Service Center
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.
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XpertCoding
XpertCoding by XpertDox is an AI medical coding software that utilizes advanced artificial intelligence, machine learning, and natural language processing (NLP) to automatically code medical claims within 24 hours. This software streamlines and enhances the coding process, ensuring faster and more accurate claim submissions and maximizing financial returns for healthcare organizations.
Features include a comprehensive coding audit trail, minimal need for human supervision, a clinical documentation improvement module, seamless integration with EHR systems, a business intelligence platform, a flexible cost structure, significant reduction in claim denials and coding costs, and risk-free implementation with no initial fee and a free first month.
XpertCoding's automated coding software ensures timely payments for healthcare providers & organizations, accelerating the revenue cycle and allowing them to focus on patient care. Choose XpertCoding for reliable, efficient, and precise medical coding tailored to your practice.
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Virtual Examiner
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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Guidewire ClaimCenter
Guidewire ClaimCenter stands out as a premier claims management platform aimed at optimizing the complete claims lifecycle for property and casualty (P&C) insurers. It encompasses a wide array of functionalities, spanning from the initial claim intake phase to final resolution, which empowers insurers to handle claims both swiftly and with precision. Among its notable features are automated workflows, integrated analytics, real-time performance tracking, and fraud detection capabilities, all of which work together to enhance operational effectiveness while boosting customer satisfaction levels. ClaimCenter caters to multiple insurance sectors, such as personal, commercial, and workers' compensation, and can be utilized independently or as a component of the Guidewire InsuranceSuite. By utilizing ClaimCenter, insurers not only expedite the claims process but also gain insights for informed decision-making and remain agile in response to shifting market conditions. Its implementation can lead to significant improvements in both efficiency and overall service delivery for insurers.
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