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What is Medius Health?

Leveraging the power of Medius’ multi-cloud AI platform results in a striking accuracy and coverage rate that surpasses 90% in health intelligence and risk forecasts, derived from just a small selection of health variables. By scrutinizing a concise array of health data, Medius’ system adeptly compiles and analyzes vast datasets to deliver essential health risk and underwriting insights in a matter of seconds, achieving an outstanding level of accuracy and comprehensive coverage that aids both providers and payers in their evaluations, operational effectiveness, and cost-reduction initiatives. Additionally, Medius’ unique UW Studio™ functions as an all-encompassing underwriting platform that transforms the insurance sector, utilizing multiple science-based underwriting ensemble models to fulfill diverse business and technical requirements while mimicking human-like actuarial judgment with remarkable clinical accuracy. This forward-thinking methodology not only simplifies the decision-making process but also significantly boosts the overall efficiency of health insurance operations, ultimately leading to improved patient care and financial outcomes. In this way, Medius stands at the forefront of innovation, driving meaningful advancements in the health insurance landscape.

What is Assurance Reimbursement Management?

Explore a specialized analytics-driven tool crafted for healthcare providers to effectively manage claims and remittances, aiming to refine workflows, optimize resource utilization, decrease denial rates, and improve cash flow. Enhance your initial claim acceptance rates with our comprehensive editing suite that ensures compliance with the latest payer guidelines and regulations. Increase your team's productivity by leveraging intuitive workflows that focus on exceptions while automating repetitive tasks. Your staff can easily access our adaptable, cloud-based platform from any device, promoting uninterrupted operations. Simplify the handling of secondary claims with the automatic generation of secondary claims and explanations of benefits (EOB) derived from primary remittance advice. Utilize predictive artificial intelligence to prioritize claims that need urgent attention, facilitating quicker error resolution and reducing the likelihood of denials before submission. Whether you are processing primary paper claims or organizing claims and EOBs for secondary submissions, you will experience enhanced efficiency in your claims processing. By adopting these innovative features, you can substantially improve your claims management approach and take your practice to the next level. This progressive solution not only streamlines operations but also empowers your team to focus on delivering exceptional patient care.

Media

Media

Integrations Supported

Adobe Document Cloud
Amazon Web Services (AWS)
Experian Aperture Data Studio
Hyperledger Fabric
Microsoft 365

Integrations Supported

Adobe Document Cloud
Amazon Web Services (AWS)
Experian Aperture Data Studio
Hyperledger Fabric
Microsoft 365

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
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

Medius Health

Date Founded

2017

Company Location

Australia

Company Website

www.mediushealth.org

Company Facts

Organization Name

Change Healthcare

Date Founded

2007

Company Location

United States

Company Website

www.changehealthcare.com/solutions/revenue-cycle-management/reimbursement-management/assurance-reimbursement-management

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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