Alternatives to POWEReob

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.

A data-driven solution for managing claims and remittances specifically designed for healthcare providers looking to streamline their workflows, enhance resource efficiency, minimize denial rates, and expedite cash flow. Boost your initial claim acceptance rate significantly. Our all-inclusive edits package ensures you remain compliant with evolving payer guidelines and regulations. Increase your team's efficiency with user-friendly, exception-based workflows and automated procedures. Your personnel can conveniently utilize our adaptable, cloud-based platform from any device. Effectively manage your secondary claims volume through the automated creation of secondary claims and explanations of benefits (EOB) derived from the primary remittance advice. Leverage predictive artificial intelligence to identify and prioritize claims that require attention, allowing for quicker error resolution and minimizing denials before submission. Achieve a more efficient claims processing experience. Additionally, print and distribute primary paper claims, or compile and send collated claims along with EOBs for secondary submissions. This holistic approach not only enhances operational efficiency but also promotes better financial performance for healthcare 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

Jopari ProPay is an advanced cloud-based payment processing platform designed specifically for healthcare payers. It features a wide range of payment options, such as EFT/ERA, virtual cards, and traditional paper checks, along with a self-service portal for accessing Explanation of Benefits (EOB) and remittance advice (R) delivery, ensuring compliant 835 transactions for electronic billing. This solution enables healthcare payers to eliminate reliance on paper-based processes and lower their operational costs by optimizing payment and remittance workflows. By allowing payers to delegate their payment processing tasks, Jopari ProPay empowers organizations to redirect their focus towards essential business operations. For healthcare providers, the platform provides a versatile selection of payment delivery methods, enabling them to select the option that best suits their requirements. Additionally, providers can utilize the self-service portal to monitor their EOBs and payment statuses, enhancing their overall experience. Jopari ProPay stands out as a secure and compliant payment processing option, earning the trust of over 50,000 ERISA health plans and fully insured groups, which reflects its reliability in the industry. Moreover, its user-friendly interface and comprehensive support features contribute to its growing popularity among healthcare payers and providers alike.

NowMD is a cutting-edge, affordable software solution tailored for healthcare practices and medical billing services. This platform facilitates billing for both insurance providers and patients regarding professional healthcare services. The Appointment Scheduler within NowMD is specifically crafted to manage patient appointments efficiently. With advanced functionalities such as appointment templates, recurring bookings, and waitlist management, this scheduler significantly enhances the billing capabilities offered by NowMD. Employees benefit from the ability to clock in and out using any computer that operates NowMD, making payroll processing straightforward with detailed employee work hour reports. Furthermore, NowMD can generate ANSI 5010 compliant electronic claim files compatible with various included clearinghouses, allowing for seamless claims submission to insurance carriers or other clearinghouses. Additionally, the software simplifies the payment process by enabling automatic creation of payments and adjustments through Electronic Remittance Advice auto-posting, ensuring a streamlined workflow for healthcare practices. Overall, NowMD stands out as a comprehensive tool that integrates essential features for efficient healthcare management.

Our cloud-based Practice Management solution allows for seamless billing management, enabling your practice to swiftly determine and verify patient insurance benefit eligibility and copay amounts. This system works in conjunction with various clearinghouses and facilitates efficient accounting book management. It simplifies the reconciliation process for patient accounts and insurance billing and supports quick online patient payments along with EOB/ERA processing. The robust task management feature of our healthcare practice management system allows users to efficiently locate and assign claims for review through an intuitive filter-based search function. Users can filter outstanding claims utilizing approximately 100 different criteria, such as the responsibility of payment between patient and insurance, payer classification, provider details, service dates, aging buckets, and reasons for denial. Additionally, the filters can be saved for future use, enhancing workflow efficiency and organization in managing claims. This integrated approach not only streamlines operations but also significantly reduces administrative burden.

