Alternatives to Consensus Harmony

RXNT's cloud-based, ambulatory healthcare software empowers medical practices and healthcare organizations of all sizes and most specialties to launch, succeed, and scale through innovative, data-backed, AI-powered software. Our integrated, ONC-certified healthcare software system—including Electronic Health Records, Practice Management, Medical Billing and RCM, E-Prescribing, Practice Scheduling, Patient Portal, and more—will streamline clinical outcomes, practice management, and revenue cycle management for your medical organization. RXNT is trusted by over 60 thousand providers and medical professionals across all 50 states in the U.S.A. to drive business growth, optimize operations, and improve the quality of patient care. All of our SaaS-based software products can be purchased standalone, but you can run you entire practice—from encounter to billing—with our unified Full Suite system. It utilizes a secure, central database so your data passes through every product in real-time from anywhere. Using our software, more than 125MM prescriptions have been transmitted and over $7B in claims have been processed. Our predictable, transparent subscription pricing model includes free setup & training, support, mobile apps, and more.

ScriptSure Cloud ERX is the #1 E-Prescribing application available. ScriptSure combines weekly updates to medications, daily updates to pharmacy lists, full e-prescribing network connectivity, Electronic Prescribing of Controlled Substances (EPCS), web-based access and simple workflow methods to deliver the best in E-Prescribing. Electronic refills, order sets, compound medication order, printing prescriptions, patient reports and audit logs are all included and supported in ScriptSure Cloud ERX. ScriptSure is fully HIPAA compliant. ScriptSure Cloud ERX is the winner of the 2021, 2022 & 2023 Surescripts network White Coat Award for Most Accurate Prescriptions and a total 11-time award winner of this prestigious award.

Service 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.

Managing prior authorization has become an increasing challenge for healthcare providers. Our innovative solution, AuthParency™, utilizes artificial intelligence and machine learning to streamline this process. By implementing this state-of-the-art system, your team can significantly reduce the time spent on prior authorizations by 50%. Furthermore, it seamlessly integrates with all electronic health records (EHR) and practice management platforms. AuthParency is designed to assist in various ways: - Evaluating the tendencies of payers - Shortening the time patients wait for care - Enhancing overall patient health outcomes - Preventing financial losses from services that lack reimbursement - Identifying the burdens of financial toxicity - Analyzing health data across populations - Monitoring health disparities - Supporting pharmaceutical companies in their efforts

Azalea is a leader in interoperable cloud-based healthcare services and solutions. Azalea's platform offers electronic health records with integrated telehealth functionality, revenue cycle management, and analytic software. Azalea's integrated platform is focused on customer success and can be used by all practices and hospitals ambulatory strategies. It instantly improves cash flow and clinical outcomes through care coordination innovation and revenue cycle performance.

We are dedicated to driving forward innovative approaches that cater to the needs of all healthcare stakeholders, aiming to enhance the speed of therapy delivery, minimize prescription abandonment rates, and foster better health outcomes for patients. Our commitment lies in dismantling barriers to healthcare access, whether that involves addressing prior authorization issues or increasing awareness of available support services. With healthcare costs reaching new heights, it is vital to assist patients in affording their prescribed treatments, especially in the context of high-deductible health plans, rising copays, and a lack of transparency. For many patients, maintaining adherence to their therapy can be the most challenging aspect of their healthcare experience, whether it involves understanding how to properly take medications or just remembering to do so at the appropriate times. Thus, it is crucial to tackle these adherence challenges with solutions that prioritize the needs of individuals first, ensuring they receive the support necessary to navigate their treatment journey successfully. By focusing on patient-centric strategies, we can create a more accessible and supportive healthcare environment for everyone involved.

Beyond being merely a FHIR server, Aidbox serves as a comprehensive FHIR-powered platform that significantly streamlines the development process for Health IT solutions. With Aidbox, you can efficiently create interoperable applications that seamlessly integrate into the connected healthcare ecosystem. While you concentrate on the business logic, we will assist you in navigating the complexities of FHIR implementation. You can construct a tailored EHR system that aligns perfectly with the specific workflows of your medical practice. Establish a consolidated data repository that acts as a reliable source of truth and unlocks robust analytical insights. Additionally, you can design telehealth applications that facilitate effective communication and enable remote patient monitoring. By implementing a compliant FHIR ecosystem that meets CMS interoperability standards, you will empower your clients with easy access to healthcare information. Aidbox operates as a metadata-driven platform, where all entities are defined as data/resources that can be personalized while remaining entirely under your jurisdiction. This flexibility ensures that you have full control over your applications and can adapt them as needed.

