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Average Ratings 0 Ratings
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
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
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