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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.

OpenPM offers a fully integrated billing and claims management system that automates accounts receivables management while producing extensive reports to help you better manage your organization. As a browser-based application, OpenPM provides a level of access to your system never before possible. Our real-time claims management features will improve your cash flow and streamline billing and claims follow-up processes. We welcome you to explore OpenPM further and contact us for a customized demonstration for your practice. Medical billing software, revenue cycle management solutions, practice management software, practice management system, medical practice management, EMR integration, EHR integration, practice management scheduling, patient scheduling, online patient billing, patient billing, automatic patient billing and payments, patient payments, electronic patient payments

Speedy Claims was the top CMS-1500 software by providing the best customer care to our thousands of clients across America. Medical billing is not something people are excited about. It is a tedious task that you must do. Although it won't be an enjoyable task, it doesn’t have to be difficult or time-consuming. Speedy Claims CMS-1500 software makes it easy to complete the job quickly and efficiently, allowing you more time for the things that you love, such as helping patients. It's the best HCFA 1500 software on the market, with a simple interface and powerful features to eliminate repetitive work. It has powerful error checking built in to ensure that your HCFA 1500 form fills out correctly and is complete. This prevents CMS-1500 claims being denied.

To ensure the well-being of both patients and providers, independent practices require comprehensive solutions. Each product offered by Tebra is specifically designed to enhance and streamline the entire patient-practice experience, and when integrated into a unified platform, it functions as a complete operating system that benefits both providers and patients. By utilizing this connected system, practices can effectively attract new patients while retaining existing ones through enhanced digital visibility. Furthermore, patients are empowered at every communication point, fostering a seamless experience that promotes trust and contributes to a healthier practice environment. A state-of-the-art, certified EHR solution tailored to meet the demands of today’s healthcare providers is also included, equipping practices with essential features such as advanced charting, efficient documentation processes, a holistic view of patient histories, electronic prescriptions, lab integrations, telehealth capabilities, and much more, enabling providers to maintain control over their care delivery methods. With these innovative tools at their disposal, practices can thrive in an increasingly competitive healthcare landscape.

AZZLY Rize is the premier clinical and business platform for addiction treatment and mental health organizations. As a modern technology platform, AZZLY Rize is a system that can scale with you. Use as little or as many of the features and functions available based on your program and staff needs. Key features for OUTPATIENT Programs include e-check-in, scheduling, appointment reminder, Zoom telehealth, treatment plans, progress notes, assessments and surveys. For RESIDENTIAL Programs: census, medication management, bed board, withdrawal management, DrFirst e-prescribing, EPCS, PDMP and labs. For all Programs: alerts, patient engagement, 5 star implementation and support services, and seamless electronic billing and claims submission. As a true all-in-one platform, we empower treatment centers to take control of their compliance and revenue cycle management and reporting requirements. As a purpose-built tool for mental health and substance use disorder programs, we offer a flexible pricing plan to replace dated technology. Use our compliant Master Library of Forms or we configure your documentation forms to match what you use today. Hosted in Microsoft Azure Private Cloud Network for added security and HIPAA privacy.

Curacel's AI-powered platform allows insurers to track fraud and automatically process claims. You can easily collect your claims from your Providers and auto-vet them. Curacel Detection can help you identify and curb fraud, waste, and abuse in the Claims Process. Collect claims from providers to prevent fraud, waste, and abuse in the claims process. To understand where Insurers are losing the most value, we studied the Health Insurance industry. This was the Claims Process. The Claims Process is mostly manual and is prone to fraud, waste, and abuse. Our AI-driven solution helps reduce wastage and makes the Insurer more efficient, unlocking hidden value. Ravel insurance is unique in that it is built upon on-demand policies that only cover a short time. Both the policy holder and the insured want a fast and accurate claim settlement.

TherapyNotes is a user-friendly, comprehensive practice management software tailored for professionals in the behavioral health field. It seamlessly incorporates advanced scheduling features, detailed patient notes, electronic billing options, and a personalized patient portal. Additionally, the software adheres to HIPAA and PCI compliance standards, ensuring that both practice and patient information remain secure and well-protected. The burdens of managing a practice often lead to excessive paperwork that can detract from patient interactions. With functionalities such as straightforward electronic claim submissions and facilitated ERA payment postings, users can expect to see a reduction in data entry mistakes and a decrease in monotonous paperwork. TherapyNotes™ effectively unifies every component of your practice, ultimately enhancing the quality of care provided to patients. By prioritizing person-centered documentation and offering searchable diagnoses, this software allows practitioners to dedicate more time to in-session interactions, thereby ensuring that clients receive the attention and care they truly need.