MedicsRIS is an all-encompassing radiology information system designed to enable radiologists to efficiently oversee their practice and ensure proper payment for each diagnostic examination. Created by Advanced Data Systems, this innovative platform allows for the seamless integration of orders from referring physicians' stage 2 certified electronic medical records (EMR) without the need for expensive HL7 interfaces, thereby helping users take advantage of incentives while steering clear of penalties. Among the core features that enhance operational efficiency are a dedicated portal for referring physicians, automated billing with EDI, multi-modality scheduling, insurance eligibility checks, mammography tracking, and additional functionalities. Furthermore, MedicsRIS provides access to a qualified Clinical Decision Support (CDS) option through its portal for referring physicians and radiology departments that lack their own qualified Clinical Decision Support Mechanism (qCDSM). If the manual process of obtaining prior authorizations has been a challenge, our automated prior authorization feature offers a solution by facilitating this task online directly within the MedicsRIS system, thereby streamlining workflows and saving valuable time. Ultimately, the integration of these features aims to enhance the overall efficiency of radiology practices.

Valer’s innovative technology streamlines and accelerates the processes of prior authorization and referral management by facilitating automated submissions, status checks, verifications, reporting, and EHR synchronization, all from a single platform that caters to mid-to-large-sized healthcare facilities, various specialties, and multiple payers. Designed to meet the specific needs of users, Valer stands out as a comprehensive solution that accommodates all specialties and payers, in contrast to generic products that often restrict specialties and service lines and lack automation for submissions. The platform's user-friendly interface boosts staff productivity, simplifies the training process, and monitors both staff and payer performance across diverse service lines, fostering an environment of ongoing enhancement. Valer goes beyond merely connecting with a handful of payers; it integrates seamlessly with all payers, ensuring compatibility across all specialties, service lines, and care environments, and provides real-time updates on payer rules to keep your operations current. With Valer, healthcare organizations can experience a revolutionary shift in how they manage prior authorizations and referrals, paving the way for improved efficiency and patient care outcomes.

Rhyme facilitates a smart integration between payers and providers within the prior authorization process, effectively reclaiming valuable time lost in repetitive communications and redirecting it to benefit the patient. While automating routine tasks is essential (and that's our focus), it doesn't stop there. In situations where the intricacies of clinical decision-making necessitate collaboration between payers and providers, Rhyme ensures your workflow remains streamlined, flexible, and efficient. We have developed the most extensive integrated prior authorization network, moving away from a fragmented system and fostering intelligent cooperation. Our platform boasts robust relationships and connections to EHRs, payers, and benefits managers, all seamlessly integrated. This means no frantic searches, no cumbersome screen-scraping, and no reliance on indirect information. We engage with providers and payers directly within their current systems and workflows, making connections straightforward so that we can adapt to your needs rather than forcing you to change. Prior authorizations are not just an ancillary feature of our platform; they are our core focus, ensuring that we excel in this area and provide exceptional service. By prioritizing these elements, we aim to transform the way prior authorizations are managed and enhance the overall experience for all parties involved.

Utilize automation and advanced intelligence to tackle challenges related to patient access and the revenue cycle while enhancing reimbursements for the care provided. Even with the advancements in AI and automation streamlining patient access and revenue cycle operations, there remains a critical requirement for personnel skilled in revenue cycle management, clinical practices, and compliance to ensure that patients are financially vetted and that services rendered are billed and reimbursed correctly. We offer our clients a comprehensive combination of technology and team support, backed by extensive knowledge of the intricate reimbursement landscape. Drawing insights from billions of transactions processed for prominent healthcare providers and over 1,400 payers nationwide, our technology and team are uniquely equipped to deliver optimal results. Experience faster financial clearance for patients prior to receiving care with our patient access platform, which offers a holistic approach to eligibility verifications, benefit checks, patient payment estimates, and prior authorization approvals, all integrated into a single system. By streamlining these processes, we aim to enhance the overall efficiency of healthcare delivery and financial operations.

GenHealth.ai is a specialized generative AI platform designed for the healthcare sector, utilizing a unique Large Medical Model (LMM) developed from the analysis of over 100 million patient records instead of traditional natural language data. This LMM excels in interpreting medical codes and events, allowing it to accurately forecast patient outcomes, estimate costs, and model clinical pathways with significantly fewer errors compared to conventional large language models. The platform features a range of tailored applications such as Intake Automation for managing PDF routing and data extraction, a Prior Authorization Agent that automates the approval process, and G‑Mode analytics that allows users to interact with both historical and predictive population health data using natural language, all without requiring any coding expertise. Notably, this AI co-pilot has achieved an impressive 94% accuracy rate in prior authorization cases, a remarkable 120-fold enhancement in forecasting medical loss ratios, and a 110% improvement in cost predictions when compared to standard Hierarchical Condition Category (HCC) scoring methods. In addition to these advancements, GenHealth.ai is positioned to transform the healthcare landscape by facilitating more efficient and data-driven decision-making.

