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What is ImagineMedMC?

Leverage a cloud-based healthcare delivery system to efficiently oversee the healthcare services and networks for your members. This innovative system enhances claims processing for managed care organizations by automating essential tasks such as verifying eligibility, managing referrals and authorizations, handling provider contracts, overseeing benefit management, automating claims adjudication, administering capitation for both primary and specialty care, processing EOB/EFT checks, and facilitating EDI transfers and reporting. It can be deployed as a cloud solution or maintained on-site, making it an ideal option for various entities, including managed care organizations (MCOs), independent physician associations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. By streamlining the complex procedures associated with eligibility management, referral authorizations, and claims processing, this system significantly boosts operational efficiency. Its design prioritizes data integrity while reducing the reliance on manual data entry, leading to enhanced accuracy and productivity. Moreover, the adaptability of deployment options allows organizations to select the solution that best aligns with their specific operational requirements, ensuring they remain agile in a constantly evolving healthcare landscape. Ultimately, this comprehensive system not only improves day-to-day operations but also supports better healthcare outcomes for members.

What is Ahshay?

The Ahshay Platform, created by DataCare, functions as a comprehensive hub for a wide range of software solutions aimed at optimizing medical management. This platform includes an array of tools like a medical process manager, nurse care management software, utilization review software, and automated case management software, among various others. Specifically designed to cater to the unique needs of insurance companies, self-insured groups, managed care organizations, and individual nurse case managers, it ensures that diverse requirements are addressed. By bringing together these resources in one place, the platform significantly improves the efficiency and effectiveness of medical management practices, ultimately benefiting all stakeholders involved. Its innovative approach to integrating technology in healthcare management sets a new standard in the industry.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

$150.00/month/user
Free Trial Offered?

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support

Training Options

Documentation Hub
Webinars
Online Training

Training Options

Webinars

Company Facts

Organization Name

Imagine Software

Date Founded

2000

Company Location

United States

Company Website

www.imagineteam.com

Company Facts

Organization Name

DataCare

Date Founded

2003

Company Location

United States

Company Website

www.datacare.com

Categories and Features

Medical Billing

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
Compliance Management
Electronic Claims
Forms Management
Paper-Based Claims

Disease Management

Not specified

Patient Case Management

Activity Tracking
Assessment Notes
Billing & Invoicing
Calendar Management
Candidate Identification
Case List Management
HIPAA Compliant
Medical History Records
Patient Records
Referral Management
Treatment Planning

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