The FINEOS Platform stands out as the sole comprehensive end-to-end SaaS core product suite for clients, featuring FINEOS AdminSuite for managing everything from quote to claim, alongside add-on products such as FINEOS Engage to enhance digital interaction, and FINEOS Insight for advanced analytics and reporting capabilities. It serves as a cornerstone for your digital insurance approach. By integrating FINEOS AdminSuite, FINEOS Engage, FINEOS Insight, and robust platform capabilities, the FINEOS Platform establishes itself as the most contemporary single core insurance solution tailored for Life, Accident, and Health sectors. In contrast to outdated legacy core systems that relied on a 'one size fits all' technology model, which is no longer suitable for dynamic businesses, modern consumers, employers, and brokers now benefit from sophisticated SaaS solutions and software that elevate expectations for an insurer's digital initiatives. The previous monolithic insurance software systems primarily concentrated on the intricacies of insurance contracts, overlooking the need for flexibility and adaptability in today's fast-paced market. Embracing the FINEOS Platform means adopting a future-ready approach that aligns with current consumer demands and technological advancements.

The process of filing claims is intricate and essential. Over 60% of individuals refrain from submitting complex claims due to the involved procedures and the time they require. Artivatic offers a specialized claims platform tailored to various insurance sectors, empowering companies to facilitate digital claims experiences, enable self-processing, automate evaluations, and implement risk and fraud intelligence alongside claims payouts. A SINGLE PLATFORM TO ADDRESS ALL YOUR CLAIMS REQUIREMENTS. Comprehensive Automation and Assessment for Claims. AUTO CLAIMS – HEALTH CLAIMS – TRAVEL CLAIMS – ACCIDENTAL CLAIMS – DEATH CLAIMS – FIRE CLAIMS – SME CLAIMS – BUSINESS CLAIMS – COMMERCIAL CLAIMS – EVERY CLAIM MATTERS.

Reimbursify stands out as the pioneering mobile-enabled software platform that offers a groundbreaking solution to empower patients, assist healthcare practitioners, and facilitate digital partners in efficiently submitting out-of-network reimbursement claims for both medical and mental health services. This innovative app simplifies the process of filing out-of-network (OON) reimbursement claims with your health insurance provider, providing a swift and hassle-free experience to ensure you receive every dollar you're entitled to. With an intuitive registration process designed for primary insured individuals, spouses, and dependents, the platform boasts a smart dashboard that organizes all your claims and monitors the funds you are set to receive. Additionally, it features a unique Rejection Resolution Pathway that quickly addresses any rejected claims, along with a provider search function that automatically fills in essential provider details to further streamline your experience. Reimbursify not only maximizes the efficiency of the reimbursement process but also enhances the overall user experience, making it an indispensable tool for anyone navigating the complexities of healthcare claims.

Stay organized and efficient in your practice with MedicsPremier (MedicsPM), a robust practice management solution offered by Advanced Data Systems. MedicsPremier is equipped with an array of features designed to enhance operational efficiency and expedite payments. Some of its key tools include specialty-specific scheduling, automated workflows for patients, management of patient information, tax calculations, inventory tracking, specialty-focused EDI, generation of patient statements, and seamless document scanning integration. Additionally, our system provides timely out-of-network notifications during patient scheduling and features a patient responsibility estimator to help you gauge their expected payment after insurance adjustments. To further assist, the software sends reminders for copayments and conducts pre-appointment batch eligibility checks. It also offers proactive notifications for claims that are at risk of denial, empowering you to safeguard your revenue before issues arise! With MedicsPremier, your practice can thrive and maintain financial health with ease.

Coronis Health has more than 30 years experience in revenue cycle management and medical billing. We understand the impact that new legislation can have on medical facilities. We're breaking down the No Surprises Act and how it could impact your bottom line as the No Surprises Act goes into effect. Coronis Health, a global healthcare revenue cycle management and medical bill company, offers specialized solutions and global capabilities. Coronis Health combines industry-leading technology with high-touch relationships building to allow healthcare professionals & facilities focus on patient care, financial independence, and financial success.