Optimize your workflow by utilizing customizable templates and patient charts within a cloud-based EHR system designed to meet your specific requirements. Access a wide array of medical charting templates created by similar practices for enhanced efficiency. Effectively manage prescriptions, including those that are controlled or require prior authorization, while ensuring smooth communication with local pharmacies, labs, imaging centers, and other integrated tools within the EHR ecosystem. Select from more than 500 lab and imaging facilities to order tests and easily share results with patients. Benefit from versatile billing solutions provided by top industry partners to accelerate your payment process. Track your performance through insightful dashboards and effortlessly submit reporting data to CMS directly via your EHR system. Utilize customizable dashboards to monitor your progress on quality initiatives such as MIPS, while also taking advantage of comprehensive educational resources to help you understand the intricacies of quality measures. In addition, the platform offers ongoing support and updates to ensure you remain compliant with the latest healthcare standards.

Waystar offers market-leading technology that streamlines and unifies revenue cycle. Their cloud-based platform streamlines workflows, improves financials for all healthcare providers and provides more transparency to the patient's financial experience. Waystar has been ranked best in KLAS for Claims & Clearinghouse every year since 2010. It has also received #1 rankings in Black Book™, surveys since 2012, and the Frost & Sullivan North America Customer Valu Leadership Award for ambulatory RCM service in 2019. Waystar is used by over 450,000 providers, 750 hospitals and 5,000 plans. It integrates with all major HIS/PM systems. Waystar.com and @waystar on Twitter provide more information.

EHR 24/7 by Office Ally empowers more than 20,000 users with efficient patient care management. It has charting, real-time data, customizable forms, and integrations for patient intake and e-prescription solutions. With no implementation needed, healthcare providers can use EHR 24/7 to treat and document patients today.

The Cohere Unify platform enhances all of our intelligent prior authorization solutions through the integration of touchless and predictive technologies, clinical content grounded in evidence, and various advanced features. By leveraging these technologies, we significantly minimize or completely remove the manual processes involved in achieving a comprehensive, fully automated prior authorization workflow. This predictive functionality allows health plans to nearly eradicate the traditional steps associated with prior authorization processes. Consequently, the system can autonomously generate tailored care plans utilizing patient and population authorization and claims data, which includes the ability to pre-approve multiple services before any requests are made. We employ evidence-based clinical criteria for specific specialties that complement our touchless and predictive technologies. Additionally, our platform features reliable single sign-on capabilities with widely used portals such as Availity and NaviNet. Furthermore, the configuration and implementation of rules have been validated to effectively manage transactions involving millions of cases, showcasing the scalability of our system. Ultimately, this innovative approach streamlines healthcare operations while enhancing efficiency and accuracy.

ClinOne serves as a comprehensive platform that enhances connectivity and empowerment for participants, caregivers, and clinical trial sites by providing essential tools for trial awareness, consent management, and fostering participant engagement and retention, all supported by robust data analytics and standardized interoperability. Among its many features, Site Hub acts as a centralized resource for trial sites to access vital information, including criteria for participant inclusion and exclusion, site resources, and a streamlined systems landing page equipped with single sign-on capabilities and community engagement options. The Connect module further enriches the experience with features like Sponsor & Monitor Hub, trial awareness initiatives, a healthcare provider community, site selection processes, and data addressing diversity, equity, and inclusion. Meanwhile, the Inform module focuses on facilitating consent management and education through eConsent with eSignature options, as well as offering data insights, tele-visit functionalities, and avenues for community collaboration. Additionally, the Empower module enhances the overall trial experience with services such as transportation management, monitoring medication adherence, and providing a dedicated portal for care partners and caregivers, ensuring a holistic approach to participant support throughout the clinical trial journey.

Veradigm AccelRx offers a complimentary, automated, all-encompassing solution designed to optimize the fulfillment of specialty medications for your patients. By reducing the time it takes to initiate therapy, this system can improve medication adherence and patient outcomes, while also minimizing the administrative burden of phone calls and faxes on your team. AccelRx integrates electronic enrollment, consent, prior authorization, and prescriptions into one seamless platform, enabling your practice to greatly decrease the fulfillment time for specialty drugs across all payers. With just a click, patient information is automatically filled in on enrollment forms and other necessary documents. This user-friendly platform serves as a transformative tool for managing specialty medications effectively. Furthermore, it enhances your ability to oversee a wide range of specialty drugs, including features for electronic prior authorization (ePA), all within your current electronic health record (EHR) system. This comprehensive approach not only streamlines processes but also supports better patient care and operational efficiency.

