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Average Ratings 0 Ratings
Description
MedArise serves as an AI-driven back office solution tailored for medical practices, managing and overseeing AI workflows that comprehensively address specific administrative tasks from beginning to end. This includes handling prior authorizations, verifying insurance eligibility, processing referrals and faxes, following up on claims status, and overseeing revenue cycle operations. By integrating seamlessly with a practice’s existing systems, MedArise ensures that exceptions are directed to human staff for resolution rather than being obscured. Importantly, clinical judgment, assessments of medical necessity, coding decisions, financial authority, and deviations from practice policies are entrusted to qualified personnel. Practices have the flexibility to initiate with a single, well-defined workflow, assess its performance and supporting evidence, and only expand once they have confirmed that the workflow is functioning reliably and efficiently. This approach not only enhances operational efficiency but also maintains the high standards of care that patients expect.
Description
With the increasing volume of Prior Authorizations and the added complexities introduced by specialty medications, Health Plans, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs) face significant challenges in adapting while striving to enhance both operational and clinical efficiencies. PAHub is a solution that is certified by HITRUST, providing comprehensive tools designed to streamline and govern all clinical, compliance, and administrative facets of Prior Authorization directly at the point-of-care, thereby enhancing compliance and decreasing turnaround times and costs. By utilizing cutting-edge technologies in data mining, analytics, content management, and sophisticated decision support frameworks, PAHub empowers clients to fully automate the entire prior authorization workflow. This innovative approach not only simplifies the process but also fosters a more efficient healthcare experience for both providers and patients. In an evolving healthcare landscape, solutions like PAHub are essential for organizations aiming to keep pace with the demands of modern medicine.
API Access
Has API
No
API Access
Has API
No
Screenshots View All
No images available
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
Yes
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
No
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
No
Webinars
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
MedArise
Website
medarise.com
Vendor Details
Company Name
Agadia Systems
Website
www.agadia.com
Product Features
Product Features
Hospital Management
Accounting Integration
Yes
Appointment Management
No
Appointment Scheduling
Yes
Bed Management
No
Billing & Invoicing
No
Claims Management
No
In-Patient Management
No
Inventory Management
No
Medical Billing
Yes
Out-Patient Management
No
Patient Records Management
Yes
Physician Management
Yes
Policy Management
No
Revenue Management
No