ClaimBook streamlines the insurance claims process by facilitating quicker settlements, enhancing accountability, and reducing the likelihood of rejections. It is equipped with comprehensive features that cater to all aspects of claims management and evidence submission. Furthermore, ClaimBook promotes international patient care through specialized workflows, thereby fostering medical tourism. The platform includes a built-in Rules Engine that prevents incomplete submissions and ensures that all necessary information and documents are provided. This leads to submissions that are accurate, thorough, and pre-authorized. Additionally, ClaimBook incorporates Smart Data Extraction technology, which can interpret uploaded documents to retrieve pertinent information from a connected Hospital's Information System, eliminating the need for manual data entry. Another valuable feature is Integrated Emailing, which creates a virtual inbox directly within your dashboard, allowing users to compose emails with a familiar design similar to that of Microsoft Outlook. This integration not only enhances productivity but also ensures seamless communication throughout the claims process.

BirchNotes is an exceptionally intuitive EHR software designed specifically for mental health and substance abuse treatment professionals, enabling you to effortlessly manage and grow your practice. This platform is thoughtfully crafted with the unique needs of behavioral health therapists in mind, incorporating features and tools specifically tailored for both mental health and substance abuse specialists. With BirchNotes, you benefit from a single integrated solution that combines EHR, billing, insurance, scheduling, and telehealth functionalities, eliminating the hassle of juggling multiple logins and systems. Regardless of your practice's size or setting, BirchNotes provides the adaptability and scalability required to cater to your specific needs. Our workflows and insights are optimized to align perfectly with your practice, allowing you to manage your operations easily through intelligent workflows, automation, and customizable settings, ultimately freeing up your time to focus on what truly matters. This enhanced solution paves the way for improved outcomes, offering comprehensive support for group sessions, telehealth appointments, and recurring bookings, along with personalized calendar views to suit your preferences. By integrating all these elements, BirchNotes empowers professionals to deliver exceptional care while streamlining their administrative tasks.

Create a seamless patient journey that synchronizes instantly with your practice management system, offering a unique solution that both reads and writes data in real-time. We prioritize our engineering efforts on developing optimal bidirectional integrations with EHR and practice management systems. This advancement allows you to launch and refine your product in mere weeks instead of taking years. Our engineers actively utilize our own API to construct a doctor-facing SaaS product, ensuring that users receive a thoroughly tested and scalable experience. With online patient scheduling, potential clients can view your availability instantly and book appointments on-demand from any location or device. NexHealth's scheduling software is designed to perfectly customize your calendar straight out of the box. Our dedicated team of product experts is committed to assisting in the integration of both your calendar of record and EHR system, regardless of the complexity of your scheduling needs, ensuring a smooth and efficient implementation process. By enhancing these elements, we aim to significantly improve the overall efficiency of your practice.

Claims adjudication services cover a range of areas including medical, dental, vision, and prescription claims, as well as short and long-term disability cases. These services can be accessed either on-site with a license or through a hosted application model (ASP). Utilizing Microsoft technology, the system is powered by an SQLServer database paired with a Windows front end. Our customer service is highly regarded, staffed by healthcare claims professionals who boast a minimum of 12 years of industry experience. All support inquiries are recorded, and their statuses can be monitored online. The system features a plan copy and modification tool that facilitates rapid plan implementation. Auto-adjudication is achieved through benefit codes that are constructed using business rules derived from over 25 variables connected to both the claims and the claimants, which are then processed by the adjudication engine. Claims can be submitted in various formats, including scanned images, EDI, or paper submissions. The system is compliant with HIPAA EDI 5010 transaction sets, ensuring secure and efficient processing. Additionally, re-pricing fees and UCR schedules can be pre-loaded into the system prior to their effective dates, while the date-driven logic ensures that re-pricing occurs based on the service date, optimizing the claims processing workflow. The comprehensive nature of this system allows for a more streamlined and efficient claims management experience.

HealthRules® Payer represents a cutting-edge core administrative processing system that offers transformative features for health plans across various types and sizes. For over a decade, health plans utilizing HealthRules Payer have effectively capitalized on market opportunities, maintaining a competitive edge. What sets HealthRules Payer apart from other core administrative solutions is its innovative application of the patented HealthRules Language™, which resembles English and introduces a groundbreaking methodology for configuration, claims management, and information transparency. This system empowers health plans by enabling them to expand, innovate, and outperform their peers more effectively than any other core system available today. As a result, HealthRules Payer not only streamlines operations but also fosters a culture of agility and responsiveness within health organizations.