MediFusion offers a comprehensive suite of software that delivers cutting-edge EHR and medical billing solutions aimed at optimizing clinical, administrative, and financial functions within healthcare practices. Our dedicated team is always just a phone call away to provide continuous EHR training and support whenever you require assistance. Accelerate your clinical workflows and streamline your operations with our all-in-one integrated solution. This system effectively oversees the entire revenue cycle, encompassing everything from Eligibility Verification to Claim Processing and ensuring timely payments. Our cloud-based Electronic Health Record (EHR) software serves as a scalable and integrated solution, empowering your practice to enhance the quality of care delivered to patients. Designed for ease of use, this web-based EHR platform allows you to document, access, and monitor your clinical and financial data from any internet-enabled device, regardless of your location, ensuring you remain connected and efficient in your practice.

With the increasing volume of Prior Authorizations and the added complexities introduced by specialty medications, Health Plans, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs) face significant challenges in adapting while striving to enhance both operational and clinical efficiencies. PAHub is a solution that is certified by HITRUST, providing comprehensive tools designed to streamline and govern all clinical, compliance, and administrative facets of Prior Authorization directly at the point-of-care, thereby enhancing compliance and decreasing turnaround times and costs. By utilizing cutting-edge technologies in data mining, analytics, content management, and sophisticated decision support frameworks, PAHub empowers clients to fully automate the entire prior authorization workflow. This innovative approach not only simplifies the process but also fosters a more efficient healthcare experience for both providers and patients. In an evolving healthcare landscape, solutions like PAHub are essential for organizations aiming to keep pace with the demands of modern medicine.

Cohere assists health plans in transforming their processes by integrating clinical intelligence, which facilitates comprehensive automation of prior authorization internally. Health plans can license Cohere's PaaS for intelligent prior authorization directly, allowing their utilization management teams to utilize it seamlessly. Consequently, client health plans experience notable improvements in administrative efficiency, alongside enhanced patient outcomes that are both quicker and more effective. Cohere offers a customized, modular solution suite specifically designed for health plans, streamlining all prior authorization requests into a cohesive, automated workflow. The platform automates decisions regarding prior authorizations based on the policies preferred by the health plans and accelerates the manual review process. It also aids clinical reviewers in handling complex requests with the help of responsible AI/ML and its automated features. By harnessing clinical intelligence through AI/ML and sophisticated analytics, Cohere enhances the performance of utilization management. Furthermore, it contributes to improved patient and population health outcomes through innovative programs tailored to specific specialties. This comprehensive approach positions Cohere as a leader in the health technology space, ensuring that health plans can meet their operational goals effectively.

Instantly access data from a multitude of vendors through Health Gorilla's robust APIs and software solutions. Developing products in the healthcare sector can be quite challenging, and navigating the complexities of acquiring data from various suppliers is even more daunting. Health Gorilla equips developers with essential tools to create healthcare solutions and obtain data smoothly. Our offerings include a FHIR-native data platform and efficient medical record retrieval systems, featuring a comprehensive range of industry-leading APIs and software products that support vital healthcare operations. Begin your journey with our software, and integrate our API into your backend to streamline and enhance new capabilities. We collaborate with innovative healthcare leaders across the sector to ensure that high-quality data is readily available. After years of meticulous integration with all significant EMR systems and diagnostic vendors, we simplify the process for you. Additionally, empower community providers to electronically access records and order laboratory tests directly from your organization, enhancing efficiency and improving patient care. This streamlined approach not only saves time but also fosters better communication among healthcare providers.

Lifepoint Informatics stands as a reputable frontrunner in the realm of healthcare information technology, driving the shift towards value-based healthcare through straightforward clinical integration, health information exchange, and robust data interoperability solutions tailored for hospitals, health systems, clinical laboratories, diagnostic imaging centers, health insurers, and accountable care organizations. Our offerings are built upon a cohesive workflow platform, ensuring seamless interoperation across various modalities, application layers, and end-user devices. Customers of Lifepoint appreciate the intuitive and transparent nature of our data integration solutions, which effectively promote health information exchange, support successful outreach connectivity, and facilitate EMR integration, EHR interfacing, physician portals, population health management, and quality reporting among diverse clinical systems. Furthermore, our commitment to innovation continuously enhances the healthcare landscape, allowing providers to deliver improved patient outcomes and experiences.

