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Service CenterOffice Ally's Service Center is relied upon by over 80,000 healthcare practitioners and service organizations to effectively manage their revenue cycles. The platform offers functionality for verifying patient eligibility and benefits, as well as the ability to submit, amend, and monitor claims statuses online while also facilitating the reception of remittance advice. By supporting standard ANSI formats, data entry, and pipe-delimited formats, Service Center significantly enhances administrative efficiency and optimizes workflows for healthcare providers. Furthermore, this comprehensive tool empowers organizations to focus more on patient care by reducing the time spent on administrative duties.
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Elation HealthElation Health stands out as the premier platform for primary care, enabling 32,000 healthcare providers to offer tailored care to more than 16 million patients. By utilizing a clinically-focused electronic health record system, along with integrated billing solutions and AI-driven tools, Elation enhances care processes, ensuring that independent practices can flourish in a competitive landscape. This commitment to innovation not only improves patient outcomes but also streamlines operations for practitioners.
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RXNTRXNT has spent over 25 years building cloud-based healthcare software designed for ambulatory practices and medical organizations of all sizes and specialties. Our innovative, AI-powered, and data-backed software solutions help practices grow, improve clinical efficiency, and streamline business operations—whether you're a solo provider, large healthcare organization, or billing services company. With over 60,000 medical professionals across all 50 U.S. states relying on RXNT, our fully-integrated, ONC-certified software system includes Electronic Health Records (EHR), Physician Practice Management (PPMS), Medical Billing and Revenue Cycle Management (RCM), E-Prescribing (eRx), Scheduling, Patient Portal, mobile applications, and more. Every product works seamlessly as one system or can be used standalone, giving you flexibility to choose what works best for your practice. Our SaaS-based Full Suite software solution integrates every area of RXNT through a secure, centralized database, enabling real-time data flow across clinical and administrative functions. Whether you're modernizing your medical practice or scaling your healthcare business, RXNT delivers all-in-one technology to help you succeed. So far, users have transmitted over 125 million prescriptions and processed more than $7 billion in insurance claims. Built for usability and accessibility, RXNT’s cloud-based software is available 24/7 from any device and includes mobile apps for iOS and Android. Simple, transparent pricing means no hidden fees, and every plan includes free implementation & training periods, data migration, storage, software updates, and U.S.-based customer service.
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Ensora Mental HealthEnsora Health’s Mental Health EHR system (formerly TheraNest) is designed to reduce the time therapists spend on administrative tasks, allowing them to focus on providing quality care. With features such as automated billing, appointment scheduling, and note-taking, Ensora helps mental health practices run more efficiently and cost-effectively. The platform also includes integrated features like telehealth, client engagement tools, and reporting for streamlined operations and better patient outcomes. Ensora is a powerful tool for therapists seeking to optimize their practice management while improving patient care and reducing burnout.
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Macaw AMSMacaw AMS serves as a robust platform for selling insurance, utilized by brokers, MGAs, MGUs, Program Managers, and Lloyds Coverholders to streamline their business processes effectively. Designed with a focus on customer needs, it encompasses functionalities for CRM, Sales, and Underwriting, providing customers, producers, and service providers with access to user-friendly self-service portals. Additionally, Macaw AMS includes integrated Document Management and Task Management features, along with adaptors for seamless services such as eSignature, Payments, OFAC checks, and Mass Emailing, utilizing third-party solutions. The data analytics capabilities of Macaw AMS deliver advanced data visualization through predefined dashboards, enabling users to upload datasets and explore dynamic charts that offer insightful, multi-dimensional perspectives. With interactive, real-time visualizations, users can identify trends and derive insights that promote well-informed decision-making. Hosted on a secure cloud infrastructure, Macaw AMS is built on a relational database, with its primary Java-based components crafted in Java, allowing for efficient processing of 500-1000 policies daily at peak performance. As a notable benefit, Macaw AMS aims to decrease the per-policy costs by 30%, making it an attractive choice for insurance professionals looking to optimize operations. Ultimately, its comprehensive features and cost-saving potential position Macaw AMS as a transformative solution in the insurance industry.
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Valant Behavioral Health EHRConcentrate your efforts on delivering outstanding, data-informed care using Valant, the comprehensive EHR and practice management solution specifically crafted for behavioral health practices, regardless of their size. Valant is designed to enable you to minimize the time spent on administrative duties, allowing for more focus on providing high-quality care to both individuals and groups. Streamline your workflow by: - Alleviating documentation burdens with a system that automatically creates clinical narratives, nearly finishing your notes for you. - Scheduling over 80 integrated, reportable outcome measures to be sent to patients automatically via the MYIO Patient Portal prior to their appointments. - Allowing the system to generate a coded charge when you document appointments. - Automating the patient onboarding experience so intake packets are readily available for patients to sign within their portal. - Receiving service requests directly through your EHR, effectively managing new patient inquiries, and obtaining a data-driven match score for prospective patients, thereby enhancing your practice's efficiency and patient satisfaction.