ScanNStore is a compact yet comprehensive electronic document management and storage system designed to enhance productivity through effective organization of paper files. This innovative solution allows both you and your team to efficiently scan, categorize, store, and retrieve essential documents such as claims, attachments, and remittance notices. With its powerful search capabilities utilizing multiple indexes, ScanNStore presents claims and associated information on-screen, mimicking the experience of reviewing the original paper documents. When immediate access to crucial claim information is essential, ScanNStore proves to be the ideal choice. Reach out to us for a 30-day trial of our fully functional multi-user version, complete with options for volume seat licensing and vendor discounts. The system is compatible with an extensive range of TWAIN and production-level scanners, including models from HP, Fujitsu, Ricoh, Bell & Howell, and Panasonic, and also accommodates single or multi-page batch scanning, automated document feeding, and various adjustments such as page size and contrast. Additionally, ScanNStore's user-friendly interface simplifies the transition from paper to digital, ensuring that your team can start benefiting from its features right away.

Enhance your claims management process while reducing denials with superior edits and a top-tier clean claim rate. Healthcare organizations need advanced technology to ensure precise claim submissions and swift reimbursements. Claims Director, the claims management solution from SSI, simplifies billing procedures and offers transparency by assisting users throughout the entire electronic claim submission and reconciliation journey. As reimbursement criteria from payers undergo modifications, the system continuously tracks these changes and adapts accordingly. Furthermore, with an extensive array of edits across industry, payer, and provider levels, this solution empowers organizations to maximize their reimbursement efforts effectively. Ultimately, utilizing such a comprehensive tool can significantly improve financial outcomes for health systems.

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.

Remittance advice often encompasses a vast number of intricate transactions, compelling healthcare providers to engage in expensive and time-consuming manual data entry to fulfill essential patient accounting functions. To streamline this process and enhance billing efficiency, many healthcare organizations have adopted cutting-edge computer-aided recognition technologies that can extract transaction-related data from paper documents. Although this technology has demonstrated its capability to accurately pull essential data elements, several processing tasks unique to Explanation of Benefits (EOBs) still need to be tackled to ensure effective implementation. The Optiform eobXL™ for Kofax Capture solution offers a comprehensive suite of features designed to meet these specific requirements, along with data and image integration needs, all presented within an easy-to-use, “point & click” interface. By leveraging this solution, healthcare providers can further reduce the burden of manual data entry and improve overall operational efficiency.

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.

Regardless of whether you operate as an independent reference lab, a pathology practice, an outreach lab, or a public health laboratory, TELCOR RCM billing software equips you with essential tools to tackle complex billing obstacles and enhance your profitability. This comprehensive revenue cycle management solution facilitates claim submissions, monitoring, remittance processes, accounts receivable management, and billing for both clients and patients, all while accommodating multiple NPIs. By leveraging the right technology, you can reduce the need for extensive billing staff and significantly boost productivity in your revenue cycle by automating daily tasks such as claims submissions and patient information collection, along with generating detailed financial reports. Additionally, you can streamline the handling of payments by automating the processing of electronic payments received from payers through 835 ERAs or bank lockbox payment files, thereby eliminating cumbersome manual adjudication tasks. Moreover, improving billing communication with patients can simplify their experience, making payment processes quicker and more intuitive, ultimately fostering a smoother revenue cycle. This holistic approach to billing not only enhances efficiency but also contributes to a better overall experience for both healthcare providers and patients.

Users can provide real-time rates, contracts and dealer menus via eRating or eContracting. Users can issue policies with electronic signatures, and present products to customers through their own sales channels or their partners. Our network has 140+ partners that allow dealers to connect to the eMenu and DMS systems of their choice. Our policy administration software allows for billing, commissions and cancellations. This allows for seamless coverage rating, contracting and contract remittance. Integrating with your accounting system allows you to create, manage, modify, and change your agents, dealers and coverages. Your agents also have direct access to our Agent Portal. The F&I software allows the Dealer Principal and Field Representatives to access integrated reports for F&I forecasting, sales, and overall dealership performance in real time with powerful analytics.

