Best Waystar Alternatives in 2026
Find the top alternatives to Waystar currently available. Compare ratings, reviews, pricing, and features of Waystar alternatives in 2026. Slashdot lists the best Waystar alternatives on the market that offer competing products that are similar to Waystar. Sort through Waystar alternatives below to make the best choice for your needs
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RXNT
RXNT
552 RatingsRXNT's cloud-based, ambulatory healthcare software empowers medical practices and healthcare organizations of all sizes and most specialties to launch, succeed, and scale through innovative, data-backed, AI-powered software. Our integrated, ONC-certified healthcare software system—including Electronic Health Records, Practice Management, Medical Billing and RCM, E-Prescribing, Practice Scheduling, Patient Portal, and more—will streamline clinical outcomes, practice management, and revenue cycle management for your medical organization. RXNT is trusted by over 60 thousand providers and medical professionals across all 50 states in the U.S.A. to drive business growth, optimize operations, and improve the quality of patient care. All of our SaaS-based software products can be purchased standalone, but you can run you entire practice—from encounter to billing—with our unified Full Suite system. It utilizes a secure, central database so your data passes through every product in real-time from anywhere. Using our software, more than 125MM prescriptions have been transmitted and over $7B in claims have been processed. Our predictable, transparent subscription pricing model includes free setup & training, support, mobile apps, and more. -
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Elation Health
Elation Health
88 RatingsElation Health is the leading platform for primary care, empowering 32,000 clinicians to deliver personalized care to over 16 million patients. With a clinical-first EHR, integrated billing, and AI-powered tools, Elation simplifies care workflows to help independent practices thrive. -
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Service Center
Office Ally
123 RatingsService Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status online, and receive remittance advice. Accepting standard ANSI formats, data entry, and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers. -
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AdvancedMD
AdvancedMD
2 RatingsAdvancedMD is the all-in-one cloud-based medical office software trusted by thousands of independent practices to run smarter, faster, and more profitably. It unifies practice management, EHR, and patient engagement into a single seamless platform — eliminating the inefficiencies of disconnected systems. The AI Clinical Assistant is at the core of the modern AdvancedMD experience. It powers ambient listening and auto-transcription, capturing patient conversations and turning them into structured chart documentation in moments — reducing note-writing from 15 minutes to seconds. AI-generated chart action items, pre-visit summaries, and insurance card capture further eliminate manual data entry, so your staff spends less time on paperwork and more time with patients. AI Narrative Insights continuously analyzes practice performance data, surfacing trends and opportunities you can act on directly from your dashboard. On the financial side, AdvancedMD strengthens your bottom line with robust revenue cycle management, a multi-clearinghouse model including a Waystar partnership for cleaner claims, and computer-assisted coding to maximize reimbursement. The result: faster payments, fewer denials, and healthier cash flow. Built on secure AWS infrastructure with Password Breach Detection, AdvancedMD keeps your practice protected and compliant — accessible from any device, anywhere, anytime. Whether you're a solo provider or a growing multi-specialty group, AdvancedMD scales with you — delivering an intelligent, unified experience that lets you focus on what matters most: your patients. The future of independent practice isn't just surviving — it's thriving. AdvancedMD gives you the technology to do both, without the complexity. -
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MedEvolve Practice Management (PM) software is an intuitive solution that helps to reduces write-offs, denials and reimbursement delays. MedEvolve PM has automated features that help improve billing and collections with as little manual work effort as possible. MedEvolve Practice Management (PM) software allows front desk staff to easily make appointment changes, handle scheduling complications and quickly resolve physician delays. With an automated waitlist, practices can quickly fill empty appointment slots, even after last-minute cancellations. The solution also has built-in analytics, so you will have a complete view of your practice’s financial and operational performance. Advanced real-time analytics make it easy to monitor Key Performance Indicators (KPIs) and benchmarks so you can compare against similar practice. MedEvolve PM integrates with over 40 different EHR systems. We believe physician practices should be able to choose the best EHR for their clinicians, and the best practice management software for their administrative and billing staff.
