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What is HCare1.com?

Our team comprises specialists in medical billing and technology who work together to create efficient and affordable business strategies tailored to various healthcare environments, including Nursing Homes, Long-Term Care Facilities, Home Health, Internal Medicine, Family Medicine, Urgent Care, Emergency Rooms, Pediatrics, Cardiology, Mental Health, Infectious Diseases, Dental, Physical Therapy, Pain Management, Chiropractic Care, Durable Medical Equipment, General Surgery, Infusion Services, Gynecology, Podiatry, Telemedicine, Hospitals, and Workers' Compensation. Health Care Systems Corporation boasts a legacy that began 43 years ago in 1975 when it was founded as a service bureau through a collaboration of several long-term care providers. Throughout the last four decades, we have effectively delivered medical billing services to a wide array of clients, adjusting to their specific requirements, whether they need short-term help or long-term partnerships, irrespective of their software preferences. If your Business Office Manager is unavailable due to vacation, illness, or feeling overwhelmed, we stand ready to offer the essential support needed to maintain seamless operations. Our dedication to high standards has established us as a reliable ally in the healthcare sector, and we eagerly anticipate assisting you in overcoming your billing obstacles while fostering lasting relationships in the process.

What is Complete Claims?

Claims adjudication services encompass a variety of sectors such as medical, dental, vision, and prescription claims, along with both short and long-term disability cases. These services can be accessed on-site with a license or through a hosted application model (ASP). Powered by Microsoft technology, the system employs an SQLServer database and a Windows front end for optimal performance. Our customer service team is highly esteemed, comprised of healthcare claims experts with at least 12 years of experience in the industry. Every support request is documented, allowing clients to track their status online. The system includes a plan copy and modification feature that enables quick implementation of changes. Auto-adjudication is facilitated through benefit codes built on business rules that take into account over 25 variables related to both claims and claimants, all processed by the adjudication engine. Submissions can be made in various formats, including scanned images, EDI, or traditional paper submissions. The system adheres to HIPAA EDI 5010 transaction sets, guaranteeing secure and efficient processing. Furthermore, re-pricing fees and UCR schedules can be entered into the system ahead of their effective dates, while the date-driven logic ensures re-pricing is executed based on the service date, enhancing the overall workflow of claims processing. This comprehensive solution not only streamlines claims management but also significantly improves client satisfaction and operational efficiency.

Media

Media

Integrations Supported

FrameworkLTC

Integrations Supported

FrameworkLTC

API Availability

Has API

API Availability

Has API

Pricing Information

$500 per month
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

Health Care Systems Corporation

Date Founded

1975

Company Location

United States

Company Website

www.hcaresystems.com

Company Facts

Organization Name

Complete Health Systems

Company Website

completehealthsys.com/claims/

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

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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