AUSIS – Comprehensive Behavioral Underwriting AUSIS empowers insurance companies to conduct thorough underwriting, scoring, and decision-making instantly. By utilizing AUSIS, businesses can experience significant decreases in costs, time, risk, and fraud while simultaneously boosting efficiency and decision-making capabilities through alternative scoring methods and additional features. Furthermore, AUSIS enhances the straight-through processing (STP) rate from non-straight-through processing (NSTP) and allows for non-invasive health data collection from various sources, including air quality index (AQI), geographical location, mortality statistics, social factors, images, videos, health monitoring devices, weather conditions, sanitation levels, and more. With AUSIS, insurance firms can achieve as much as a 40% reduction in the costs associated with issuing each policy. This innovative solution not only streamlines the underwriting process but also provides valuable insights that can lead to better risk assessment and management.

USSI takes pride in showcasing its complete range of professional insurance software solutions, crafted as a comprehensive turnkey administration package. These all-inclusive software offerings are designed to guarantee that your insurance firm functions at peak performance in a rapidly evolving and competitive industry landscape. The InsurancePlus Individual Life and Health Administration software from USSI effectively oversees the management of business portfolios for both traditional and innovative Life and Health insurance providers. This solution accommodates various product lines such as Whole Life, Term Life, Interest Sensitive policies, Final Expense plans, Annuities, and Supplemental Health insurance. Additionally, USSI's InsurancePlus Group Life and Health Administration software efficiently manages portfolios for Group Health insurance companies, Self-Insured Funds, and Third-Party Administrators (TPAs), supporting a diverse range of plan options like Point of Service, Major Medical, Term Life, High Deductible, and Traditional Indemnity plans. With such a wide array of features, USSI ensures that its software solutions are versatile and adaptable to meet the unique needs of every client in the insurance sector.

Therabill serves as a cloud-based software solution designed for professionals in nutritional, mental, and behavioral health fields. This platform integrates billing for therapy, scheduling, and documentation into a single user-friendly interface, enabling users to efficiently submit claims, oversee their calendars, input treatment notes, and keep track of patient data. In addition to these core functionalities, Therabill boasts a wealth of useful features such as customizable client statements and invoices, automated appointment scheduling with reminders, and dedicated portals for providers, enhancing the overall practice management experience. Furthermore, its comprehensive tools are aimed at streamlining workflows, making it an invaluable asset for health specialists.

Samedi is an innovative web-based software designed to enhance patient coordination while simultaneously reducing costs and improving services. This secure networking tool is applicable in various healthcare settings, including medical practices, clinics, and operating rooms. By utilizing effective resource planning, process management, online appointment scheduling, and task assignments, the system streamlines workflows. Additionally, the inclusion of video consultations and online forms allows for a more adaptable process, all while ensuring top-notch data security. Serving as an e-health software solution for physicians, clinics, and health insurers, Samedi connects the healthcare ecosystem and refines medical operations. With a focus on simplicity, efficiency, and security, our 12 years of experience in the e-health sector enables us to cater to your specific needs, providing customizable options for both straightforward and complex workflow demands. Our software integrates seamlessly with nearly all practice and clinic management systems, facilitating a hassle-free operational experience. This adaptability not only enhances productivity but also fosters better patient outcomes.

ResolvMD is a seasoned full-service medical billing firm that handles all types of health service claims, including AHCIP, for medical practitioners. Our mission is to empower physicians to feel as assured and skilled in their billing practices as they do in their medical expertise by providing data-driven insights and accessible knowledge. We offer the most advanced, affordable, and secure platform available for claims processing in the industry. Our primary audience consists of doctors, particularly specialists like emergency room physicians, urgent care providers, plastic surgeons, anesthesiologists, pediatricians, and general surgeons. These professionals seek a reliable billing partner to manage their health service claims, prioritizing attributes such as time efficiency, trustworthiness, cost-effectiveness, and expertise. Currently, we are focusing on physicians located in Alberta, specifically in cities such as Calgary, Edmonton, Red Deer, Medicine Hat, Lethbridge, Okotoks, and any other area with a population exceeding 25,000, ensuring that we meet the needs of a diverse and growing healthcare community.

