Average Ratings 0 Ratings
Average Ratings 0 Ratings
Similar Products
-
Service CenterService Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status online, and receive remittance advice. Accepting standard ANSI formats, data entry, and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers.
-
Macaw AMSMacaw AMS can be used to sell Insurance. Macaw AMS can be used by brokers, MGAs or MGUs, Program Managers, and Lloyds Coverholders to automate their operations. Macaw AMS was built with a customer-centric approach. It supports CRM, Sales and Underwriting. Customers, producers, and service providers can access self-service portals. Macaw AMS has built-in Document Management and Task Management capabilities. It is equipped with adaptors that allow for integrated and in-flow services such as eSignature, Payments, OFAC checks, Mass Emailing, Computer Telephony, and Mass Emailing, using 3rd Party Services. The data analytics part of Macaw AMS offers powerful data visualization with predefined dashboards, allowing users to easily upload datasets and view dynamic charts for clear, multi-dimensional insights. Interactive, real-time visualizations help uncover trends and insights, driving informed decision-making. Macaw AMS is hosted on cloud and tested for cybersecurity. The database is relational, and the core components of the Java-based application are written in Java. Macaw AMS is capable of processing 500-1000 policies per day at its peak. Macaw AMS is expected reduce per policy costs by 30%.
-
XpertCodingXpertCoding by XpertDox is an AI medical coding software that utilizes advanced artificial intelligence, machine learning, and natural language processing (NLP) to automatically code medical claims within 24 hours. This software streamlines and enhances the coding process, ensuring faster and more accurate claim submissions and maximizing financial returns for healthcare organizations. Features include a comprehensive coding audit trail, minimal need for human supervision, a clinical documentation improvement module, seamless integration with EHR systems, a business intelligence platform, a flexible cost structure, significant reduction in claim denials and coding costs, and risk-free implementation with no initial fee and a free first month. XpertCoding's automated coding software ensures timely payments for healthcare providers & organizations, accelerating the revenue cycle and allowing them to focus on patient care. Choose XpertCoding for reliable, efficient, and precise medical coding tailored to your practice.
-
BreatheBreathe’s award-winning HR software helps over 13,000 SMEs to streamline their everyday people-tasks and covers everything from holiday, sickness & document management to expenses, rotas and performance. The software is GDPR-compliant & ISO27001-accredited, offering the highest level of data security. The system is also 100% cloud-based, making it easy to access from anywhere. Breathe have been part of the ELMO Software group since 2020.
-
RegDeskRegDesk is the most comprehensive AI-enabled RIMS platform for Medical Devices, Pharmaceuticals, and IVD companies. • Our proprietary Regulatory Intelligence for over 120+ countries is translated and accessible in a standard format. In addition, it provides alerts on evolving regulatory changes • Our AI-powered Application Builder allows RA teams to prepare and publish global applications in 1/10th of the time • Our Change Assessment capability helps RA teams understand the impact of the change(s) on an existing product(s) and the action required • Our Distributor Collaboration provides seamless workflow solutions to interact, communicate, and share documents with external business partners • Our Standards Management makes it easy for RA teams to search and manage not only international but also country-specific standards • Our Tracking & Reporting functionality allows teams to track regulatory projects across the globe, receive renewal notifications, and generate reports on KPIs within seconds For more information, visit our website.
-
Elation HealthElation Health is the leading platform for primary care, empowering 32,000 clinicians to deliver personalized care to over 16 million patients. With a clinical-first EHR, integrated billing, and AI-powered tools, Elation simplifies care workflows to help independent practices thrive.
-
PayHOAPayHOA provides software for self-managed HOAs and COAs. We provide free onboarding, free unlimited support, a 30-day free trial, and no contracts. Our services include invoicing, payment processing, full accounting, document management, violations, requests, text, email, direct mail, lockbox, CRM, website, and more.
-
ZaharaZahara's cloud-based platform automates budget management and suppliers. It also allows for multi-level purchase approvals, delivery approvals, and invoice reconciliation and approvals. Zahara integrates seamlessly with the most popular accounting software, such as QuickBooks Online or Xero, to provide expanding SME's with real-time visibility and central control over their purchasing. Zahara can be used for controlling spend within an organization. We can take the initial request to purchase something and automate the approval and sending the PO to the Vendor. Deliveries can be received, invoices from vendors matched and processed before being exported to finance. Zahara increases control and speeds up processing.
