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What is Paradigm?

Paradigm Senior Services offers a robust, AI-enabled revenue cycle management solution tailored for home-care agencies that manage billing across various third-party payers, such as the U.S. Department of Veterans Affairs (VA), Medicaid, and numerous managed-care organizations. The platform streamlines and improves every aspect of the billing and claims process, which includes tasks like eligibility verification, authorization management, and handling state or payer-specific enrollment and credentialing. It also ensures the submission of correct claims, addresses any denials that arise, and facilitates payment reconciliation. By integrating smoothly with popular agency management software and electronic visit verification systems, it allows for the effective scrubbing of shifts, weekly authorization checks, and smooth payment reconciliations, ultimately leading to fewer denials and reduced administrative burdens. Furthermore, Paradigm provides a "back-office as a service" model for healthcare providers, meaning that even if agencies have their own billing teams or scheduling tools, Paradigm can still oversee claims processing as if it were a dedicated, knowledgeable billing department. This adaptability empowers agencies to prioritize patient care, alleviating them from the intricacies of billing operations by entrusting those complexities to experts. In doing so, Paradigm not only enhances operational efficiency but also supports better financial outcomes for home-care agencies.

What is OHIPay?

OHIPay is a cloud-based medical billing platform tailored for physicians and their billing teams in Ontario. It features a web-based interface and a mobile app that empowers users to create claims using health-card details, verify patient eligibility, apply fee codes, calculate relevant premiums, and receive advisory alerts regarding potential rejection codes. Users can group claims for submission through MC EDT and track their status from the draft phase to final submission, payment, or rejection. Furthermore, OHIPay supports inpatient rounding rosters, facilitates health-card scanning, and provides correction and resubmission capabilities while allowing reconciliation of Ministry remittance reports with submitted services. The platform also includes useful references for billing codes. While the software aims to assist practices in managing their Ontario physician claims effectively, the advisory warnings provided are meant solely for review and do not ensure acceptance or payment of claims. In essence, OHIPay not only simplifies the billing process but also significantly boosts operational efficiency for healthcare providers in Ontario, making it an invaluable tool for medical practices.

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

$20/physician/month
$0 for the first 6 months, then $20/month plus HST per physician from month 7. Billing staff and the phone app are included. No setup fee or contract; month-to-month, cancel any time.
Free Trial Offered?

Supported Platforms

SaaS

Supported Platforms

SaaS
Android
iPhone

Customer Service / Support

Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training

Training Options

Documentation Hub
Online Training
On-Site Training

Company Facts

Organization Name

Paradigm

Date Founded

2015

Company Location

United States

Company Website

www.paradigmseniors.com

Company Facts

Organization Name

Medinote Technologies Inc.

Date Founded

2026

Company Location

Canada

Company Website

ohipay.ca

Categories and Features

Home Care

Not specified

Medical Billing

Not specified

Categories and Features

Medical Billing

Not specified

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