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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

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.

Description

Optum AI Marketplace is a meticulously curated platform of AI-driven solutions aimed at revolutionizing healthcare by equipping payers, providers, and partners with innovative tools to enhance outcomes in a more efficient manner. This marketplace encompasses a wide variety of products and services spanning several categories, including patient and member engagement, claims and eligibility, care operations, payment and reimbursement, and analytics. Among its standout offerings is the prior authorization inquiry API, which allows payers to verify a patient’s authorization status instantly, alongside SmartPay Plus, an electronic cashiering platform designed to simplify the payment process for patients and optimize collections. Moreover, Optum Advisory Technology Services lends expert assistance for organizations undergoing digital transformation, covering areas such as system selection, procurement, and the implementation of AI solutions. The marketplace also collaborates with esteemed resellers, including ServiceNow, to deliver state-of-the-art solutions tailored for the healthcare sector. Ultimately, Optum AI Marketplace serves as a vital resource for organizations striving to improve their operational effectiveness and patient care delivery.

API Access

Has API No 

API Access

Has API Yes 

Screenshots View All

Screenshots View All

Integrations

Authorize.Net Yes 
Avante No 
Change Healthcare Yes 
Chase Merchant Services Yes 
Docusign Yes 
EpicCare EMR Yes 
Google Cloud Healthcare API No 
InvisaClaim No 
Microsoft 365 No 
Optum AI Marketplace Yes 
Optum Patient Care Management Yes 
Oracle Health Yes 
QuickBooks Accountants Yes 
QuickBooks Live Bookkeeping Yes 
ServiceNow No 
Stripe Yes 
Vercel Yes 
athenaOne Yes 
athenahealth Population Health Yes 
eClinicalWorks Yes 

Integrations

Authorize.Net No 
Avante Yes 
Change Healthcare No 
Chase Merchant Services No 
Docusign No 
EpicCare EMR No 
Google Cloud Healthcare API Yes 
InvisaClaim Yes 
Microsoft 365 Yes 
Optum AI Marketplace No 
Optum Patient Care Management No 
Oracle Health No 
QuickBooks Accountants No 
QuickBooks Live Bookkeeping No 
ServiceNow Yes 
Stripe No 
Vercel No 
athenaOne No 
athenahealth Population Health No 
eClinicalWorks No 

Pricing Details

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

Types of Training

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

Vendor Details

Company Name

InvisaClaim, LLC

Founded

2026

Country

United States

Website

www.Invisaclaim.com

Vendor Details

Company Name

Optum

Country

United States

Website

marketplace.optum.com

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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