The KUBRA iRemit™ solution provides a secure method for collecting and processing payment information from multiple networks, all accessible from a centralized platform. By merging remittance data from various pay-any-one networks, in-person transactions, and print-based lockbox files, KUBRA iRemit generates a consolidated electronic posting file. This innovative solution can seamlessly integrate with the KUBRA iDoxs™ Suite E-Billing Platform or with other third-party billing systems. By consolidating distinct posting files into one, it reduces the number of billing interfaces that the Accounts Receivable department must manage, thereby enhancing the overall efficiency of treasury reconciliation tasks. Such streamlining not only improves workflow but also allows for quicker access to vital financial information.

Thoughtful AI presents an all-encompassing, AI-powered approach to managing healthcare revenue cycles (RCM). Featuring advanced AI agents like EVA for verifying eligibility and CAM for handling claims, this platform streamlines even the most intricate and labor-intensive RCM tasks. Aimed at enhancing both efficiency and precision, it lowers operational costs, decreases denial rates, and speeds up the posting of payments. Endorsed by top healthcare organizations, Thoughtful AI ensures smooth integration, promises a return on investment, and effectively cuts down costs associated with collections, all while adhering to HIPAA-compliant security standards and offering performance-based assurances. This innovative solution is transforming the way healthcare providers manage their financial processes.

Amazing Charts Practice Management serves as an all-encompassing platform aimed at improving the workflow and operational efficiency of independent medical practices. Created by a physician with firsthand experience, this solution automates a variety of tasks, including the collection of patient demographics, appointment scheduling, and pre-registration of patients while verifying their insurance eligibility. Additionally, it generates insightful analytical reports and assesses patient financial obligations right at the point of care, while also managing insurance payer lists to facilitate timely and accurate billing processes. This aids practices in collecting payments more efficiently. Among its notable features are tools to monitor unpaid claims, a dedicated claims manager to analyze submissions and minimize denials, and an integrated secure connect clearinghouse that provides robust support and quick adjustments to changes from payers. Moreover, the system boasts intelligent, interactive dashboards tailored to specific roles, which automatically prioritize tasks across various departments, thereby enhancing overall productivity in the medical office. This comprehensive approach ensures that practices not only operate smoothly but also remain agile in responding to the evolving challenges in healthcare administration.

Any organization that accepts checks as a payment method can take advantage of AQ2 Remittance. This solution is adaptable for companies that handle a modest volume of 25 to 50 checks each day, scaling up to accommodate hundreds or even thousands of checks on a daily basis. By utilizing advanced check capture technology, businesses can drastically lower their operational and staffing expenses. AQ2 Remittance enables users to swiftly send check images and pertinent information electronically, eliminating the need for couriers or frequent trips to a local bank branch. In addition, the burdensome expenses associated with manually recording check amounts on deposit slips, conducting manual research, and distributing physical copies are effectively eliminated. This comprehensive check capture and electronic deposit service is designed specifically for businesses. With AQ2 Remittance, you can seamlessly capture data for efficient uploading into your accounts receivable system, enhancing overall productivity and accuracy. Ultimately, this innovative solution streamlines financial operations, freeing up valuable resources for other critical business activities.

The integration of our seamless ePCR and Clearinghouse eliminates the need to constantly switch between various applications to complete tasks efficiently. Regardless of the ePCR system your clients utilize, AdvanceClaim for billing companies accommodates them all effortlessly. With features like Automated Imports from a majority of ePCRs, one-click searches, and the auto-population of essential claims data, AdvanceClaim for agencies enhances both accuracy and efficiency while minimizing redundancy and the potential for human error. Bid farewell to the cumbersome processes of downloading extensive remittance files, manually uploading claim files to your clearinghouse, and enduring lengthy waits for validation. AdvanceClaim streamlines the submission process using our fully integrated clearinghouse, allowing you to confidently know that claims or batches are being processed effectively. You can also quickly assess performance across all your clients by utilizing our multiple tax ID rollups or further dissecting the reporting by geography, client size, billing volume, and various other metrics. Additionally, the entire system maintains 100% compliance with HIPAA, ICD-10, and HITECH regulations, and it operates on the robust AWS platform. This ensures reliability and security, giving users peace of mind while managing their billing operations.

