Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

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.

Description

Our cloud-based Practice Management solution allows for seamless billing management, enabling your practice to swiftly determine and verify patient insurance benefit eligibility and copay amounts. This system works in conjunction with various clearinghouses and facilitates efficient accounting book management. It simplifies the reconciliation process for patient accounts and insurance billing and supports quick online patient payments along with EOB/ERA processing. The robust task management feature of our healthcare practice management system allows users to efficiently locate and assign claims for review through an intuitive filter-based search function. Users can filter outstanding claims utilizing approximately 100 different criteria, such as the responsibility of payment between patient and insurance, payer classification, provider details, service dates, aging buckets, and reasons for denial. Additionally, the filters can be saved for future use, enhancing workflow efficiency and organization in managing claims. This integrated approach not only streamlines operations but also significantly reduces administrative burden.

API Access

Has API Yes 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Avante Yes 
Google Cloud Healthcare API Yes 
InvisaClaim Yes 
Microsoft 365 Yes 
ServiceNow Yes 

Integrations

Avante No 
Google Cloud Healthcare API No 
InvisaClaim No 
Microsoft 365 No 
ServiceNow No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

$250 per month
Free Trial Yes 
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 No 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

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

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Vendor Details

Company Name

Optum

Country

United States

Website

marketplace.optum.com

Vendor Details

Company Name

Bizmatics

Founded

2000

Country

United States

Website

prognocis.com

Product Features

Medical Practice Management

Claims Management Yes 
E-Prescribing Yes 
EMR / EHR Yes 
HIPAA Compliant Yes 
Insurance Eligibility Verification No 
Inventory Management Yes 
Multi-Office Yes 
Multi-Physician No 
Patient Billing Yes 
Patient Portal Yes 
Patient Records Yes 
Patient Registration Yes 
Patient Scheduling Yes 
Physician Scheduling Yes 

Alternatives

Alternatives

AltaPoint Reviews

AltaPoint

AltaPoint Data Systems
InvisaClaim Reviews

InvisaClaim

InvisaClaim, LLC
Intellect Reviews

Intellect

Prime Clinical Solutions
Consensus Harmony Reviews

Consensus Harmony

Consensus Cloud Solutions
Docta Reviews

Docta

WinBuilt Software