Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Authorize, claim processing and payment are available at the point-of-care. Improve care coordination and improve outcomes for lower medical costs while streamlining administrative processes. Engage providers at point of care to share and capture data in real time, resulting in an unprecedented exchange of health information. We work with our clients to develop risk management strategies that produce better outcomes at lower costs. We aim to improve the user experience of everyone in the ecosystem. To optimize clients' resources, we deliver a minimum of a 3:1 ROI. Conexia has created a core technology platform (ONE), which can be customized to meet the different regulatory requirements and operational processes of each client in each geographic region. Our initial implementation is usually an overlay on the existing technology ecosystem of the payer to create real-time processes.
Description
I-CAPS stands for Intelligent Claims Administration System, designed to comprehensively cover all aspects of the health claims payment sector through a unified architecture that meets the diverse requirements of payers, including areas such as membership management, billing, enrollment, mailroom operations, claims processing, network oversight, contracting, pricing strategies, utilization reviews, and customer support. Our I-CAPS, along with our Advanced Value Scale (AVS) coding compliance software, facilitates informed decision-making to assist clients in managing expenses effectively. The Advanced Network Administrator (ANA) ensures the accuracy of provider information in an efficient manner, while our Resource-Based, Usual Customary, and RESPONSIBLE fee schedule (RB-UCR) is a pioneering solution in the market, built on RBRVS and NCCI frameworks. For a thorough assessment of your plan or provider’s performance, consider utilizing our Cost Containment Audit and Recovery Services (CCARS), which provide a meticulous and non-intrusive evaluation of claims efficiency. This holistic approach not only enhances operational effectiveness but also promotes greater transparency within the health claims ecosystem.
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
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
No
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
Yes
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
No
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
No
Live Training (Online)
No
In Person
Yes
Vendor Details
Company Name
Conexia
Founded
1996
Country
United States
Website
conexia.com/en
Vendor Details
Company Name
W.O. Comstock & Associates
Website
www.amrhealth.com
Product Features
Benefits Administration
COBRA Administration
No
Claims Management
Yes
Deduction Management
No
Disability Insurance Administration
No
Employee Benefits Administration
No
FMLA Administration
No
FSA Administration
No
Flexible Spending Accounts
No
For Brokers
No
For Employers
No
HIPAA Compliant
No
Health Insurance Administration
Yes
Life Insurance Administration
No
Online Benefits Enrollment
No
Premium Billing
No
Provider Management
Yes
Retiree Administration
No
Retirement Plan Management
No
Claims Processing
Adjustor Management
No
Case Management
No
Claim Resolution Tracking
Yes
Co-Pay & Deductible Tracking
No
Compliance Management
Yes
Customer Management
No
Electronic Claims
Yes
Forms Management
Yes
Paper-Based Claims
No
Payor Management
No
Policy Administration
Yes
Healthcare CRM
Audience Targeting
No
Campaign Management
Yes
Marketing Automation
No
Medical History Records
Yes
Patient Communications
No
Patient Management
Yes
Physician Management
Yes
Predictive Analytics
Yes
Hospital Management
Accounting Integration
No
Appointment Management
No
Appointment Scheduling
No
Bed Management
No
Billing & Invoicing
No
Claims Management
Yes
In-Patient Management
No
Inventory Management
No
Medical Billing
Yes
Out-Patient Management
No
Patient Records Management
No
Physician Management
No
Policy Management
Yes
Revenue Management
No
Medical Billing
Claims Processing
Yes
Claims Scrubbing
No
Code & Charge Entry
No
Compliance Tracking
No
Customizable Dashboard
No
Dunning Management
No
Invoice History
Yes
Patient Eligibility Checks
Yes
Practice Management
No
Quotes/Estimates
No
Remittance Advice
No
Population Health Management (PHM)
Analytics
Yes
Cost-of-Care Analysis
Yes
Data Storage
No
EMR/EHR Integration
No
Patient Engagement
Yes
Patient Identification
Yes
Patient Risk Stratification
Yes
Patient-Reported Outcomes
Yes
Payment Bundling
Yes
Predictive Alerts
Yes
Test & Treatment Reminders
Yes
Utilization Tracking
Yes
Product Features
Claims Processing
Adjustor Management
No
Case Management
No
Claim Resolution Tracking
Yes
Co-Pay & Deductible Tracking
No
Compliance Management
No
Customer Management
No
Electronic Claims
No
Forms Management
No
Paper-Based Claims
No
Payor Management
No
Policy Administration
No