The influence of digital technologies on the insurance sector is profound, with those adapting to these changes set to gain a strong competitive edge. Outdated claim management systems that rely on numerous platforms, physical documents, and labor-intensive procedures are now being supplanted by cloud-based enterprise claim management solutions. The Majesco ClaimVantage Claims Management Software for Life and Health simplifies the entire claims process, encompassing every stage from initial intake to payment calculations, while seamlessly integrating various systems to enhance information flow throughout the organization. By ensuring precise and prompt claim decisions, businesses can elevate customer satisfaction and boost operational efficiency. Additionally, built on the Salesforce Lightning Platform, Majesco ClaimVantage Claims Management Software for L&H empowers insurance firms and third-party administrators to not only modernize their claims handling but also to position themselves for future advancements in the industry. As the landscape evolves, embracing such innovative solutions will be crucial for sustained success.

eMEDIX Reimbursement Solutions serves as a specialized claims clearinghouse and electronic data interchange partner, aimed at assisting healthcare organizations in navigating payment obstacles. This platform provides a suite of services including robust claims management, strategies for denial prevention and recovery, enhanced patient access, and efficient enrollment processes. With an impressive 99.5% rate of clean claims, which exceeds the industry standard of 95%, eMEDIX guarantees swift claims processing and expedited reimbursements. The system incorporates automation for claim monitoring, simplifies the management of attachments, and features a user-friendly dashboard for effective claims data consolidation. Additionally, eMEDIX's compatibility with various practice management systems and electronic health record vendors positions it as a flexible option for healthcare providers looking to improve their revenue cycle management. By integrating these advanced capabilities, eMEDIX not only streamlines operations but also promotes financial stability in the healthcare sector.

William, the advanced automated premium billing and payments platform by Certifi, streamlines membership accounting, payment management, collections, and remittance specifically for digital benefits-based billing. With William, users can enjoy the convenience of fully electronic billing transactions across intricate billing situations, which include payer-sponsored marketplaces catering to both group and individual demographics, as well as specialized segments like Medicare Advantage and Medicaid. This robust enterprise-class accounting system ensures compliance with GAAP standards while providing clear audit trails for effective general ledger management. Additionally, all customer-facing invoices, reports, portals, and tools are customized to align seamlessly with your organization's branding. The platform also features rules-driven communications for managing delinquency and policy terminations, facilitating everything from initial notifications to eventual policy suspension or termination. Moreover, both consumers and employers benefit from the flexibility to establish either one-time or recurring payments, utilizing their preferred methods of payment. This comprehensive approach not only enhances user experience but also reinforces the importance of maintaining financial accuracy and transparency within the billing process.

PDS Cortex enhances the efficiency of your practice by offering comprehensive tools for overseeing patient appointments, billing, collections, and much more. It simplifies the intricacies of the current health insurance landscape, making it easier for practices to adapt. Some of its standout features include medical billing, which serves as the core of Cortex with dynamic cash flow management, reduced accounts receivable, and efficient data retrieval and analysis. It also provides robust insurance management tools that allow you to effectively track, manage, and report while saving valuable time. Additionally, it enables monitoring of bad debts and collection agency performance, enhancing accounts receivable efficiency. The appointment scheduling feature is user-friendly, offering customizable layouts and a powerful workflow to streamline operations. Furthermore, electronic remittance distribution allows for better control through the electronic posting of insurance payments, optimizing your insurance transaction processes. Lastly, the platform offers over 270 standard reports, providing you with the flexibility and control needed to make informed decisions based on comprehensive data insights.

daisyBill is a digital medical billing platform for workers’ compensation. With a proprietary network of electronic connections to payers and their clearinghouses, daisyBill ensures faster, smoother billing and payment. The system uses a task-based model that tracks each bill through every stage of the reimbursement cycle, prompting administrative teams in handling bills, authorization requests, payments, and appeals for accurate reimbursement. Additionally, daisyBill features daisyWizard, a tool that accurately calculates reimbursements in accordance with state-specific fee schedules, further supporting efficient revenue management. daisyBill’s primary goal is to improve injured workers’ access to healthcare by minimizing billing friction and ensuring that workers’ comp is financially viable for medical providers.