PlanXpand™ is the specialized transaction processing engine developed by Acero, which serves as the backbone for all products aimed at health benefits administrators. With this innovative engine, clients have the flexibility to implement Acero’s offerings either all at once or gradually over time. Beyond simply selecting from our standard range of products, administrators have the option to harness PlanXpand™ to create tailored solutions that enhance their current system functionalities. Acero’s distinctive, integrated solutions utilize a Service-Oriented Architecture, enabling health benefits administrators and insurers to augment their existing adjudication platforms with new features and capabilities. Furthermore, our advanced design and engineering facilitate real-time adjudication for all claim types, directly interacting with the core claims system, which leads to improved processing accuracy, increased customer satisfaction, and a reduced necessity for claims adjustments. This adaptability and precision in processing claims ultimately positions Acero as a leader in the health benefits administration sector.

Clinics of all sizes and specialties can concentrate on their patients while PertexaIQ™ manages the rest of the tasks. This applies not only to primary care but also to various specialty and subspecialty practices, including neurology, obstetrics and gynecology, pediatrics, dermatology, podiatry, endocrinology, and behavioral health. By enhancing ease, speed, and accuracy, practices can significantly increase both their value and patient volume, leading to greater revenue. For hospitalists, nurses, and related groups, our platform-independent application seamlessly integrates with your device and your client’s electronic health records (EHR), ensuring that documentation is completed in real-time for every patient interaction, whether it occurs remotely, in nursing homes, rehabilitation facilities, or at home. Administrators and advisors in accountable care organizations (ACOs), patient-centered medical homes (PSOs), and independent practice associations (IPAs) can see a rise in the number of patients treated and bills processed, while experiencing faster payments and lower staffing and outsourcing costs. The auto-accurate coding feature leads to nearly 100% approval rates for claims on the first submission, alongside immediate auto-audit capabilities at the Recovery Audit Contractor (RAC) level and comprehensive compliance measures. Ultimately, this integrated approach maximizes efficiency and enhances the overall patient care experience.

Easy to use Practice Management Software for Chiropractors. It allows patients to book appointments online, bill their bills and access electronic health records (EHR). zHealth provides fully customizable SOAP notes that can be clicked, typed or dictated.

Healthcare.gov has made it easier for HealthSherpa to enroll in Affordable Care Act plans. We work with employers, insurers, agents, nonprofits, and consumers to help them enroll as many people as they can in these comprehensive, subsidy-eligible health plans. We power insurance companies' websites so they can enroll people in Affordable Care Act plans. We offer superior enrollment technology, a CRM and communication tools for insurance agents so they can enroll more clients in plans that are right for them, faster. We have over 40,000 agents using our platform. We offer decision support tools for consumers to help them choose the right plan for their healthcare needs. HealthSherpa has more than 5,000,000 consumers enrolled in coverage. We offer all the same plans, prices and benefits as HealthCare.gov.

Enhance the productivity of your healthcare facility by utilizing DrChrono’s comprehensive platform, which combines practice management, electronic health records, and medical billing into one seamless solution. Featuring a contemporary and user-friendly design along with a myriad of sophisticated functionalities, DrChrono enables healthcare professionals to deliver improved patient care. Practitioners can effortlessly organize patient appointments, update and review charts, and handle billing processes efficiently. This all-inclusive tool streamlines operations, allowing medical staff to focus more on their patients and less on administrative tasks.

The rise in total loss claims has reached a concerning 20 percent of all collision and liability losses within the auto insurance sector. Unfortunately, many insurance providers still struggle with disjointed total loss operations, which can result in higher expenses, unhappy customers, and limited oversight. Introducing Total Loss Pro™ from Vemark: this innovative solution is designed to turn the cumbersome total loss claims process into a streamlined and efficient system that can adapt to rapid industry changes. With this tool, you can ensure quicker settlements that enhance policyholder satisfaction. Additionally, it boosts employee morale by minimizing frustration associated with cumbersome processes. This platform also offers improved visibility and transparency, enabling data-driven decision-making. Given the complexities involved in total loss auto claims compared to standard repair claims, Total Loss Pro serves as a cloud-based solution that optimizes every stage of the intricate salvage vehicle workflow, ultimately benefiting both insurers and their clients. Moreover, by implementing this comprehensive tool, carriers can foster a more proactive approach to managing claims, ensuring a smoother experience for all parties involved.

