Ratings and Reviews 0 Ratings

Total
ease
features
design
support

This software has no reviews. Be the first to write a review.

Write a Review

Ratings and Reviews 0 Ratings

Total
ease
features
design
support

This software has no reviews. Be the first to write a review.

Write a Review

Alternatives to Consider

  • Service Center Reviews & Ratings
    72 Ratings
    Company Website
  • Cloud Claims Reviews & Ratings
    11 Ratings
    Company Website
  • tigerlab Reviews & Ratings
    11 Ratings
    Company Website
  • Macaw AMS Reviews & Ratings
    5 Ratings
    Company Website
  • Guardz Reviews & Ratings
    56 Ratings
    Company Website
  • Elation Health Reviews & Ratings
    72 Ratings
    Company Website
  • Predict360 Reviews & Ratings
    18 Ratings
    Company Website
  • Quaeris Reviews & Ratings
    6 Ratings
    Company Website
  • Valant Behavioral Health EHR Reviews & Ratings
    315 Ratings
    Company Website
  • IQVIA Reviews & Ratings
    15 Ratings
    Company Website

What is Qantev?

An automated claims management system that functions smoothly from beginning to end, utilizing AI-based decision frameworks for various tasks including data gathering, verification of policies and coverage details, medical coding, and evaluations of consistency. Our sophisticated AI frameworks aim to reduce losses and improve your loss ratios by proficiently identifying instances of fraud, waste, and abuse in both health and life insurance domains. Qantev supports insurance providers worldwide by enhancing operational efficiency, reducing losses, and boosting customer satisfaction. By fusing artificial intelligence with extensive medical expertise, our committed group of data scientists and engineers has developed innovative solutions that optimize the claims management process while uncovering fraudulent activities. Our specialized AI tools excel at capturing, cleaning, enhancing, and digitizing information from a wide range of claims documents in various languages. Furthermore, we enhance the efficacy of your medical provider network through automated insights, pinpointing pricing disparities, suggesting strategies, simulating various scenarios, and much more to improve outcomes. This comprehensive strategy guarantees that insurers not only handle claims efficiently but also proactively mitigate potential challenges before they emerge, ensuring a robust insurance framework. Ultimately, our dedication to innovation drives the future of claims processing, setting new standards for excellence in the industry.

What is Inovalon Claims Management Pro?

Achieve a consistent revenue flow by leveraging a powerful platform designed to expedite reimbursements through eligibility checks, claims status monitoring, audit and appeal processes, and remittance management for both governmental and commercial claims, all within a unified system. Benefit from an advanced rules engine that swiftly corrects claims in alignment with the latest regulations from CMS and commercial payers, enabling you to fix any errors before submission. During the claim upload procedure, verify eligibility with all payers and pinpoint any issues that require attention, allowing for essential modifications prior to dispatching the claims. Decrease the days in accounts receivable by utilizing automated workflows to manage audit responses, submit appeals, and oversee administrative dispute resolutions efficiently. Customize staff workflow tasks according to the type of claim and the actions needed for resolution. Moreover, automate the process of submitting secondary claims to avoid the risk of timely filing write-offs. Ultimately, improve your claims revenue through streamlined workflows that support faster and more effective audits and appeals, ensuring your organization remains financially robust. Additionally, the adaptable nature of this comprehensive system allows it to grow alongside your operations, providing sustained advantages over time. This flexibility not only enhances operational efficiency but also prepares your organization for future changes in the healthcare landscape.

Media

Media

Integrations Supported

Inovalon Provider Cloud

Integrations Supported

Inovalon Provider Cloud

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

Qantev

Date Founded

2018

Company Location

France

Company Website

www.qantev.com

Company Facts

Organization Name

Inovalon

Date Founded

1998

Company Location

United States

Company Website

www.inovalon.com/products/provider-cloud/revenue-cycle-management/all-payer-revenue-cycle-management/

Categories and Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

Categories and Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

Popular Alternatives

Context 4 Health Plans Suite Reviews & Ratings

Context 4 Health Plans Suite

Context4 Healthcare

Popular Alternatives

Service Center Reviews & Ratings

Service Center

Office Ally