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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 ClaimAction?

Harnessing the power of intelligent automation for managing substantial volumes of medical claims allows organizations to achieve significant efficiency that transcends simple cost savings. In contrast, those still relying on traditional manual methods find the processing of medical claims documents and data to be labor-intensive and susceptible to errors, which can create unnecessary risks within their workflows. With Artsyl's ClaimAction software for medical claims processing, organizations can improve profit margins, minimize manual interactions, and remove barriers in their processing chains. This innovative software facilitates the effortless capture of medical claims data without the need for complex custom coding, ensuring that claims data and documents are routed directly to the designated claim examiner in line with predetermined business rules. Furthermore, it allows for the establishment of detailed benefits and reimbursement protocols that help streamline processing times and reduce payment delays. This system also equips organizations to quickly adjust to changing government regulations, thus maintaining compliance throughout their data, documentation, and procedures. By embracing this cutting-edge solution, businesses can fundamentally revolutionize their claims processing practices, leading to enhanced operational effectiveness and a more agile response to market demands. The transition to such advanced technology not only positions organizations for current success but also sets a solid foundation for future growth and innovation.

Media

Media

Integrations Supported

Integrations Supported

ArtsylPay
InvoiceAction
OrderAction
docAlpha

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS
Windows

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training

Training Options

Documentation Hub
Webinars
Online Training

Company Facts

Organization Name

Imagine Software

Date Founded

2000

Company Location

United States

Company Website

www.imagineteam.com

Company Facts

Organization Name

Artsyl Technologies

Date Founded

2002

Company Location

Canada

Company Website

www.artsyltech.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

Medical Billing

Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Quotes/Estimates

Medical Coding

Not specified

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