Average Ratings 0 Ratings
Average Ratings 0 Ratings
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
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