-
AircallAircall transforms business communications with an intelligent, cloud-based phone system built for modern sales and customer support. More than just a calling tool, it provides an all-in-one hub that connects phone, SMS, and WhatsApp conversations in a single platform. Its AI Assist Pro feature delivers real-time coaching during calls and simplifies follow-up, enabling reps to sell smarter and resolve support issues faster. Teams can leverage advanced capabilities like call routing, IVR, analytics dashboards, and power dialers to maximize efficiency. With integrations across Salesforce, HubSpot, Zendesk, Intercom, Shopify, and 250+ other apps, Aircall seamlessly fits into existing workflows. Businesses benefit from reliable call quality, international number coverage, and scalable features that grow with their needs. Customer stories highlight improvements such as a 4% increase in CSAT scores and the ability to process 25,000+ calls per month with stability and ease. Aircall makes customer conversations more personal, productive, and impactful—without the complexity of traditional systems.
-
RouteGenieRouteGenie is non-emergency medical transportation software for operations running 25 to 500+ vehicles. It combines NEMT scheduling software and route optimization with native multiload, real-time NEMT dispatch software, Medicaid and broker billing with CMS 1500 and claim scrubbing, and fleet compliance in one single-tenant platform. Multi-site operators run every location in one instance with role-based access and a full audit trail on every trip change. ImportGenie automates trip intake and status return across 28 live broker and payer integrations, including ModivCare, MTM, Veyo, Verida, SafeRide Health, Alivi, New York MAS, Uber Health and transit authorities. Subcontractor vehicles are visible on the same live map as owned fleet. SAML2 SSO (Entra ID, Okta, OneLogin, Google Workspace), SOC 2 Type 1, open REST API, iOS and Android driver apps, passenger app, and a payer and facility portal. Flat per-vehicle pricing with unlimited trips and unlimited users. 600+ fleets, 20,000+ vehicles, ~50,000 trips daily.
Description
Streamline the complete claims process by automating steps from the initial loss notification and fraud detection through to adjudication and final settlement. Enjoy the capability to handle various claim types distinctively, such as death claims and maturity claims, while enhancing adherence to regulations and avoiding penalties for non-compliance. Achieve more efficient and precise processing with features for data collection, payment oversight, salvage and recovery management, legal case processing, and comprehensive monitoring. Ensure effective registration, adjudication, tracking, and oversight of all claim submissions. Utilize integrated and detailed business rules that enable claims to be categorized automatically into “fast track” or “non-fast track” categories. Additionally, you have the option to easily add or adjust stakeholders involved in the process, including garages, assessors, loss adjusters, surveyors, investigators, and claims officers, to further enhance operational efficiency. This comprehensive approach not only simplifies workflows but also fosters collaboration among all parties involved in the claims journey.
Description
PwC's SMART (Systematic Monitoring and Review Technology) enhances both the efficiency and effectiveness of evaluating the quality of inpatient and outpatient coding processes while establishing a framework for quality assurance and compliance reviews. In conjunction with the support from PwC Health Information Advisory, SMART reinforces your strategy for monitoring coding accuracy and overall data quality. The SMART Inpatient module features over 1,000 established business rules designed to uncover potential coding errors and opportunities for documentation enhancement, with the option to tailor business rules to meet your specific needs. Comprehensive reporting and data analysis capabilities allow for the assessment of staff performance and the identification of educational needs in areas such as Coding, Clinical Documentation Improvement (CDI), Quality, and Providers. Additionally, the SMART Outpatient module boosts claim accuracy and highlights issues related to charge capture and workflow optimization. By mitigating the risks associated with inaccurate coding, it also fosters better regulatory compliance, ultimately benefiting the entire healthcare organization. Furthermore, the integration of these tools significantly streamlines the coding review process, ensuring higher standards of care and operational efficiency.
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
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
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
Yes
In Person
Yes
Vendor Details
Company Name
Newgen Software
Founded
1992
Country
India
Website
newgensoft.com/solutions/industries/insurance/claims-processing/
Vendor Details
Company Name
PwC
Founded
1998
Country
United Kingdom
Website
www.pwc.com/us/en/products/smart.html
Product Features
Claims Processing
Adjustor Management
No
Case Management
No
Claim Resolution Tracking
No
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
Product Features
Claims Processing
Adjustor Management
No
Case Management
No
Claim Resolution Tracking
No
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