For those in the medical or chiropractic field seeking top-tier practice management software, ClinicPro stands out as an ideal choice, effectively serving various specialties such as pain management, OB/GYN, chiropractic, ophthalmology, general practice, imaging centers, and pediatric care. Its versatility allows ClinicPro to seamlessly integrate with any preferred clearinghouse, ensuring a streamlined experience for practitioners. The software offers an extensive suite of features, including detailed patient records, insurance information, an appointment scheduling system, management reporting tools, and the capability to process both electronic and paper insurance claims, as well as generate patient statements that can be sent via email or printed on plain paper. With ClinicPro, healthcare providers can efficiently manage their practice while focusing on delivering quality care to their patients. This comprehensive approach not only enhances operational efficiency but also improves patient satisfaction and engagement.

Ensure a steady stream of revenue by utilizing a robust platform that accelerates reimbursements through eligibility verification, tracking claims status, conducting audits and appeals, and managing remittances for both government and commercial claims, all integrated into one cohesive system. Take advantage of a sophisticated rules engine that promptly cleanses claims in accordance with the latest CMS and commercial payer regulations, enabling you to rectify any inaccuracies prior to submission. During the claim upload process, confirm eligibility across all payers and identify any flagged issues, allowing for necessary edits before the claims are sent. Reduce the days in accounts receivable by implementing automated workflows for handling audit responses, submitting appeals, and tracking administrative dispute resolutions. Tailor staff workflow assignments based on the specific claim type and required actions. Additionally, automate the submission of secondary claims to prevent timely filing write-offs. Ultimately, enhance your claims revenue through automated workflows that facilitate quicker and more successful audits and appeals, ensuring your organization remains financially healthy. Furthermore, this comprehensive system can adapt to your evolving needs, providing long-term benefits as your operations grow.

IMPOWER is a specialized document management system designed specifically for the healthcare sector, featuring a modular architecture that allows it to expand from managing documents associated with EMR to becoming a comprehensive enterprise solution. Its intuitive user interface mimics a traditional paper filing system, facilitating a quicker transition to full operational efficiency. More than just a simple scanning tool, IMPOWER offers the capability to maintain precise digital replicas of all patient statements ever issued, organized by patient and readily accessible for viewing, printing, or faxing without the need for scanning. Imagine having a complete archive of every claim submitted, whether electronically or on paper, seamlessly integrated with a standard claim form without any extra effort. The same applies to every electronic remittance received from all payers, effortlessly tracked and managed. What distinguishes IMPOWER from its competitors is its EDI-to-paper-equivalent conversion of healthcare-related documents, but the innovation does not end there, as it continues to evolve and adapt to meet the changing needs of the healthcare industry. This adaptability ensures that healthcare providers can streamline their operations while maintaining high standards of patient care and documentation management.

EZClaim, a medical billing and scheduling company, offers a feature-rich practice administration system that is specifically designed for small to medium-sized providers offices and outsourced medical billing companies. It can also be integrated with many EMR/EHR vendors. EZClaim Billing can be used by any type of person, including doctors, practice managers, and billing service owners. It simplifies your claims management, from data entry to payment posting. EZClaim supports the following specialties: General Practice, Therapy and Vision, Surgical, Medical Specialties and Home Health Care. The software can also be used to bill other specialties. EZClaim's billing program allows you to create insurance payor lists for Medicare and Medicaid, Tricare, Clearinghouse payer Is, governmental MCOs, auto insurance, worker compensation groups, and other government programs.

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.

CaseworksPro is a cost-effective online claims management system tailored to meet diverse claims processing needs. Created by Insurance Technology Solutions, this platform is specifically designed for the claims departments of insurance carriers, self-insured retentions (SIRs), and third-party administrators (TPAs). With its user-friendly interface, CaseworksPro incorporates a variety of functionalities, such as workflows centered around SIR clients, the ability to capture policy data, options for both one-off and scheduled payments, customizable user access permissions, check printing capabilities, electronic reporting features, and the ability to capture NCCI and ISO statistical codes. Additionally, its comprehensive approach ensures that all stakeholders can efficiently manage claims while maintaining compliance with regulatory standards. This makes CaseworksPro an invaluable tool in the claims administration landscape.

