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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 HL7 FHIR?
FHIR is described as a 'RESTful' framework, which corresponds with the broader industry understanding of REST principles. However, it mainly operates at Level 2 of the REST Maturity Model in its fundamental specifications, while full Level 3 compliance can be achieved through the integration of extensions. As a standardized framework, FHIR depends on the consistency of resource structures and interfaces, which some critics might argue is at odds with REST's foundational concepts; nevertheless, this standardization is essential for ensuring effective interoperability among diverse systems. Each distinct "resource type" comes with a specific set of interactions, enabling meticulous resource management. Applications that claim to comply with this framework identify as "RESTful FHIR," highlighting their commitment to these established standards. Moreover, within this RESTful architecture, transactions are conducted directly on server resources through HTTP requests and responses, reinforcing the framework's functionality and integrity. This organized methodology not only boosts interoperability but also simplifies the development process for applications leveraging FHIR, ultimately leading to more efficient healthcare solutions. Additionally, the clarity provided by FHIR's structured approach helps developers focus on creating robust applications that can easily integrate with existing health information systems.
Integrations Supported
Arintra
CaseManager DX
EHNOTE
EndoManager Imaging
Health Studio
ImageGrid PACS
Innovatum
MedServe
OAuth
Provider Passport
Integrations Supported
Arintra
CaseManager DX
EHNOTE
EndoManager Imaging
Health Studio
ImageGrid PACS
Innovatum
MedServe
OAuth
Provider Passport
API Availability
Has API
API Availability
Has API
Pricing Information
$349
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
InvisaClaim
Date Founded
2026
Company Location
United States
Company Website
www.Invisaclaim.com
Company Facts
Organization Name
HL7
Date Founded
1987
Company Location
United States
Company Website
www.hl7.org/fhir/http.html
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
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