte aux TPE-PME comme aux grands groupes multi-sites. Pourquoi choisir Winlassie ? Une solution hautement paramétrable, sans développement spécifique. Une plateforme 100 % web (SaaS) accessible depuis tout équipement connecté, avec centralisation des données en temps réel. Des alertes automatiques et un reporting personnalisable pour anticiper échéances réglementaires, renouvellements d'habilitations et jalons de certification. Une couverture multi-normes : ISO 9001, ISO 14001, ISO 45001, MASE, CEFRI. Une expertise française : Winlassie est éditée et accompagnée par les consultants QHSE d'Imagine Human France.
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La solution SaaS collaborative pour une gestion RSE/ESG innovante et centralisée: Fletchr logiciel est une plateforme SaaS française de référence, idéale aussi bien pour les grandes entreprises que pour les TPE et PME. Elle accompagne la transformation numérique de la gestion RSE et du reporting ESG en s'intégrant parfaitement à votre système d'information et à votre écosystème logiciel existant. Fletchr, c'est bien plus qu'un simple logiciel de gestion : c'est un outil de gestion complet, modulaire et collaboratif, pensé pour gagner du temps, fluidifier les processus de gestion et booster la productivité des équipes. Issue d’une expertise terrain approfondie et enrichie par l’intégration au groupe Imagine Human, Fletchr s’impose comme une solution complète et évolutive, adaptée aux exigences réglementaires actuelles (CSRD, IFRS, GRI, TNFD) et aux besoins de digitalisation des démarches durables. Cette solution logicielle, en mode SaaS et cloud, facilite la centralisation, la dématérialisation et la sécurisation de tous vos flux RSE/ESG. Un logiciel SaaS pensé pour tous les acteurs de la RSE et de l’ESG: Fletchr s’adresse aussi bien aux entreprises de toute taille, quel que soit leur niveau de maturité RSE/ESG, qu’aux cabinets de conseil et consultants désireux d’offrir à leurs clients des solutions de gestion innovantes et évolutives. Grâce à son architecture modulaire, son ergonomie et sa flexibilité, Fletchr s’adapte facilement aux besoins spécifiques de chaque structure et à la gestion des ressources internes et externes. L’architecture technique de Fletchr autorise une gestion multi-entités, une consolidation organisationnelle poussée et une personnalisation fine des modules, référentiels et indicateurs pour répondre précisément aux enjeux spécifiques de chaque organisation ou secteur. L’intégration native avec des outils de gestion existants (ERP, SIRH, progiciel de gestion intégré…) et la possibilité d’exporter vos données facilitent la gestion de la relation client, la gestion des talents, la gestion administrative et la gestion financière.
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Meet AP Storytelling, developed by AP Workflow Solutions to address the complex needs of today’s media professionals. This platform doesn’t just adapt to the evolution of media—it drives it, transforming traditional workflows into streamlined digital operations. Designed for newsrooms that demand precision and efficiency, AP Storytelling integrates cutting-edge technology with user-friendly interfaces, giving you the power to focus on what matters most: delivering compelling content.
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SYNCRASY is a clinical, financial and population health management solution exclusively for value based care. SYNCRASY provides the managed care / value based care One-Stop-Shop to at-risk provider organizations, such as medical groups, accountable care organizations (ACO), managed service organizations (MSO), or independent physician associations (IPA); Medicare, Medicaid and ACA health plans; and government health agencies. SYNCRASY improves quality outcomes, reduces admissions, minimizes network leakages and maximizes reimbursement with: - Complete clinical and financial member records - At-risk gap analysis and analytics - Referral and Managed Care Contract management - Instant, real-time eligibility checks - HIE admission alerts - Automated Encounter / Claims processing - Patient / Customer Relationship Management - Formulary Management - Multi-Payer, Global reports (all payers on one report!)
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CedrusMed provides a comprehensive Electronic Health Record (EHR) solution specifically designed for Behavioral Health organizations. Our platform addresses every critical component of an EHR system, streamlining operations for Mental Health professionals and ensuring a seamless management experience. Recognizing the industry’s dependence on spreadsheets and custom PDF forms, CedrusMed introduces standardized and innovative documentation practices. This modern approach reduces the barriers to EHR adoption by lowering costs and simplifying workflows. Tailored to the unique needs of the Community Mental Health and Targeted Case Management, CedrusMed offers a user-friendly and cost-effective solution that eases the transition to automated documentation. CedrusMed is intuitive, adaptable, and fully compliant with the standards set by the Agency for Health Care Administration (AHCA) and Medicaid, ensuring both efficiency and regulatory adherence.
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Independent claim pricing workbench at cmswebpricer.com for health plans, TPAs, reference-based pricing vendors and payment integrity teams. Prices inpatient claims by MS-DRG at any US hospital, with Original Medicare and Medicare Advantage out-of-network payment side by side, plus SNF, outpatient and ASC, and professional claims. State Medicaid APR-DRG pricing covers New York, Texas, Colorado, Virginia and Washington, plus Maryland's rate-regulated system. Every price shows its full formula: weights, wage index, outliers, transfers and add-ons. Import 837I files, reprice claims in batch, model contracts as a percent of Medicare, and export repriced 837 and 835 files. In a 5,000-claim test, every claim matched CMS's own Web Pricer within $1. Independent tool, not affiliated with CMS.