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What is InvisaClaim?

InvisaClaim emerges as the leading comprehensive revenue platform that utilizes AI to optimize Revenue Cycle Management by effectively managing denials, appeals, prior authorizations, and ensuring compliance with the No Surprises Act, tailored for billing companies and RCM teams. Users are equipped with the ability to either upload denial letters or access a live feed to submit 835 ERAs, empowering the AI to quickly extract key patient details, CARC/RARC codes, CPT/ICD-10 codes, amounts, and deadlines, which enables the rapid generation of customized appeal letters for over 30 payers within a single minute. The platform includes a range of modules such as a Denial Workbench, NSA/IDR for verifying eligibility and capturing QPA, Prior Authorization, Pre-Check AI, A/R aging, NPPES NPI verification, deadline notifications, and a thorough audit trail. In addition, InvisaClaim effortlessly integrates with your existing clearinghouse and EHR systems, featuring partnerships with prominent organizations like Change Healthcare/Optum for services such as ERA, eligibility verification, claim status updates, and prior authorizations, with an Availity integration currently in progress and Waystar facilitating Provider Access Requests. Moreover, collaborative efforts with EHR providers like Athenahealth are being established, alongside the rollout of a FHIR R4 layer to enhance interoperability with Epic and Cerner platforms, thus ensuring a dynamic and adaptable service. In addition to its innovative capabilities, InvisaClaim places a high priority on security, maintaining HIPAA compliance and holding a SOC2 certification, which reflects its commitment to upholding the most stringent industry standards, ultimately aiming to revolutionize the revenue cycle landscape. The ongoing enhancements and integrations underline its mission to provide unparalleled support to billing professionals and RCM teams.

What is AuthParency?

Navigating the complexities of prior authorization is increasingly challenging for healthcare providers. Our innovative automated prior authorization solution, AuthParencyâ„¢, leverages AI and Machine Learning (ML) to significantly minimize the time your team spends on these tasks, potentially cutting it down by 50%. This system seamlessly integrates with any EHR or practice management software, streamlining the entire process. With AuthParency, you can effectively: - Assess payer behaviors - Decrease the duration of patient care - Enhance overall patient health outcomes - Mitigate financial losses from services that lack reimbursement - Identify and address issues related to financial toxicity - Evaluate population health metrics - Monitor healthcare disparities - Support pharmaceutical companies in their efforts

Media

Media

No images available

Integrations Supported

Authorize.Net
Availity
Change Healthcare
Change Healthcare Data & Analytics
Chase Merchant Services
Docusign
EpicCare EMR
Optum AI Marketplace
Optum Patient Care Management
Oracle Health
QuickBooks Accountants
QuickBooks Live Bookkeeping
Square Payments
Stripe
Supabase
Vercel
Waystar
athenaOne
athenahealth Population Health
eClinicalWorks

Integrations Supported

API Availability

API Availability

Pricing Information

$399
Pricing starts at $399 per month per provider with tiers between $399-Enterprise.
Free Trial Offered?

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Not specified

Training Options

Documentation Hub
Webinars
Online Training

Training Options

Not specified

Company Facts

Organization Name

InvisaClaim, LLC

Date Founded

2026

Company Location

United States

Company Website

www.Invisaclaim.com

Company Facts

Organization Name

Oncospark

Company Location

United States

Company Website

www.oncospark.com

Categories and Features

Medical Billing

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

Revenue Cycle Management

Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing

Categories and Features

Prior Authorization

Not specified

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Availity Reviews & Ratings

Availity

1.4 out of 5 stars