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athenaOne
athenahealth
This powerful tool allows you to practice medicine anywhere and anytime. The athenaOne mobile application allows you to do meaningful clinical work wherever and whenever you want. Access patient records to create and sign orders, respond and prepare for exams, and to document them. The app allows you to catch up on work or get ahead of it during your free time. You can log in to the app with touch or face ID to see a quick overview of your day. You can view your schedule, see the patients you have prepared for, and manage your inbox. With customizable patient summaries, it takes just a few minutes to get up-to date on the patient's history. To review all that has happened since their last visit, you can access full charts. Access the clinical inbox for critical work from anywhere and at any time. AthenaClinicals makes it easy to create and sign orders, view test results and respond to patient cases. -
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NextGen Healthcare EHR
NextGen Healthcare
3 RatingsNextGen Healthcare is a leader in healthcare software and services that enables the transformation of ambulatory health care. NextGen Office (1-10 doctors) and NextGen Enterprise (10+ doctors) are smart electronic health record solutions that help ambulatory practices reduce the burden of documentation, improve clinical outcomes, connect to other health systems, increase provider and patient satisfaction, streamline revenue cycles, and foster healthier communities. -
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Azalea EHR
Azalea Health
Azalea is a leader in interoperable cloud-based healthcare services and solutions. Azalea's platform offers electronic health records with integrated telehealth functionality, revenue cycle management, and analytic software. Azalea's integrated platform is focused on customer success and can be used by all practices and hospitals ambulatory strategies. It instantly improves cash flow and clinical outcomes through care coordination innovation and revenue cycle performance. -
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Speedy Claims
SpeedySoft
$29.95 per user per month 31 RatingsSpeedy 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. -
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Parascript
Parascript
Parascript software automates mortgage and loan document processing faster and more accurately. It also automates insurance document-based tasks that allow for the intake and review of healthcare insurance data. Document processing automation automates the process of processing documents to improve efficiency, data accuracy, and reduce costs. Parascript software is driven by data science and powered by machine learning. It configures and optimizes itself for automating simple and complex document-oriented tasks like document classification, document separation, and data entry for payments and lending. Parascript software processes over 100 billion documents each year in the areas of banking, government, insurance, and other related fields. -
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OpenPractice
15 RatingsOpenPM 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 -
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Mercury Medical
CrisSoft
$440.00Mercury Medical has been ranked among the Top 10 RCM and MPM solutions. It is a robust medical billing system. Mercury Medical offers over 400 customizable reports that can be customized, including a Scheduler and Patient Portal. This makes Mercury Medical a great solution for major billing. It is also suitable for multiple specialties and RCM processes. Mercury Medical is a proven professional Accounts Receivable solution. It will reduce processing times and payment cycles, increase cash flow, and improve cash flow. Mercury Medical can be configured to any vertical or process, including Anesthesiology and University, Physical Therapy, and many others. Mercury Products is HIPAA compliant and can be connected to any clearinghouse or insurer. Mercury Medical's automated job program will allow you to perform a daily system check-up. This includes folder maintenance, daily backups, and 837 exports and imports. All subscriptions include CrisSoft Support's expert assistance. -
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Mize Warranty Software
Syncron
Mize Warranty software allows global manufacturers to streamline all warranty processes, including inspections and registrations, service plans. Mize warranty software allows companies to increase customer satisfaction, lower warranty costs, and improve product performance. Mize warranty software is easy-to-use, configure, and to integrate. To learn more about how Mize warranty software can help you optimize warranty management and increase service contract sales, request a demo. -
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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.
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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.
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Tebra
Tebra
30 RatingsTo 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. -
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EHR 24/7 by Office Ally empowers more than 20,000 users with efficient patient care management. It has charting, real-time data, customizable forms, and integrations for patient intake and e-prescription solutions. With no implementation needed, healthcare providers can use EHR 24/7 to treat and document patients today.