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XpertCodingXpertCoding, developed by XpertDox, is an innovative AI-driven medical coding solution that leverages cutting-edge artificial intelligence, machine learning, and natural language processing to rapidly process medical claims within a 24-hour timeframe. This software not only optimizes the coding workflow but also contributes to quicker and more precise claim submissions, enhancing financial outcomes for healthcare providers. Among its numerous features are a detailed coding audit trail, reduced reliance on human oversight, a module aimed at improving clinical documentation, seamless connectivity with electronic health record systems, a robust business intelligence platform, a flexible pricing model, a notable decrease in coding costs and claim denials, and a risk-free implementation process that includes no upfront costs along with a complimentary first month of service. By utilizing XpertCoding's automated coding system, healthcare organizations can ensure prompt payments, streamlining their revenue cycle and allowing them to concentrate more on delivering quality patient care. Opt for XpertCoding to experience dependable, efficient, and accurate medical coding that is specifically designed to meet the needs of your practice and improve overall operational effectiveness.
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Predict360Predict360, developed by 360factors, serves as a comprehensive risk and compliance management platform designed to streamline workflows and improve reporting for various financial institutions, including banks, credit unions, and insurance companies. This cloud-based SaaS solution consolidates essential components such as regulations, compliance management, risk assessments, controls, key risk indicators (KRIs), audits, policies, and training into one cohesive platform while offering powerful analytics and insights that help clients foresee risks and enhance compliance efforts. If your current Governance, Risk, and Compliance (GRC) system isn't equipped with an effective analytics and business intelligence tool for creating insightful reports for executives and board members, consider Lumify360 from 360factors. This predictive analytics platform can seamlessly integrate with any existing GRC, allowing you to maintain your workflow processes while equipping stakeholders with the timely reports and dashboards they require for informed decision-making. With these advanced tools at your disposal, you'll be better positioned to navigate the complexities of regulatory compliance and risk management.
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EldermarkEnhancing workflow processes, optimizing revenue, advancing business development and marketing, along with improving clinical outcomes, can be achieved effectively. By seamlessly connecting your entire community, you can empower your staff to enhance their performance while gaining a comprehensive overview of your community's financial health. This approach will equip you with proactive insights necessary for streamlining operations and maximizing revenue potential. Centralizing all clinical and business activities onto a single platform will provide you with simplified solutions, economies of scale, and heightened security, essential for delivering top-notch care. Furthermore, you'll gain deeper insights into your performance in relation to financial and occupancy targets, staff safety, and satisfaction levels, enabling you to address the numerous challenges you encounter daily. Ultimately, this integrated strategy will facilitate a more efficient and effective care environment.
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CredentialingSpectrumCredentialingSpectrum is a secure, cloud-based software designed for managing medical credentials, facility operations, payer interactions, and contract oversight. This innovative healthcare credentialing system streamlines the credentialing process, enhancing overall efficiency for users. With its one-click comprehensive automation feature, CredentialingSpectrum stands out as a user-friendly solution, positioning itself as the premier provider credentialing software in the United States. Its robust capabilities enable healthcare organizations to focus more on patient care while minimizing the complexities of credentialing management.
What is Eligible?
Eligible offers a suite of powerful APIs that facilitate the seamless integration of insurance billing features into various applications. Our certifications assure both patients and healthcare providers that Eligible maintains the highest levels of privacy and security while managing millions of healthcare cases on a monthly basis. We understand the critical role that a robust information security framework plays in achieving the goals of both Eligible and our clients. We are proud to announce the successful completion of our Type II SOC2 audit, which reinforces our unwavering commitment to protecting sensitive health information. This accomplishment not only highlights our dedication to security but also fosters trust among our customers and partners regarding our responsibilities in safeguarding confidential data. Through our APIs, you can significantly improve the patient insurance billing experience for your users, enabling effortless estimates, insurance verification, and claims submission. Discover the simplicity and effectiveness that our technology brings to healthcare billing processes, ensuring a smoother experience for both providers and patients alike. In a rapidly evolving healthcare landscape, our solutions empower you to stay ahead and deliver exceptional service.
What is BriteCore?
BriteCore, relied upon by more than 100 insurance providers throughout North America, delivers a cloud-native core insurance platform tailored for property and casualty insurers, aimed at fostering business expansion, improving operational efficiencies, and providing exceptional adaptability. The BriteCore Platform allows insurers to effortlessly handle policies, billing, and claims, quickly set up new products, and utilize extensive reporting and analytics, all integrated within a cohesive core insurance system that features intuitive portals for both agents and policyholders. By streamlining these processes, BriteCore empowers insurers to respond swiftly to market changes and customer needs. For further details, please visit britecore.com.
API Availability
Has API
API Availability
Has API
Pricing Information
3% Fee
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
Eligible
Date Founded
2011
Company Location
United States
Company Website
eligible.com
Company Facts
Organization Name
BriteCore
Date Founded
2004
Company Location
United States
Company Website
britecore.com
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
Categories and Features
Insurance Agency
Claims Management
Commission Management
Contact Management
Document Management
Insurance Rating
Life & Health
Policy Management
Property & Casualty
Quote Management
Insurance Claims Management
CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting
Insurance Policy
Cancellation Tracking
Claims Tracking
Policy Generation
Policy Issuance
Policy Processing
Quotes / Estimates
Rating Engine
Reinstatement Tracking
Reinsurance Administration
Renewal Management
Underwriting Management
Insurance Underwriting and Rating
Broker / Agent Portal
Carrier Upload
Commercial Lines
Comparative Insurance Rating
Customer Portal
For Casualty Insurance
For Health / Medical Insurance
For Life Insurance
For Personal Insurance
Multi-State
Multiple Line Rating