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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

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

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

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 

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