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.

Mercury, developed by Quick Silver Systems, enables insurance providers in the Automobile, Property, and Casualty sectors to efficiently rate, quote, bind, process payments, and manage claims through an online platform. It reduces the volume of customer service inquiries by offering online access to documents, bill payments, and initial loss notifications. This API-driven modular system facilitates smooth integration with both new and existing data sources. The fully digital document generation and completely web-based platform ensure compatibility across all devices. Users can design tailored, event-driven workflows using our intuitive visual workflow designer. Stay informed with the latest data on Written, Earned, and Unearned premiums, while all pages, cards, reports, emails, and more are automatically saved for easy review and sharing with colleagues. Additionally, it supports currency collection in various digital formats, including ACH, EFT, electronic checks, credit cards, and bank cards. A robust information technology framework within an insurance organization must prioritize a system that not only ensures broad accessibility but also enhances operational efficiency. Furthermore, Mercury’s capabilities empower insurers to streamline processes, offering a competitive edge in the evolving insurance landscape.

FileHandler Enterprise helps TPAs, insurance carriers, public entities and self-insured organizations automate processes and improve efficiency. Our software keeps you on track with automation and customization, creating a standard claims management process for your business. From implementation to continuous, dedicated support through our Quality Assurance and Implementation Team Members, our goal is to deliver our client partners an effective business management tool, empowering them to automate workflows and increase productivity throughout their business cycle. FileHandler Enterprise allows businesses to facilitate integration with several third-party applications. We ensure that our software works well with preexisting systems in an essential part of our goal at JW Software; helping create customized third-party integrations for your preexisting ISOs, state systems, insurance systems, and much more. FileHandler Enterprise™ software will help you manage and close claims quickly, process payments to parties or vendors, and provide advanced reporting necessary to manage your business.

Enter gets Providers (doctors and practices & hospitals) paid faster that anyone in history. Enter processes insurance claims and pays within 24 hours. It also automatically communicates and collects patient responsibility using a white label collection engine that includes payment plans. Enter is 30x more efficient at getting claims paid, and 45x quicker at getting patients billed at the exact same cost as existing medical billers. In just one year, we processed over $150 million in claims. Providers have access to a $100mm credit facility. United Healthcare Nevada - Revenue Cycle Management Partner Enter supports a wide range of specialties, including ASC, Orthopedics and Neurology, Dermatology. Emergency Rooms, Behavioral Healthcare, Pain Management, and many more. - Enter works with all government and commercial health insurance carriers. - Enter integrates all EMR/practice management systems. No monthly fees No integration fees. Venture backed by Enter

Introducing a user-friendly billing software tailored specifically for healthcare practices, aimed at streamlining your operations. With our certified EMR/EHR solution, you can save valuable time and safeguard yourself against audits. The software allows for the submission of claims, automated remittance posting, and eligibility verification all in one place. Additionally, our iPad app empowers your patients to check in independently, enhancing their experience. Through engaging 3D animations, you can effectively educate patients about the importance of their treatment plans. HealthPro8000 stands out as a premier software solution favored by healthcare professionals globally. It offers seamless functionalities for managing patient records, scheduling appointments, electronic billing, certified EMR/EHR, as well as comprehensive statistics and reporting. As the pioneer in patient relationship management, our software delivers a truly integrated solution. We recognize the hurdles you encounter in practice management and have merged state-of-the-art technology with reliable, in-house US-based support and customer service. Our commitment is to ensure that you experience no downtime, enabling uninterrupted patient care and revenue flow, allowing you to focus on what truly matters—your patients. With HealthPro8000, your practice can thrive in today's demanding healthcare environment.

