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features
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support

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Description

Prioritizing the front end is essential for enhancing the overall patient financial experience and optimizing revenue cycle outcomes. By implementing cohesive front-end solutions, organizations can effectively address deliverability issues, significantly reducing the occurrence of returned mail and unpaid invoices. It is crucial to minimize input errors by accurately verifying patient identity and demographic details. Additionally, confirming insurance eligibility at the point of service plays a vital role in maximizing revenue while ensuring compliance with regulations. To streamline processes, automating prior authorization from start to finish within seconds can lead to improved efficiency. Furthermore, automating notifications guarantees that payers receive timely updates regarding inpatient hospital admissions. Clear and precise communication of patient out-of-pocket expenses also contributes to better financial transparency. By assessing patients' propensity to pay and their eligibility for financial assistance, hospitals can enhance their collections. Once a secondary concern, patient access is now recognized as a pivotal element in healthcare facilities. Our adaptable platform harnesses the power of integrated data from various verification sources, coupled with intelligent guidance, to create a comprehensive solution. This integration not only fosters better patient access but also drives overall organizational effectiveness.

Description

CORTEX represents a groundbreaking advancement in utilization management software, delivering a comprehensive 360° solution to navigate the complexities of utilization management and revenue cycle operations. Powered by an advanced machine learning engine and real-time predictive analytics, CORTEX guarantees that cases are addressed promptly and appropriately, whether by the right personnel or through exceptions. By integrating precision medicine with a robust foundation of evidence-based practices, CORTEX enhances the evaluation of patient populations through real-time machine learning models. Our analytics solutions have been successfully implemented in hospitals and health plans nationwide, demonstrating their effectiveness. For straightforward inpatient cases, CORTEX streamlines the process by automating determinations based on your specific criteria, significantly reducing the burden on staff. In contrast, when facing challenging cases, CORTEX equips your team with critical insights to facilitate well-informed decisions. This innovative approach delivers tremendous benefits to both payers and providers, fostering improved healthcare outcomes and operational efficiency. Furthermore, CORTEX's adaptability allows it to evolve with the changing needs of the healthcare landscape, ensuring sustained value over time.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

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 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) Yes 
Online Support Yes 

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 Yes 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

SSI Group

Country

United States

Website

thessigroup.com/access-management/

Vendor Details

Company Name

XSOLIS

Founded

2013

Country

United States

Website

www.xsolis.com/solutions/cortex

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