The easiest way to embark on your DeFi journey, focusing on staking, interest rates, and cross-chain solutions, is through Umee, a layer one blockchain designed for seamless communication and interoperability, developed using the Cosmos SDK and supported by Tendermint Consensus with a self-governing validator network. This platform facilitates interoperability via the Inter-Blockchain Communication protocol (IBC), the Gravity bridge, and a decentralized framework that aims to create a comprehensive cross-chain DeFi hub, enhancing the overall cryptocurrency environment. Umee's design emphasizes the integration of money legos, connecting various crypto markets across different networks, which fosters the advancement of open finance innovations such as multi-chain staking, interchain leverage, and cross-chain interest rates. As a foundational blockchain, Umee provides the infrastructure for building applications and money lego components that tap into cross-chain leverage and liquidity, ultimately paving the way for a more interconnected DeFi landscape. By utilizing Umee, users can explore a range of decentralized financial opportunities that were previously challenging to access.

PracticeAdmin Scheduling enhances patient engagement and minimizes no-show rates by delivering essential data right when you need it. Our innovative rules-based framework allows customization of preferences for various providers, whether you operate solo, manage a small to medium-sized organization, or oversee multiple locations. You have the flexibility to design unique scheduling templates for countless locations and automate patient reminder notifications. The billing component serves as a comprehensive solution for managing patient registrations, claims, and payments seamlessly. You can keep a meticulous record of all patient data and prior authorizations, ensuring that everything is organized. Additionally, it integrates smoothly with your EHR system, aiding in the maintenance of your Meaningful Use certification. Billing also alerts you to any claim errors before submission, allowing for expedient re-submission without penalties while you keep track of all EDI rejections effectively. This streamlined approach ultimately empowers healthcare providers to optimize their administrative tasks and enhance the overall patient experience.

The iMed e-Rx electronic prescription platform is available starting at $43 per month, allowing users to generate both legend and EPCS compliant prescriptions, and it holds certification for e-Prescribing across all states. In addition to its electronic prior authorization and formulary support features, the software offers significant advantages such as checks for drug-drug interactions, allergies, and disease interactions. Other noteworthy features include a regularly updated database of pharmacies, drug therapy monitoring capabilities, and continuous 24/7 oversight of prescription deliveries, ensuring a comprehensive solution for healthcare providers. With these capabilities, iMed e-Rx stands out as a robust tool for efficient and safe prescribing practices.

Silna Health's Care Readiness Platform efficiently manages prior authorizations, benefit verifications, and insurance monitoring right from the start, ensuring that patients are ready to receive care while allowing providers to concentrate on delivering treatment. Powered by AI, the platform oversees the entire workflow of prior authorizations, which includes tracking future authorizations, sending weekly reminders, handling submissions, and conducting follow-ups, all while applying established industry rules and highlighting exceptions for human intervention when necessary. Benefit checks specific to various specialties confirm coverage, accumulation, authorization prerequisites, and visit limitations in real time, providing precise quotes at the point of intake. The system also performs continuous insurance monitoring to identify lost coverage, detect new insurance plans, and prevent eligibility gaps. Designed to operate without increasing staff numbers, Silna directly integrates data from EMRs and practice management systems, offers customizable rule sets and strategic frameworks, and features intuitive dashboards that present insights into incremental revenue. Overall, this comprehensive approach not only streamlines processes but also enhances the financial performance of healthcare providers.

Hospitals demand patient signatures on various intricate forms from different departments. Access offers the most comprehensive eSignature platform tailored for healthcare, featuring remote signing options for services like telehealth, pre-registration, and contactless check-in. The Access eSignature platform equips you with efficient technology tools to handle everything from obtaining a patient’s signature on eConsent to capturing physician signatures, implementing data validation, managing workflows, and integrating with other systems. Access stands out as the sole partner needed to fulfill all electronic signature requirements within your healthcare environment. We emphasize the significance of technology, but we also value building strong relationships. By choosing Access, you gain a dedicated point of contact who becomes familiar with you, your team, and the specific needs of your hospital, ensuring personalized support and service. In this way, Access not only enhances operational efficiency but also fosters a collaborative partnership that can adapt to future challenges.

Practice Mate by Office Ally is a comprehensive HIPAA-compliant practice management solution used by over 25,000 healthcare organizations. Its user-friendly interface simplifies revenue cycle and billing management and streamlines booking to increase administrative workflow efficiency. It seamlessly integrates with other Office Ally solutions to provide patient intake, reminders, and e-prescriptions. You can get started today at no cost, commitment, or implementation to reduce administrative tasks, enhance job satisfaction, and improve the overall patient experience.