Optimize Your Entire Healthcare Data Process. Smart Data Solutions possesses the expertise and tools necessary to enhance both your paper-based and electronic workflows. Our suite of integrated tools for validation, matching, and normalization guarantees the highest quality data, which enhances auto-adjudication and minimizes the need for manual processing. Regardless of whether you're a newcomer to Smart Data Solutions or a long-standing collaborator, our development process is designed to support you throughout your projects to maximize your chances of success. Our dedicated team will take the time to grasp your unique needs and the implications of your workflows, addressing both straightforward and intricate requirements. We prioritize your objectives, focusing on what you aim to achieve and then determining the most effective strategies to reach those goals. Smart Data Solutions delivers comprehensive front-end pre-adjudication services for numerous Payers across the country, ensuring flexibility in our offerings. Whether your requirements are minimal or you demand a fully tailored workflow, Smart Data Solutions is equipped with a diverse range of solutions to meet your needs. Our commitment to excellence sets us apart in the industry.

Cortex EDI offers a comprehensive suite of services designed to enhance efficiency in medical, institutional, and dental practices. Our complimentary medical billing and claims clearinghouse software enables you to optimize your operational processes seamlessly. With user-friendly tools at your disposal, managing client billing becomes easier, allowing you to reclaim valuable time. Additionally, our solutions include essential features like patient eligibility verification for private insurance plans, Medicare, and Medicaid. We proudly provide our free medical billing software to a variety of practices without any signup fees or contractual obligations. By enrolling today, you can also access free training to master our practice management and medical claims clearinghouse tools effectively. Take the opportunity to consolidate your diverse EDI service requirements with Cortex EDI now and begin the process of refining your workplace efficiency. As a top provider of electronic medical transaction solutions, Cortex EDI is committed to supporting your practice's operational needs and facilitating your growth.

Effective collaboration in patient care hinges on continuous connectivity and access to the latest information. It has become increasingly crucial to streamline the exchange of this information with insurers. Availity simplifies the process of working with payers, guiding you from the initial verification of a patient's eligibility to the final resolution of reimbursements. Clinicians desire quick and straightforward access to health plan details. With Availity Essentials, a complimentary solution backed by health plans, providers can benefit from real-time data exchanges with numerous payers they frequently engage with. Additionally, Availity offers a premium option known as Availity Essentials Pro, which aims to improve revenue cycle performance, minimize claim denials, and secure patient payments more effectively. By relying on Availity as your trusted source for payer information, you can dedicate your attention to delivering quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions enable providers to seamlessly integrate HIPAA transactions along with other essential functionalities into their practice management systems, ultimately enhancing operational efficiency. This comprehensive approach ensures that healthcare providers can maintain focus on their primary mission: patient well-being.

WinMedStat offers a comprehensive Practice Management solution specifically designed for medical offices, seamlessly integrating with a wide array of Electronic Medical Records systems. Utilizing the robust Microsoft SQL Server technology, a part of the BackOffice suite, it delivers a flexible application aimed at enhancing the efficiency and effectiveness of practice management while being compliant with ICD-10 standards. This solution not only includes essential features such as electronic claims processing, remittance management, statement generation, prescription handling, insurance verification, and lab connections, but it is also backed by exceptional customer support that addresses all practice management hurdles. By choosing WinMedStat, medical professionals can optimize their billing processes while retaining the freedom to select the EMR system that best aligns with their specific practice requirements. Additionally, its user-friendly interface allows for quick adaptation, making it an ideal choice for any medical office looking to elevate their operational workflow.

Leverage the SOS Appointment Scheduler to coordinate both providers and resources effectively, allowing you to view a single day, an entire week, or a six-week span with various perspectives and overlapping provider schedules. This scheduler functions as an extension of either OM or CM. In addition, take advantage of the SOS Case Manager to establish and uphold a thorough clinical record, tailoring your use of our mental health Electronic Medical Record (EMR) to fit your specific requirements. For discreet record-keeping during sessions, you can utilize CM on a tablet computer. Furthermore, trust SOS Office Manager to automatically produce client statements, insurance documents, and a wide array of accounting and management reports. You can utilize OM simply for entering charges and payments, thereby keeping a meticulous accounts receivable for your practice, or tap into OM's advanced reporting capabilities to oversee either a small or extensive group practice. SOS also facilitates the electronic submission of claims, eligibility verification, and Electronic Remittance Advice via Change Healthcare, Inc., while the SOS Electronic Claims Module is dependent on SOS Office Manager. This comprehensive approach ensures that all aspects of your practice management are streamlined and efficient.

