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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Circle Health is an innovative AI platform tailored for behavioral health and addiction treatment facilities, offering digital assistants designed to streamline clinical documentation, utilization review, compliance, and claims processing throughout the entire patient journey from intake to discharge. The platform's Charting Assistant efficiently records encounters using ambient listening, dictation, typing, or file uploads, and it produces notes in various formats such as SOAP, DAP, BIRP, and templates specific to clinics, while also recommending ICD codes and verifying medical necessity instantly. In addition, Circle Health meticulously reviews charts, assembles comprehensive authorization packets, monitors clinical and payer standards, assists with live payer communications, and oversees eFax submissions for both initial and ongoing treatment authorizations. Furthermore, the platform consistently evaluates documentation against the standards set by payers, regulatory bodies, and accreditation organizations, delivering real-time compliance metrics to ensure adherence to industry requirements. By leveraging advanced technology, Circle Health enhances the operational efficiency of behavioral health facilities, ultimately improving patient care.

Description

HealthRules® Payer represents a cutting-edge core administrative processing system that offers transformative features for health plans across various types and sizes. For over a decade, health plans utilizing HealthRules Payer have effectively capitalized on market opportunities, maintaining a competitive edge. What sets HealthRules Payer apart from other core administrative solutions is its innovative application of the patented HealthRules Language™, which resembles English and introduces a groundbreaking methodology for configuration, claims management, and information transparency. This system empowers health plans by enabling them to expand, innovate, and outperform their peers more effectively than any other core system available today. As a result, HealthRules Payer not only streamlines operations but also fosters a culture of agility and responsiveness within health organizations.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Google Drive Yes 
Kipu Yes 
Lightning Step Yes 
Microsoft OneDrive Yes 
Netsmart Homecare Yes 
Opus Yes 
Salesforce Yes 
Sunwave Yes 

Integrations

Google Drive No 
Kipu No 
Lightning Step No 
Microsoft OneDrive No 
Netsmart Homecare No 
Opus No 
Salesforce No 
Sunwave No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person No 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

Circle Health

Founded

2024

Country

United States

Website

www.circlehealth.co

Vendor Details

Company Name

HealthEdge Software

Website

www.healthedge.com

Product Features

Product Features

Claims Processing

Adjustor Management No 
Case Management No 
Claim Resolution Tracking No 
Co-Pay & Deductible Tracking No 
Compliance Management No 
Customer Management No 
Electronic Claims No 
Forms Management No 
Paper-Based Claims No 
Payor Management Yes 
Policy Administration No 

Alternatives

Alternatives

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