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BillingBench
BillingBench LLC
$49/month BillingBench is a standalone platform for managing denials and improving payer intelligence for healthcare billing and revenue cycle professionals. By combining a citation-verified policy database with aggregate denial data, it tracks established payer standards and historical adjuster trends. The platform offers free core tools that streamline everyday billing. The Denial Code Decoder simplifies CARC codes with clear definitions and root-cause analysis. To improve recovery rates, the Appeal Letter Builder assembles structured arguments with the statutory citations for the denial type, specialty, and payer. Daily work is supported by a Modifier Matrix with verified rulings, prior authorization checklists, a Timely Filing Calculator, and an 835 ERA Parser. A dedicated Chrome extension provides real-time support alongside major payer portals. Every citation is cross-checked against a primary source and carries a changelog, so a biller can see exactly when a requirement changed. -
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Benchmark PM
Benchmark Solutions
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. -
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Inovalon Provider Cloud
Inovalon
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. -
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CareCloud
CareCloud
Expand your practice using CareCloud, the top-rated cloud-based EHR and practice management software. CareCloud provides a full range of resources designed for healthcare professionals and organizations of varying sizes. Among these offerings are Concierge, a thorough revenue cycle management system; Central, an intuitive practice management application; Charts, a straightforward electronic health records platform; Community, tools for patient engagement and social interaction; and Companion, a mobile application for both clinical and administrative tasks. By utilizing these tools, practices can streamline operations and enhance patient care effectively. -
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DrChrono
DrChrono
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. -
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Nobility RCM
NobilityRCM
Nobility RCM provides complete medical claims and collections services alongside a unique Pre-Funding model that alleviates financial burdens for healthcare providers. This innovative approach not only enhances patient satisfaction but also boosts revenue streams for its clients. Their extensive medical billing services encompass claims management, collection oversight, and thorough billing assessments aimed at maximizing revenue intake. Clients of Nobility RCM benefit from exclusive access to the Nobility Pre-Funding option, which guarantees timely revenue for healthcare organizations. By handling claims payments and subsequently collecting from insurance companies, Nobility RCM ensures that clients have immediate access to necessary funds while enjoying a comprehensive billing solution. Upon successful analysis and approval, clients can apply for Pre-Funding, with a structured revenue payment plan set in place to ensure cash flow stability. This strategic financial support empowers healthcare organizations to focus on patient care rather than financial concerns. -
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PracticeAdmin
PracticeAdmin
PracticeAdmin Scheduling enhances patient engagement and minimizes no-show rates by delivering essential data right when you need it. Our innovative rules-based framework allows customization of preferences for various providers, whether you operate solo, manage a small to medium-sized organization, or oversee multiple locations. You have the flexibility to design unique scheduling templates for countless locations and automate patient reminder notifications. The billing component serves as a comprehensive solution for managing patient registrations, claims, and payments seamlessly. You can keep a meticulous record of all patient data and prior authorizations, ensuring that everything is organized. Additionally, it integrates smoothly with your EHR system, aiding in the maintenance of your Meaningful Use certification. Billing also alerts you to any claim errors before submission, allowing for expedient re-submission without penalties while you keep track of all EDI rejections effectively. This streamlined approach ultimately empowers healthcare providers to optimize their administrative tasks and enhance the overall patient experience. -
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Nexus EHR
Nexus Clinical
$300 per physician/month Nexus EHR was built on a single premise: doctors should be healers, not data entry clerks. In an era of high burnout, Nexus provides a streamlined, intelligent interface that prioritizes the patient over the platform. By integrating native AI technology with specialty-specific logic, we’ve created an EHR that feels less like a database and more like an expert clinical partner. Nexus EHR includes Advanced e-Prescribing & ECPS capabilities, lab interface and much more. The AI Difference: Native Scribing The centerpiece of the Nexus experience is our Native AI Scribe. Unlike third-party add-ons, our scribe is woven into the fabric of the EHR. Automatically generates high-quality clinical notes by capturing natural dialogue. Uninterrupted Care: Eliminates typing during visits, restoring eye contact and patient rapport. Telehealth with Integrated Paywall: Launch secure, browser-based video visits directly from the schedule and collect fees before the session begins. Essential RCM: Maintain practice health with clean claim scrubbing, real-time eligibility, claim submission and ERA posting. You can also collect payment online from patients with our card processing interface. Cardiology: Specialized templates for EKG interpretations, stress tests, and echo findings. Track hypertension and CHF with visualize trends over time. Neurology & Brain Health: Built for high-density data. Features specialized workflows for Neurology/Neurosurgery. Seamlessly manage chronic conditions Psychiatry & Behavioral Health: A secure, narrative-driven environment featuring Mental Status Exams (MSE) support, and sensitive note handling for psychotherapy and group therapy. Family & Internal Medicine: Manage acute visits and chronic diseases with health maintenance modules. -
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Euclid
Medical Software Solutions