Remittance360 is a valuable tool that can be leveraged by all entities within the healthcare revenue cycle industry. When organizations receive standard 835 files, staff members across various departments will benefit from this resource in making informed decisions related to cash flow and accounts receivable processes. The user-friendly nature of Remittance360 allows for a quick setup, with the 835 data upload process taking just a few seconds. By employing the standard 835 data set, organizations can effortlessly upload relevant information with very little need for IT support. This platform capitalizes on existing data to provide insightful reporting on denials, emerging trends, and activities of individual payers. Such insights are crucial for pinpointing specific workflow requirements. Additionally, users will find the data querying feature straightforward, and they can conveniently save common queries for future use. For instance, analyzing denials based on remark codes and departmental performance can help uncover and address underlying issues effectively. Ultimately, Remittance360 empowers organizations to enhance their revenue cycle management by enabling informed decision-making and targeted improvements.

Sift clarifies the complexities of healthcare payment processes by embedding actionable insights into revenue cycle operations, enabling healthcare organizations to enhance payment results and minimize collection costs. By providing healthcare providers with crucial information on denial management, Sift empowers them to safeguard their receivables and expedite cash inflows. It compiles insurance claims and patient financial information into a secure, HIPAA-compliant, cloud-based database, ensuring a reliable source of information regarding healthcare payments. Furthermore, Sift addresses the disconnects between a provider's electronic health records, clearinghouse, workflow management tools, and patient interaction platforms. By consolidating data from these various sources, Sift creates a distinctive and proprietary dataset that offers comprehensive oversight of payment processes. Utilizing a range of data science methods, Sift delivers thorough and cohesive recommendations for managing denials, evaluating payers, enhancing patient collections, and improving patient acquisition strategies, ultimately leading to better overall financial performance for healthcare practitioners. This innovative approach not only streamlines operations but also fosters a more efficient healthcare payment ecosystem.

The KMR Claims Processing Manager is an advanced, fully integrated, and customizable solution designed for Third Party Administrators (TPAs), Self-Insured entities, and Claims Administrators. This sophisticated system features an all-inclusive Medical and Dental Reimbursement module, supports electronic claim submissions, seamlessly integrates with Document Imaging technologies, offers debit card processing capabilities, and ensures full compliance with HIPAA regulations. Additionally, users can easily tailor the system to meet their specific needs and enhance operational efficiency.

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.

Practice IQ EHR enables medical practices of every size to seamlessly adopt an Electronic Health Record (EHR, also known as EMR or Electronic Medical Record) that meets the criteria for Meaningful Use, facilitating access to federal government stimulus incentives while enhancing automation and patient care quality. This EHR software is fully integrated with Devington’s Practice Management and Clearinghouse solutions, streamlining the experience for physicians and improving functions such as registration, scheduling, claims processing, billing, and collections for staff. The user-friendly interface is robust and designed to align with your thought processes, ensuring that technology does not interfere with the patient experience. With Practice IQ EHR, you can maintain eye contact and uphold the critical patient-physician relationship that you have spent years nurturing, making each consultation feel personal and connected. Ultimately, this system empowers healthcare providers to focus more on their patients and less on administrative tasks.

Accelerated claims processing is achieved through multiple interfaces that seamlessly integrate with your corporate branding. Our digital data environment allows for access from any location at any time, ensuring convenience and flexibility. Health and Life processing is streamlined through advanced systems that cater to your specific processing requirements. We enhance the claims lifecycle to keep pace with the volume of incoming claims, while simultaneously addressing and resolving more complex claims at an unprecedented speed. The process is swift and uninterrupted, eliminating delays in claims processing. CLAIMSplus accelerates the claims journey by collaborating with employers, TPAs, and insurers, utilizing powerful cloud-based processing platforms. Our mission at CLAIMSplus is to refine processes and hasten medical claims through secure, dependable, and efficient electronic claims management solutions. Ultimately, our cutting-edge technology is designed to handle claims promptly and effectively. Feedback from our clients has consistently highlighted that the speed of the claims process is the most critical factor in successful claims management, underscoring the importance of our commitment to efficiency.