MDToolbox-Rx is a renowned electronic prescription writing solution that is both certified and award-winning, capable of operating independently or in conjunction with your existing office software. This e-prescribing platform is designed to be highly customizable and user-friendly, enabling users to effortlessly choose medications, access drug information, and swiftly create and transmit prescriptions electronically. Certified for e-Prescribing, Eligibility verification, Formulary checks, EPCS (e-Prescribing of Controlled Substances), and Electronic Prior Authorization, MDToolbox-Rx ensures a comprehensive approach to medication management. Users can search an extensive drug database by various criteria, including name, nickname, generic or brand classification, prescription status, over-the-counter status, drug class, or medical indication. By streamlining workflows, this software significantly boosts productivity by reducing the number of pharmacy calls and minimizing the time required for prescription renewals. Overall, MDToolbox-Rx enhances the efficiency of the prescribing process, making it an essential tool for healthcare providers.

Benchmark PM transforms patient engagement, covering everything from initial intake to final encounter. Key features include streamlined patient onboarding, hassle-free appointment scheduling, customizable reminders, comprehensive reporting, and user-friendly dashboards. On the billing side, Benchmark PM offers integrated claims management, a connected clearinghouse, electronic billing, insurance verification, and a versatile payment portal, simplifying the entire process. Benchmark Solutions provides a complete management solution for healthcare practices with Benchmark EHR software, Benchmark PM software, and Benchmark RCM services. This robust electronic toolset streamlines daily operations, boosts revenue, and enhances the patient experience. Each component of the Benchmark Solutions' suite is modular, ensuring easy integration with your existing systems. With Benchmark Solutions, you can focus on delivering high-quality care while we take care of the operational and administrative aspects, ensuring your practice runs smoothly and efficiently.

Logix runs in the background and completes tedious but important workflow tasks such as refill requests, prior authorizations refill too soons, refill too quicklys, fax escalates, and documentation for phone calls. Other tasks like email and fax can also be automated. You can also reduce human error in repetitive tasks. You can also create notifications to ensure you don't forget anything and allow you to redirect your time to better serve patients. Every click and keystroke counts! Logix processes can be used to reduce document handling and processing times by an average 1-4 minutes per document. Logix can be used with DocuTrack to help reduce keystrokes and improve efficiency for your pharmacy staff. For some processes, you can reduce the number of keystrokes required to complete a process by as much as 80. Logix can help you save up to 80 keystrokes per process. You can use the calculator to see for yourself.

Medical necessity denials represent a significant financial burden for healthcare providers, incurring costs that can reach into the millions annually due to write-offs, along with the expensive labor involved in investigating and contesting these denials while addressing patient inquiries. Conversely, payers also face similar challenges in the claims management process, as they incur expenses from covering unnecessary medical procedures and treatments, as well as the resources dedicated to handling denial appeals, all of which do not contribute to better patient outcomes. Additionally, patients may suffer from excessive copays and other out-of-pocket expenses, coupled with a frustrating healthcare experience due to charges and services that are not warranted. To combat these issues, the ABN Assistant™ from Vālenz® Assurance equips providers with essential prior authorization tools to confirm medical necessity, generate Medicare-compliant Advanced Beneficiary Notices (ABNs) that include estimated costs, and effectively prevent over 90 percent of medical necessity denials by ensuring that the necessity is validated before any care is administered to the patient. By utilizing this system, providers can enhance their financial stability while improving patient satisfaction and care efficiency.

Even with advancements in technology, a significant portion of healthcare organizations still relies on outdated, non-automated, and unstructured formats such as paper faxes and PDFs for their data. The challenge of achieving interoperability persists across various healthcare systems. To address this issue, Consensus Clarity employs natural language processing (NLP) and artificial intelligence (AI) to enhance data sharing, visibility of information, workflow efficiency, and resource management among all participants in the healthcare sector. By converting digital unstructured documents into practical and actionable data, Consensus Clarity facilitates improved and expedited communication. Their NLP/AI solutions are designed to tackle the most pressing interoperability issues in the healthcare landscape. Furthermore, Clarity systematically eliminates obstacles and maximizes resource utilization throughout the entire continuum of care. In instances where a document is difficult to interpret, Clarity has the capability to transform unstructured data into a structured JSON format that can seamlessly integrate with other systems, thereby further enhancing operational efficiency. This innovative approach not only streamlines processes but also contributes to more effective patient care delivery.