EvolveNXT’s platform is designed for health insurance carriers and any commission-based business, providing a customizable suite of solutions that enhance sales performance and simplify the management of intricate business processes. With over ten years of experience collaborating with top insurance carriers, we have crafted a solution tailored to meet the demanding requirements of competitive and regulated markets. Our compliance-focused approach allows organizations to boost the efficiency of their sales channels while promoting sustainable growth in enrollment. Notably, the intricate commission structures that apply to Medicare brokers are among the most challenging to navigate; EvolveNXT facilitates the management and automation of Medicare compensation while ensuring adherence to CMS regulations. By utilizing our commission management software, insurance carriers can not only streamline their operations but also empower their teams to achieve peak sales performance, paving the way for greater success in an ever-evolving industry.

Introducing the first-ever intelligent medical billing software that caters to multiple specialties. It simplifies the billing process and enhances patient collections for over 75,000 healthcare providers nationwide. With its global data capabilities, there's no longer a need for entering information multiple times. Designed to handle large volumes and intricate data, it features a flexible data structure that meets the diverse needs of various practices and specialties. This software ensures that you receive payments more quickly. You can input payments manually or utilize electronic remittance options. Claims are automatically scanned for errors and any missing details, ensuring accuracy. Additionally, the software can automatically resubmit insurance claims based on predetermined criteria. The rapid review feature allows for swift evaluation and approval of charges. You can audit charges by various metrics, including modality, procedure, insurance, user, or date of service. The intuitive reporting system provides insights into the financial well-being of both front-end and back-end billing processes. You’ll never miss a charge again. Furthermore, it seamlessly integrates with your chosen clearinghouse or statement vendor, making it a versatile choice for healthcare billing. With its user-friendly interface and comprehensive features, this software is set to transform the way medical billing is handled in practices.

bestPT offers a comprehensive, cloud-driven solution for billing and practice management specifically tailored for physical therapy providers. Designed to accommodate private practices of varying sizes, this platform supports individual therapists and franchise owners in effectively handling payments and revenue streams, while also monitoring claims processing. With integration capabilities for widely-used EHR systems such as webPT and Cedaron, bestPT significantly enhances the billing workflow, contributing to a more efficient operational flow for the entire clinic. This software not only simplifies administrative tasks but also allows practitioners to focus more on patient care.

Claimocity was specifically developed for clinicians with demanding schedules who provide care in Acute Care or Step Down environments. This innovative platform stands out as the pioneering PM and RCM software tailored exclusively for hospitalists. Serving as an all-in-one mobile application for billing and practice management, it is designed for those who manage patients in these critical settings. Its unique capabilities allow for the cloning of previous notes in ways that other solutions, such as EHRs and EMRs, cannot replicate. By effectively merging and optimizing two distinct daily documentation and billing workflows, Claimocity significantly reduces the time required for these processes. The note capture feature can automatically populate notes with vital signs and import necessary elements directly from the patient chart. Moreover, it supports a variety of complex templates within a practice, accommodating calibrated encounter notes, procedure-specific documentation, simple text-based notes, or any blend of pre-built context-driven formats. Users can also copy and paste extensive data sets from external sources into any text area, streamlining the documentation process before signing and submitting. This comprehensive approach not only enhances efficiency but also ensures that clinicians can focus more on patient care rather than administrative tasks.

Authorize, claim processing and payment are available at the point-of-care. Improve care coordination and improve outcomes for lower medical costs while streamlining administrative processes. Engage providers at point of care to share and capture data in real time, resulting in an unprecedented exchange of health information. We work with our clients to develop risk management strategies that produce better outcomes at lower costs. We aim to improve the user experience of everyone in the ecosystem. To optimize clients' resources, we deliver a minimum of a 3:1 ROI. Conexia has created a core technology platform (ONE), which can be customized to meet the different regulatory requirements and operational processes of each client in each geographic region. Our initial implementation is usually an overlay on the existing technology ecosystem of the payer to create real-time processes.

Streamline revenue cycle management, care quality oversight, and workforce optimization through a unified, user-friendly portal featuring single sign-on capabilities. Over 47,000 provider locations depend on our cutting-edge tools to ease the complexities of the patient care experience. Transform the financial experience for patients while alleviating administrative and clinical challenges with the Inovalon Provider Cloud, eliminating the need for fragmented workflows. Our SaaS offerings are designed to enhance both financial and clinical results throughout the patient journey, facilitating improved revenue cycle processes for enhanced reimbursement and ensuring optimal staffing levels for high-quality care. This all-in-one portal enables your organization to elevate its performance, boosting revenue, staff satisfaction, and care standards. By enhancing operational efficiency, productivity, and overall effectiveness, you can unlock the full potential of your organization. Explore the transformative capabilities of the Provider Cloud today.