Euclid RCM, developed by Medical Software Solutions, Inc., offers an affordable, adaptable, comprehensive, and dependable cloud-based solution. This software is tailored for billing service organizations, healthcare practitioners, and hospital systems, making it a versatile choice for various healthcare settings. Its robust features ensure that users can efficiently manage their revenue cycle processes. -
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AllegianceMD
AllegianceMD
To utilize our software, all that is required from your practice is a reliable internet connection along with a web browser. Indeed, there is no need to download any software or rely on third-party applications. Veracity's lab interface enables you to tailor your lab ordering process, which can significantly save you time. Orders are submitted effortlessly, and results are promptly returned for swift follow-up. The service is accessible on both Android and iOS platforms. Our fully functional mobile app empowers you to manage your schedule, prescribe medications, and refill prescriptions with ease. You can also view lab and imaging results, chart notes, phone encounters, messages, patient summary sheets, and much more. Enhance medication safety and improve patient outcomes through our streamlined system. Ensure that clinically consistent and accurate information flows seamlessly throughout your workflow. Additionally, you can set up virtual appointments that facilitate quick and efficient patient consultations, ensuring that daily life does not hinder care. This approach not only simplifies your practice but also assists those who may have difficulty visiting in person. With these tools at your disposal, both your life and your patients' lives can be made significantly easier. -
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NovoClinical
NovoMedici
$100 per monthNovoClinical is a comprehensive EMR system created by doctors to enhance the efficiency and profitability of medical practices. NovoMedici offers a complete suite of solutions aimed at transforming the practice environment. We believe that physicians should concentrate on delivering care rather than managing financial tasks. With NovoClinical’s revenue cycle management, healthcare providers can eliminate concerns about payment collections, enabling them to prioritize patient care and medical services. Chronic Care Management (CCM) not only significantly benefits the health of patients but also helps boost the financial performance of medical practices. The telemedicine feature facilitates remote consultations for patients who have difficulty visiting in person or scheduling appointments. Utilizing the 20015 level 3 certified NovoClinical system allows practices to avoid penalties and qualify for a 7 percent incentive. Additionally, the NovoClinical portal empowers patients to enter their demographic details and medical history online while providing an option to electronically sign required documents. This streamlined process enhances patient engagement and improves overall practice efficiency. -
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InSync Healthcare Solutions
InSync Healthcare Solutions
1 RatingInSync Healthcare Solutions EHR/PM allows healthcare professionals to provide quality healthcare that meets regulatory requirements. This ONC-ATCB and CCHIT-certified ambulatory EHR/PM product is suitable for both solo and large multi-specialty practices. InSync allows you to choose between an upfront license and a subscription that is web-based. InSync integrates both EHR and PM, resulting in a medical office system that eliminates duplicate records and allows for workflow management throughout the practice. InSync's system can be adapted to meet any practice's requirements with features such as scheduling calendars and e-prescribing. The package also includes a user interface that allows users to create custom fields and layouts. -
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MediFusion
MediFusion
MediFusion offers a comprehensive suite of software that delivers cutting-edge EHR and medical billing solutions aimed at optimizing clinical, administrative, and financial functions within healthcare practices. Our dedicated team is always just a phone call away to provide continuous EHR training and support whenever you require assistance. Accelerate your clinical workflows and streamline your operations with our all-in-one integrated solution. This system effectively oversees the entire revenue cycle, encompassing everything from Eligibility Verification to Claim Processing and ensuring timely payments. Our cloud-based Electronic Health Record (EHR) software serves as a scalable and integrated solution, empowering your practice to enhance the quality of care delivered to patients. Designed for ease of use, this web-based EHR platform allows you to document, access, and monitor your clinical and financial data from any internet-enabled device, regardless of your location, ensuring you remain connected and efficient in your practice. -
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ResolvMD
ResolvMD
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. -
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Coronis Health
Coronis Health
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. -
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Insta
Insta Health Solutions
$20 per user per monthEnhance your business operations by automating workflows and facilitating online bookings, along with integrating electronic medical records, alerts, and notifications to benefit your patients. Incorporating technology into your business strategy will not only foster engagement but also accelerate your growth. Simplify your processes to allow secure access to operational, financial, and clinical documents while maintaining confidentiality. With Insta’s Rate Sheet/Rate Plan model, you can effectively manage intricate rate-discount structures, allowing for customizable base price tariffs for all services you provide. Additionally, Insta’s clinical solutions support the management of patient flows across various specialties—whether ambulatory, inpatient, or surgical—while seamlessly integrating with your organization’s core administration and financial systems, ensuring compliance with regulatory standards. This approach also promotes enhanced staff collaboration and boosts employee productivity, ultimately leading to improved quality of care for your patients. Implementing these strategies can significantly transform your operational efficiency and patient satisfaction. -
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Quadax
Quadax