Southern Scripts streamlines the often complicated landscape of Pharmacy Benefit Managers by providing employer groups with unparalleled autonomy, control, and flexibility in designing their plans. Established by pharmacists, Southern Scripts stands out as a forward-thinking pharmacy benefits manager (PBM) that seeks to transform the conventional PBM model. Our unique pass-through PBM framework and adaptable solutions enable plan sponsors to maximize savings, minimize risk, and enhance flexibility in their plan design, fostering genuine patient-centered clinical care at the most affordable net cost. The plan sponsor only pays the exact amount that the pharmacy receives, while we ensure that all discounts and rebates obtained are fully passed on at 100% to the plan sponsor. There are no hidden fees for essential PBM services, including prior authorizations, step therapy, and data reporting. Our comprehensive clinical management programs and top-tier drug formularies are designed to provide the lowest net costs, safeguarding plans against unnecessary expenditures while promoting optimal patient health outcomes. Ultimately, the focus remains on delivering value and ensuring that plans are both efficient and effective in meeting their goals.

Starting in January, SORA will participate in the Kusama parachain auctions, with the aim of securing a slot as soon as possible. A bridge will facilitate interoperability between the current SORA network and the SORA Kusama parachain network. Constructed on Parity Substrate, SORA supports the development of Polkaswap, a decentralized application being established on its network. Efforts are underway to connect to the Polkadot relay chain and its parachains, utilizing integrated tools that emphasize decentralized finance (DeFi). The SORA Network is proficient at providing essential resources for decentralized applications that leverage digital assets, including atomic token swaps, token bridging across different chains, and establishing programmatic protocols related to digital assets. Polkaswap serves as a non-custodial liquidity aggregator and cross-chain automated market maker (AMM) decentralized exchange (DEX), aimed at fostering an interoperable DeFi landscape that is operated by the community. The collaboration within the Polkadot and Kusama ecosystems, along with the foundational capabilities of the SORA network, positions it as a vital player in the evolving decentralized finance sector.

eXchange inFinite (XinFin) operates on a Delegated Proof of Stake Consensus network (XDPoS), facilitating hybrid relay bridges and offering instant block finality while ensuring compatibility with ISO20022 messaging standards, which greatly enhances its appeal to developers. This interoperable blockchain network is designed for global trade and finance, allowing for the digitization, tokenization, and rapid settlement of trade transactions, thereby improving efficiency and minimizing dependence on intricate foreign exchange infrastructures; this ultimately offers financial institutions greater flexibility in managing liquidity. The Delegated Proof of Stake (XDPoS) mechanism employs stakeholder approval voting to address consensus challenges in a manner that is both fair and democratic. XinFin Protocol (XDC) achieves greater interoperability with existing legacy systems and various blockchain platforms, positioning it as a preferred language for core banking systems, ERP systems, SWIFT systems, and many others, thus expanding its utility in the financial ecosystem. Furthermore, its innovative approach to streamlining processes promises to revolutionize financial transactions in the digital age.

Oversee the entire API lifecycle, implement across various cloud environments, facilitate digital transformation, and maintain compliance, all through a single API platform. As organizations strive to enhance their connections with customers and partners, robust API management has become an essential component of digital transformation efforts. Akana offers a comprehensive API management solution that encompasses the design, implementation, security, management, monitoring, and publication of APIs. Ideal for large, varied enterprises and collaborative API partner networks, Akana can be deployed seamlessly across cloud platforms and on-premises, allowing customers to deploy securely via an integrated no-code portal while also providing in-depth business analytics. Users can generate valuable insights from API traffic with customizable analytic reports, and further engage with their communities through specialized developer portals. This multifaceted approach not only streamlines API management but also fosters collaboration and innovation across the organization.

Utilizing our cutting-edge, cloud-driven technology platform, XIFIN RPM offers a robust and highly automated Revenue Cycle Management solution that enhances efficiency, streamlines medical billing processes, boosts cash collection, and elevates financial precision. Diagnostic providers require financial management solutions that not only enhance cash collection but also offer insight and control over their financial operations while ensuring connectivity both internally and externally. As the demands on these providers grow more intricate, traditional billing systems often fall short, lacking the necessary financial and referential integrity to provide precise and verifiable data. Consequently, it is essential for these providers to have a technology framework grounded in solid financial and accounting principles, granting comprehensive visibility into the financial status of each diagnostic activity throughout every phase, from the submission of orders to the final payment. This approach ensures that providers can navigate the complexities of revenue management with confidence and clarity.

Utilize Pipes to query and manipulate your data seamlessly, a novel method for linking SQL queries that draws inspiration from Python Notebooks. This approach aims to streamline complexity while maintaining optimal performance. By dividing your query into various nodes, you enhance both development and maintenance processes. With just a single click, you can activate your API endpoints that are ready for production use. Transformations happen instantly, ensuring you always have access to the most current data. You can securely share access to your data with just one click, providing quick and reliable results. In addition to offering monitoring capabilities, Tinybird is designed to scale effortlessly, so you need not be concerned about unexpected traffic surges. Visualize transforming any Data Stream or CSV file into a fully secured real-time analytics API endpoint in mere minutes. We advocate for high-frequency decision-making across every sector, including retail, manufacturing, telecommunications, government, advertising, entertainment, healthcare, and financial services, making data-driven insights accessible to all types of organizations. Our commitment is to empower businesses to make informed decisions swiftly, ensuring they stay ahead in an ever-evolving landscape.