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.

Insurance Discovery enhances financial outcomes by uncovering previously unrecognized billable coverage that providers may not be aware of, thereby minimizing underpayments and uncompensated care. By employing advanced search functionalities, this solution reveals instances where patients possess multiple active payers, which can significantly improve reimbursement prospects. Additionally, it helps to prevent delays in reimbursement and accelerates revenue collection by ensuring that claims are submitted to the correct payers on the first attempt, thanks to more precise coverage details. When utilized with verified demographic information, Insurance Discovery provides reliable coverage and eligibility insights. This modern approach replaces outdated manual methods of insurance discovery with a swift and thorough search that queries numerous databases in mere seconds, yielding detailed and accurate coverage information. Furthermore, it enhances the overall experience for patients and residents by facilitating accurate estimates of out-of-pocket expenses, ultimately contributing to a more favorable financial journey for them. By streamlining these processes, providers can focus more on patient care rather than administrative tasks.

EbixEnterprise serves as an all-encompassing solution for insurance management, effectively optimizing policy oversight throughout its entire lifecycle. The platform comprises six key elements: Customer Relationship Management (CRM), health insurance exchange, policy administration, claims administration, data analytics, and a consumer web portal. These components are interconnected, facilitating the seamless transfer of data in response to various business requirements. SmartOffice CRM empowers organizations to efficiently handle agent and broker details, commission structures, sales pipelines, and state licensing information. Furthermore, the Online Quoting Portal, HealthConnect, stands out as a premier marketplace for both buyers and sellers of health insurance and employee benefits. In addition, EbixEnterprise Administration functions as a robust policy management system, equipping users with all necessary tools to oversee policies, define insurance plans, and maintain associated rate data. This comprehensive approach not only enhances operational efficiency but also drives improved decision-making across the organization.

Collective Health stands out as the pioneering integrated solution enabling self-funded employers to manage their plans, control expenses, and prioritize the well-being of their employees, all from a single platform. We invite you to discover how our tailored programs, seamless administration, and intelligent member experience enhance the benefits we provide. Serving a diverse clientele that includes scientists, truck drivers, and musicians, we take pride in having the most satisfied clients and members in the health insurance sector. Explore why many leading self-funded employers nationwide opt for Collective Health. If you are a broker or consultant aiming to advance your clients’ healthcare strategies, Collective Health offers a streamlined technology solution that optimizes employee healthcare for all stakeholders. With a membership nearing 250,000 and a portfolio of over 50 clients—including notable names like Driscoll’s, Pinterest, Red Bull, Restoration Hardware (RH), and Zendesk—Collective Health is revolutionizing the healthcare journey for innovative organizations. By focusing on integration and member satisfaction, we aim to reshape the future of health insurance.

Innovative new Health Reimbursement Arrangements (HRAs) streamline the health insurance provision process, offering you reassurance and simplicity. Wave goodbye to the complexities of traditional group plans. To initiate, simply respond to a few questions regarding your preferences for the HRA's functionality. You can rest easy knowing our platform will assist you every step of the way, empowering you to tailor your plan to your needs. After finalizing your HRA design, we will handle all legal obligations and ensure your employees are integrated into our system smoothly. Once everything is set up, our team will assist you in managing the claims process efficiently. Each day, we strive to foster a healthcare system that prioritizes your peace of mind, as we firmly believe that everyone deserves a more straightforward approach to health insurance. By prioritizing clarity and simplicity, we aim to enhance your overall experience with health benefits.

eHealthApp allows brokers and consultants to stand out by efficiently collecting health information. The broker can use the collected information to obtain health underwritten quotations and allow the broker to analyze it to determine the best fit for their group clients. TPA's, GA and Carriers can sponsor eHealthApp brokers in a way that does not hurt the competition, increases underwriting accuracy and makes products more widely accessible. Contact us today to request a demo and learn more about eHealthApp.

