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Description
                    PayorLink solutions provide a holistic platform that goes beyond mere management of medical claims for employers, aiming to enhance employee benefits while simultaneously lowering healthcare expenses, encouraging healthy lifestyles, and boosting workforce productivity. The escalating costs of employee health care are a global issue that raises concerns for both payor organizations and healthcare providers. PayorLink™ is specifically crafted to decrease health expenditures for payors, incentivize employee productivity, and improve the quality of provider claims, largely through effective information exchange between payor entities and affiliated healthcare facilities such as clinics, medical centers, or hospitals. Additionally, it is equipped with tools for Employee Health Profiles and Assessments, which contribute to the realization of wellness and productivity among staff. By focusing on these areas, PayorLink not only addresses immediate financial concerns but also fosters a healthier work environment.
                
            
        
            Description
                    Virtual Examiner®, PCG Software’s flagship product, monitors an organization's internal claims process to track provider data for fraudulent or abusive billing patterns and maximizes financial recovery. The Virtual Examiner®, a PCG Software product, allows healthcare organizations to improve their claims adjudication system by allowing for more than 31,000,000 edits per claim. The software monitors an organization's internal claim process to identify and reduce payments for incorrect or erroneous code to save premium dollars. Virtual Examiner®, is more than a claims management solution that focuses on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.
                
            
        
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                Live Rep (24/7)
            
            
        
        
    
        
        
            
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                Training Docs
            
            
        
        
    
        
        
            
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                Vendor Details
Company Name
PayorLink
Country
United States
Website
www.payorlink.com
Vendor Details
Company Name
PCG Software
Founded
1984
Country
United States
Website
pcgsoftware.com/product-offerings/virtual-examiner/
Product Features
Claims Processing
                                        Adjustor Management
                                        
                                    
                                    
                                    
                                        Case Management
                                        
                                    
                                    
                                    
                                        Claim Resolution Tracking
                                        
                                    
                                    
                                    
                                        Co-Pay & Deductible Tracking
                                        
                                    
                                    
                                    
                                        Compliance Management
                                        
                                    
                                    
                                    
                                        Customer Management
                                        
                                    
                                    
                                    
                                        Electronic Claims
                                        
                                    
                                    
                                    
                                        Forms Management
                                        
                                    
                                    
                                    
                                        Paper-Based Claims
                                        
                                    
                                    
                                    
                                        Payor Management
                                        
                                    
                                    
                                    
                                        Policy Administration
                                        
                                    
                            
                        Product Features
Claims Processing
                                        Adjustor Management
                                        
                                    
                                    
                                    
                                        Case Management
                                        
                                    
                                    
                                    
                                        Claim Resolution Tracking
                                        
                                    
                                    
                                    
                                        Co-Pay & Deductible Tracking
                                        
                                    
                                    
                                    
                                        Compliance Management
                                        
                                    
                                    
                                    
                                        Customer Management
                                        
                                    
                                    
                                    
                                        Electronic Claims
                                        
                                    
                                    
                                    
                                        Forms Management
                                        
                                    
                                    
                                    
                                        Paper-Based Claims
                                        
                                    
                                    
                                    
                                        Payor Management
                                        
                                    
                                    
                                    
                                        Policy Administration
                                        
                                    
                            
                        Medical Billing
                                        Claims Processing
                                        
                                    
                                    
                                    
                                        Claims Scrubbing
                                        
                                    
                                    
                                    
                                        Code & Charge Entry
                                        
                                    
                                    
                                    
                                        Compliance Tracking
                                        
                                    
                                    
                                    
                                        Customizable Dashboard
                                        
                                    
                                    
                                    
                                        Dunning Management
                                        
                                    
                                    
                                    
                                        Invoice History
                                        
                                    
                                    
                                    
                                        Patient Eligibility Checks
                                        
                                    
                                    
                                    
                                        Practice Management
                                        
                                    
                                    
                                    
                                        Quotes/Estimates
                                        
                                    
                                    
                                    
                                        Remittance Advice
                                        
                                    
                            
                         
        