Philips Interoperability Solutions, previously known as Forcare, recognizes the difficulties present in the modern healthcare landscape and is committed to helping you overcome these obstacles. They have successfully assisted many healthcare organizations and systems in developing interconnected information systems that facilitate the creation, management, and sharing of clinical data, thereby increasing efficiency and ultimately improving care quality. Interoperability serves as a crucial element of Philips' vision for a comprehensive health continuum. By integrating patient clinical information as individuals progress through various stages of health, Philips Interoperability Solutions aims to enhance overall care. So, what exactly is interoperability, and in what ways can it elevate your healthcare experience? This is an opportunity to delve deeper into the concept of interoperability in the healthcare sector. You can explore a wealth of knowledge through our compelling white papers, inspiring customer success narratives, and informative articles covering a variety of topics contributed by those at the forefront of healthcare innovation, all designed to expand your understanding of how these solutions can make a difference.

Facilitating connections among healthcare entities and enhancing interoperability is essential for improving both outcomes and operational efficiency. The Infor Cloverleaf® Integration Suite serves as a robust solution for the smooth exchange of clinical information, thereby contributing to better healthcare results and operational effectiveness. This software empowers healthcare organizations to tackle intricate interoperability issues securely and on a large scale, utilizing contemporary standards such as HL7® FHIR®. Serving as the foundational integration platform, Cloverleaf caters to a variety of healthcare stakeholders, including providers, health information exchanges (HIEs), accountable care organizations (ACOs), laboratories, and both independent software vendors (ISVs) and original equipment manufacturers (OEMs). It also accommodates virtualization for both private and public cloud environments, employing advanced failover and availability strategies. The scalability of Cloverleaf ensures that it can adapt to the diverse requirements of healthcare organizations of any size, while also accommodating various centralized and distributed interoperability frameworks effectively. This adaptability makes it an invaluable tool for organizations aiming to enhance their healthcare delivery systems.

Provet is a cloud-based veterinary practice management platform with built-in AI capabilities, supporting organizations ranging from independent clinics to large multi-location groups. The system is designed to streamline day-to-day operations, reduce administrative workload, and enhance clinical workflows. Key capabilities include integrated payment processing, a digital whiteboard, health plan tools, secure e-signatures, and referral management. The platform is highly configurable, enabling practices to adapt fields, permissions, and workflows to match their specific needs. With an open API and an extensive partner network, Provet integrates easily with a broad range of third-party solutions. Used by veterinary teams in more than 45 countries, Provet is developed by specialists dedicated exclusively to veterinary software, with a focus on usability, reliability, and ongoing product development.

Implementing APIs to cater to a growing mobile customer demographic significantly enhances your business's value, yet it simultaneously introduces various risks due to the rise in mobile security threats. Access to your APIs and backend services is granted only to your authorized mobile applications, which must function in secure environments and communicate through encrypted channels. This approach effectively mitigates risks from botnets, fraudulent activities, harmful scripts, and counterfeit applications at their origin. The landscape of banking and financial transactions has been dramatically altered by mobile technology, necessitating innovative security measures to keep pace with this rapid transformation. As mobile healthcare applications continue to surge, safeguarding personal health information is paramount, which demands securing both the applications and their corresponding APIs. Moreover, the way we navigate our world is evolving swiftly, making it crucial to ensure that our interactions with transportation services via mobile apps are well-protected against potential threats. In this ever-changing digital landscape, businesses must remain vigilant and proactive in adopting robust security solutions tailored for mobile environments.

Quit wasting time dealing with API complications and data adjustments. Trackstar streamlines and synchronizes your WMS data effortlessly, allowing you to concentrate on leveraging it effectively. The intuitive frontend modal enables your users to link their WMS in just seconds. With exceptional documentation, sandbox data, webhooks, and top-notch support, you'll finally enjoy the developer experience you've always wanted. Harness real-time and precise inventory information to enhance your loan underwriting process. Gain insights into the complete journey of goods from purchase order to shipment through our comprehensive API. Broaden your network of third-party logistics providers without the hassle of complicated integrations, facilitating the routing of more orders to various logistics partners. Instantly provide WMS integrations and onboard additional clients to grow your business seamlessly. This is the efficiency and simplicity you've been searching for.