VERMEG has developed SOLIFE, a robust policy administration system specifically designed for life and health insurance providers. This system streamlines the complete management of new business activities, policies, and claims, featuring capabilities such as cash and events management, seamless accounting integration, and oversight of distribution and fees. It also addresses reinsurance, tax and legal compliance, dedicated reporting, and efficient claims handling. With over two decades of industry experience informing its design, SOLIFE adopts a client-centric model and is regularly updated to align with evolving regulatory requirements, including MiFID and PRIIPs. The platform is built to facilitate digital processing via APIs and responsive design, ensuring a modern user experience. Its high degree of automation not only minimizes administrative expenses but also includes a versatile product-design workbench that enhances the speed of market delivery. Furthermore, the system accommodates various distribution models, making it adaptable to a wide range of business requirements, ensuring that it remains relevant in an ever-changing marketplace. This flexibility empowers insurance companies to optimize their operations and meet their unique challenges effectively.

Introducing a comprehensive insurance quoting, enrollment, and lead management platform crafted specifically for modern insurance agents. Regardless of whether your operations are primarily conducted through in-person meetings, phone calls, online sales, or a combination of these methods, Quotit provides innovative solutions that enhance your clients' experiences through efficiency, tailored services, and automated processes. By investing in health insurance software, you can streamline operations and improve productivity, ensuring your clients enjoy seamless interactions at every touchpoint. Whether you seek a ready-to-use solution or require integrated data and capabilities, we have the right options for you. Our solutions, whether bundled or as standalone cloud-based APIs, ensure that you have centralized access to health plan information from a multitude of carriers nationwide, all in one convenient location, allowing you to focus on what truly matters—serving your clients effectively. Additionally, our platform is designed to adapt and grow with your needs, ensuring you remain competitive in a rapidly evolving industry.

Streamline your operations and prioritize your employees’ well-being. With Alan, you can eliminate the hassle of paperwork and confusion, ensuring that fulfilling your responsibilities doesn’t require specialized knowledge. Experience time-saving health insurance with a clear, straightforward offer. Your employees can easily access a simple online table of benefits anytime, without any physical documents to handle. Forget about the complexities of managing arrivals, departures, and portability; everything is conveniently handled through your mobile device or computer. Alan's insurance is fully authorized by the ACPR Banque de France and backed by reputable reinsurers like CNP and SwissRe, consolidating all your employees' protections in one accessible location, free from obligations. Alan green provides health coverage that delivers comprehensive protection without excessive costs. Alan blue offers health coverage that ensures excellent reimbursements regardless of the healthcare provider or optician chosen. Lastly, Alan Foresight features provident insurance, which safeguards your employees against unforeseen challenges such as long-term illness or disability, ensuring that their needs are met during tough times. This innovative approach allows you to focus on growth while providing essential support to your team.

Choose INSXCloud as your go-to platform for both on-exchange ACA health plans and off-exchange supplemental coverages, including options for dental, vision, accident, and short-term medical. Since the Federal Marketplace was launched in 2014, INSXCloud has been a valuable resource for agents, agencies, and issuers, facilitating the quoting and enrollment processes for individuals and families seeking Affordable Care Act coverage along with ancillary health options. Over the years, we have successfully helped agents and issuers enroll more than 2 million members in a variety of health, dental, vision, and supplemental plans. With our EDE version, e-Commerce is tailored to your needs, enabling both agent-led and direct-to-consumer enrollments. By partnering with us, you retain full control over your marketing strategies, ensuring that your messaging resonates with clients. Our platform also features convenient tools like an enhanced provider lookup to find doctors accepting specific plans and a 'Pay Now' feature available for numerous carriers, streamlining the payment setup for your clients. Additionally, this user-friendly interface makes it easier than ever for you to manage your clients’ healthcare needs efficiently.

Leading insurance firms leverage our SaaS solution to create a personalized shopping experience, streamline policy management, and enhance teamwork among clients, brokers, and health plan teams. Supercharge your operations with our top-tier platform, which delivers speed, adaptability, efficiency, and regulatory compliance throughout your organization. Ensure that you never overlook a chance to attract clients by showcasing your array of health plans and insurance offerings effectively. Increase operational efficiency, manage workflows seamlessly to maintain smooth business functions, and enhance client follow-ups. Save valuable time by allowing JET Insure to monitor events, enabling you to concentrate on essential business pursuits. Discover how we can refine your operations to meet both present and future healthcare demands, while also illustrating the ways our solution can accelerate your growth trajectory. By partnering with us, you can stay ahead in a competitive landscape and ensure sustained success.