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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

Description

EMCsoft's Claims Management Ecosystem guarantees that healthcare providers and billing companies submit accurate claims to insurance payers for effective claim processing. This system combines our adaptable claims processing software, Claim Agent, with a comprehensive methodology known as the Four Step Methodology, seamlessly integrating into your claim adjudication workflow. By implementing this strategy, we enhance, facilitate, and automate your processes to optimize claim reimbursements. For an insightful overview of Claim Agent's features and its integration into your claims process, you can request our complimentary online demonstration. Claim Agent efficiently manages the scrubbing and processing of claims, ensuring a smooth transition from provider systems to insurance payers in a timely and cost-effective manner. The software is designed to be compatible with any existing system, ensuring a swift and straightforward implementation. Furthermore, we offer tailored edits, bridge routines, payer lists, and workflow configurations that cater specifically to each user's requirements, enhancing the overall claims management experience. This personalized approach enables healthcare providers to focus more on patient care while we take care of the complexities of claims processing.

Description

InvisaClaim stands out as the premier all-in-one revenue platform, leveraging AI to enhance Revenue Cycle Management by streamlining denial management, appeals, prior authorizations, and compliance with the No Surprises Act for billing companies and RCM teams. Users can upload or utilize a live feed to submit denial letters or 835 ERAs, allowing the AI to swiftly extract essential patient information, CARC/RARC codes, CPT/ICD-10 codes, amounts, and deadlines, subsequently generating tailor-made appeal letters for over 30 payers in just one minute. The system comprises various modules, including a Denial Workbench, NSA/IDR for eligibility verification and QPA capture, Prior Authorization, Pre-Check AI, A/R aging, NPPES NPI verification, deadline alerts, and a comprehensive audit trail. In addition, InvisaClaim seamlessly connects with your clearinghouse and EHR systems, boasting integration partnerships with notable entities such as Change Healthcare/Optum for features like ERA, eligibility checks, claim status, and prior authorizations, while Availity integration is currently underway and Waystar facilitates Provider Access Requests. Furthermore, strategic EHR collaborations with Athenahealth are in the works, alongside the implementation of a FHIR R4 layer for interoperability with Epic and Cerner systems, ensuring a robust and flexible service. With a commitment to security, InvisaClaim adheres to HIPAA compliance and holds SOC2 certification, demonstrating its dedication to maintaining the highest industry standards.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Authorize.Net No 
Availity No 
Change Healthcare No 
Change Healthcare Data & Analytics No 
Chase Merchant Services No 
Docusign No 
EpicCare EMR No 
Optum AI Marketplace No 
Optum Patient Care Management No 
Oracle Health No 
QuickBooks Accountants No 
QuickBooks Live Bookkeeping No 
Square Payments No 
Stripe No 
Supabase No 
Vercel No 
Waystar No 
athenaOne No 
athenahealth Population Health No 
eClinicalWorks No 

Integrations

Authorize.Net Yes 
Availity Yes 
Change Healthcare Yes 
Change Healthcare Data & Analytics Yes 
Chase Merchant Services Yes 
Docusign Yes 
EpicCare EMR Yes 
Optum AI Marketplace Yes 
Optum Patient Care Management Yes 
Oracle Health Yes 
QuickBooks Accountants Yes 
QuickBooks Live Bookkeeping Yes 
Square Payments Yes 
Stripe Yes 
Supabase Yes 
Vercel Yes 
Waystar Yes 
athenaOne Yes 
athenahealth Population Health Yes 
eClinicalWorks Yes 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

$349
Pricing starts at $349 per month per provider with tiers between $349-Enterprise.
Free Trial Yes 
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 Yes 
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 No 
Webinars No 
Live Training (Online) Yes 
In Person No 

Types of Training

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

Vendor Details

Company Name

EMCsoft

Founded

1980

Country

United States

Website

emcsoft.com

Vendor Details

Company Name

InvisaClaim, LLC

Founded

2026

Country

United States

Website

www.Invisaclaim.com

Product Features

Long Term Care

Claims Management Yes 
Clinical Care No 
EHR No 
Electronic Health Record No 
For Home Care Providers No 
For Nursing Homes No 
Geriatric Care No 
MDS Review No 
Patient Records No 
Staff Scheduling No 

Medical Billing

Claims Processing No 
Claims Scrubbing Yes 
Code & Charge Entry No 
Compliance Tracking Yes 
Customizable Dashboard Yes 
Dunning Management Yes 
Invoice History Yes 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates Yes 
Remittance Advice No 

Product Features

Medical Billing

Claims Processing Yes 
Claims Scrubbing Yes 
Code & Charge Entry Yes 
Compliance Tracking Yes 
Customizable Dashboard Yes 
Dunning Management No 
Invoice History Yes 
Patient Eligibility Checks Yes 
Practice Management Yes 
Quotes/Estimates Yes 
Remittance Advice Yes 

Revenue Cycle Management

Accounts Receivable Yes 
Claims Management Yes 
Collections Management Yes 
EHR/EMR Integration Yes 
For Healthcare Yes 
ICD-10 Compliance Yes 
Insurance Verification Yes 
Medical Billing Yes 
Patient Portal Yes 
Patient Registration Yes 
Patient Scheduling Yes 
Payment Processing Yes 

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