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What is Provider Passport?

Provider Passport offers a holistic healthcare management platform designed to enhance and automate critical provider management functions, including payer enrollment, credentialing, privileging, and data oversight, all driven by its advanced TruMation AI automation technology. By integrating provider information into unified profiles, it effectively keeps track of expiring credentials and licenses, continuously monitors sanction databases, and securely exchanges data with other systems via APIs or standard messaging protocols, which greatly reduces the need for manual input and the risk of errors. The credentialing capabilities of Provider Passport allow for swift primary source verifications from various integrated sources, offer customizable workflows suited to different provider categories, and streamline the onboarding experience by automating re-credentialing and approval processes. Furthermore, its AI-powered payer enrollment engine evaluates requirements across numerous payer plans, facilitating smoother application submissions and follow-ups, thus accelerating the enrollment approval timeline. Consequently, healthcare organizations can significantly enhance their efficiency and precision in managing provider-related processes, ultimately leading to improved patient care outcomes. This comprehensive approach not only simplifies administrative burdens but also fosters a more connected healthcare ecosystem.

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.

Media

Media

Integrations Supported

HL7 FHIR

Integrations Supported

HL7 FHIR

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

Provider Passport

Date Founded

2024

Company Location

United States

Company Website

providerpassport.co

Company Facts

Organization Name

Paradigm

Date Founded

2015

Company Location

United States

Company Website

www.paradigmseniors.com

Categories and Features

Credentialing

Appointment Management
Certification Tracking
Committee Management
Document Management
Expiration Management
License Verification
Online Applications
Privileging

Categories and Features

Home Care

Billing & Invoicing
Care Plan Management
Caregiver Management
Client Management
Field Communication
Insurance Management
Payroll Management
Scheduling
Visit Verification

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

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