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What is Claim Agent?

EMCsoft’s Claims Management Ecosystem ensures that healthcare providers and billing companies submit precise claims to insurance payers, facilitating effective claim processing. This robust system merges our flexible claims processing software, Claim Agent, with a detailed approach known as the Four Step Methodology, allowing it to integrate seamlessly into your existing claim adjudication workflow. By adopting this strategy, we not only enhance and streamline your processes but also automate them to maximize claim reimbursements. For a comprehensive understanding of Claim Agent’s capabilities and its integration within your claims operations, you can request a free online demonstration. Claim Agent proficiently manages the scrubbing and processing of claims, guaranteeing a smooth transition from provider systems to insurance payers efficiently and affordably. The software is crafted to work with any current system, which ensures a rapid and uncomplicated implementation. Additionally, we provide customized edits, bridge routines, payer lists, and workflow configurations tailored to the specific needs of each user, further enriching the claims management experience. This bespoke approach allows healthcare providers to concentrate more on delivering quality patient care while we handle the intricacies involved in claims processing. Ultimately, our goal is to empower healthcare professionals by simplifying their administrative burdens.

What is AdvanceClaims?

Our all-in-one ePCR and Clearinghouse solution removes the inconvenience of switching between various applications to complete tasks. No matter which ePCR platform your clients prefer, AdvanceClaim for billing companies is designed to support them all with ease. Featuring capabilities like Automated Imports from a range of ePCR systems, one-click searches, and automatic input of vital claims data, AdvanceClaim for agencies boosts both precision and productivity by reducing duplication and minimizing the risk of human errors. Wave goodbye to the tedious routine of downloading extensive remittance files, transferring claim documents to your clearinghouse, and facing prolonged waits for validation. AdvanceClaim simplifies the claim submission process through its fully integrated clearinghouse, ensuring that claims and batches are processed efficiently for your peace of mind. You can quickly evaluate performance across your client base with our thorough tax ID rollups or explore in-depth reports categorized by geography, client size, billing volume, and beyond. The platform is also fully HIPAA, ICD-10, and HITECH compliant, operating on AWS infrastructure to guarantee exceptional security and reliability. This cutting-edge approach not only elevates billing processes but also paves the way for future innovations in the industry. With AdvanceClaim, you can focus on what truly matters—providing excellent service to your clients.

Media

Media

Integrations Supported

Amazon Web Services (AWS)

Integrations Supported

Amazon Web Services (AWS)

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

EMCsoft

Date Founded

1980

Company Location

United States

Company Website

emcsoft.com

Company Facts

Organization Name

MP Cloud Technologies

Company Location

United States

Company Website

www.mpcloud.com/solutions/advance-claims-billing

Categories and Features

Long Term Care

Claims Management
Clinical Care
EHR
Electronic Health Record
For Home Care Providers
For Nursing Homes
Geriatric Care
MDS Review
Patient Records
Staff Scheduling

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Categories and Features

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

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