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features
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support

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Write a Review

Description

ClaimScore stands out as the sole independent software solution focused on tackling the growing issue of claim fraud within class action settlements. Each claim is meticulously assessed on an individual basis through our unique AI, ML, and Cloud Architecture in real-time, with results displayed instantly on an interactive dashboard. Initially, every claim starts with a ClaimScore of 1,000, which diminishes whenever it does not meet a specific criterion. These criteria are assigned either fixed or variable weights based on their relationship to fraudulent and legitimate claims. To enhance transparency, every claim is accompanied by deduction codes that correspond to the failed criteria, ensuring that all involved parties, including the administrator and the court, are fully informed of the precise reasons behind any claim rejection. This meticulous approach not only fosters trust among stakeholders but also reinforces the integrity of the claims process.

Description

OHIPay is a cloud-based medical billing solution designed specifically for Ontario physicians and their billing teams. This software offers a web-based workspace along with a mobile application, allowing users to generate claims using health-card information, verify eligibility, incorporate fee codes, compute applicable premiums, and assess advisory alerts regarding possible rejection codes. Users can submit claims in groups via MC EDT and monitor their progress from the draft stage through to submission, payment, or potential rejection. Additionally, OHIPay facilitates inpatient rounding rosters, enables health-card scanning, and supports correction and resubmission processes while allowing for the reconciliation of Ministry remittance reports with the services submitted. The platform includes handy references for billing codes. Although the software aims to assist practices in managing their own Ontario physician claims, the advisory warnings provided are intended for review purposes only and do not guarantee the acceptance or payment of claims. Ultimately, OHIPay streamlines the billing process, enhancing efficiency for healthcare providers in Ontario.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

CAD $20/physician/month
First 6 calendar months free, then CAD $20 per month plus HST per physician from month 7. Billing staff and the mobile companion are included. No credit card to start, no setup fee and no contract; month-to-month, cancel any time. Account access follows a reviewed request and invitation.
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 Yes 
iPad App No 
Android App Yes 
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) No 
In Person No 

Types of Training

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

Vendor Details

Company Name

ClaimScore

Founded

2022

Country

United States

Website

www.claimscore.ai

Vendor Details

Company Name

Medinote Technologies Inc.

Founded

2026

Country

Canada

Website

ohipay.ca

Product Features

Insurance Claims Management

CRM No 
Claims tracking No 
Customer portal No 
Document management No 
EDI data exchange integrations No 
Electronic claims No 
Fraud management No 
Reporting No 

Product Features

Medical Billing

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

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