The way you tackle the obstacles in your revenue cycle significantly influences your profitability and the overall effectiveness of your organization. The influx of patients seeking your services means little if receiving the payments for those services takes an excessive amount of time. You shouldn’t be burdened with dedicating countless hours to chase after payments that you rightfully deserve. Fortunately, there are more effective strategies to enhance healthcare reimbursement. Let Quadax assist you in developing a thorough, sustainable, and well-organized strategic plan while also helping you choose the most suitable technology solutions and services aligned with your business model. By partnering with us, you can not only attain operational efficiency but also improve your financial outcomes and elevate the patient experience. Ultimately, the aim for each claim submitted is to prevent denials and secure prompt payment. Additionally, implementing robust processes can further streamline operations and ensure financial stability for your organization. -
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PlanXpand
Acero Health Technologies
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. -
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Claimocity
Claimocity
$99 per user per monthClaimocity 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. -
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ENTER
ENTER Health
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 -
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Conexia
Conexia
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. -
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TruBridge
TruBridge
In the dynamic landscape of healthcare, the financial and operational stability of your organization plays a vital role in its overall success. To thrive, it's essential to secure the right mix of personnel, products, and processes that extend beyond merely receiving payments. Our revenue cycle management suite is designed to assist businesses in efficiently handling claims scrubbing and verifying patient eligibility. TruBridge specializes in accelerating payment processes for hospitals of all sizes by leveraging a strategic blend of people, products, and process enhancements. Our diverse range of Revenue Cycle Management offerings includes consulting services, an HFMA Peer Reviewed® product, and comprehensive business office outsourcing solutions. For years, TruBridge has been dedicated to improving the efficiency of hospitals, physician clinics, and skilled nursing facilities in their service to communities. As we move forward, our knowledgeable professionals are prepared to address the specific revenue cycle challenges your organization encounters daily, ensuring you can focus on delivering exceptional patient care. -
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iNtelli-Bill
iNtelli-Bill
iNtelli-Bill offers a highly proficient medical billing team that alleviates you from the burdensome and time-intensive back office tasks essential for effectively managing your practice's revenue cycle. With our extensive knowledge in physician medical billing, we excel in this area like no other, ensuring we can substantially boost your earnings, sometimes significantly. By outsourcing your billing to iNtelli-Bill, you can ensure that your practice collects every dollar it is owed. This newfound time can be redirected towards what truly matters—caring for your patients! We deliver professional medical billing services alongside practice management solutions tailored for various specialties, including General Practice, Primary Care, Pediatrics, Neurology, Urology, Cardiology, Psychiatry, Pain Management, Anesthesiology, and Surgery, among others, allowing an array of physicians to benefit from our expertise. Our commitment to enhancing your practice’s financial health enables you to thrive while focusing on patient care and satisfaction. -
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Benchmark EHR
Benchmark Solutions
Benchmark EHR, a customizable system, is designed to save time for clinicians and improve patient care. It has configurable workflows and real-time coding suggestions. Clinicians can dictate progress notes and update patient records automatically during appointments. Patients can access lab results, refill medications, message providers, check appointment, complete forms online and more through the user-friendly portal. Benchmark Solutions is a one-stop solution for healthcare practices, combining Benchmark EHR, Benchmark PM, and Benchmark RCM. Benchmark Solutions is a comprehensive set of electronic tools that can be used to streamline internal operations, increase revenue and improve the patient experience. The Benchmark Solutions suite is modular, so each piece can be easily integrated with existing technologies. -
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ImagineBilling
ImagineSoftware
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. -
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Centauri Health Solutions
Centauri Health Solutions
Centauri Health Solutions is a company specializing in healthcare technology and services, motivated by our commitment to enhance the efficiency of the healthcare system for our clients while offering compassionate assistance to those in need. Our software, powered by advanced analytics, supports hospitals and health plans—including Medicare, Medicaid, Exchange, and Commercial sectors—in effectively managing their fluctuating revenue through a bespoke workflow platform. Moreover, our personalized support for patients and members grants them access to vital benefits that can significantly improve their quality of life. Our array of solutions encompasses Risk Adjustment (including Medical Record Retrieval, Medical Record Coding, Analytics, and RAPS/EDPS Submissions), management of HEDIS® and Stars Quality Programs, Clinical Data Exchange, Eligibility and Enrollment services, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, and both Referral Management & Analytics, as well as addressing Social Determinants of Health to further bolster healthcare outcomes and accessibility. Each of these components is designed to work in harmony, ultimately creating a more effective and compassionate healthcare experience for everyone involved. -
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Smart Data Solutions
Smart Data Solutions
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. -
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ClaimBook
Attune Technologies
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.