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What is SSI Claims Director?

Elevate your claims management approach while minimizing denials through exceptional edits and an outstanding clean claim rate. Healthcare providers must leverage cutting-edge technology to guarantee accurate claim submissions and prompt payments. Claims Director, the innovative claims management platform offered by SSI, streamlines billing processes and enhances transparency by guiding users through the entire electronic claim submission and reconciliation experience. As reimbursement standards from payers evolve, the system diligently monitors these adjustments and modifies its operations accordingly. Additionally, with a wide range of edits at industry, payer, and provider levels, this solution enables organizations to optimize their reimbursement strategies efficiently. By embracing such a robust tool, healthcare systems can witness a remarkable improvement in their financial performance, ensuring sustainability and growth in an increasingly competitive landscape.

What is HexIQ?

HexIQ software provides users with rapid and easy access to negotiated rate data, allowing them to search, download, and analyze complex healthcare reimbursement rates linked to specific codes, payers, providers (NPI), or tax identification numbers (TIN), thus promoting transparency in coverage criteria for improved business decisions and negotiation strategies. Each month, the software processes a vast array of machine-readable files (MRFs) from different payers, thoroughly cleaning and enhancing the data by adding relevant provider names, addresses, and network affiliations, and continuously updating it to enable users to compare their negotiated rates with those of peers in the same specialty and geographical location without relying on cumbersome Excel spreadsheets. With advanced search functionalities, users can filter results based on various criteria such as code, specialty, state, place of service, payer, NPI, or TIN, while also having the ability to export their findings in CSV format for more detailed analysis. Additionally, integrated analytics and visualization tools offer insights into rate distributions, average and mode rates, and contracted provider networks, enabling users to better comprehend market trends. This all-encompassing method not only simplifies the data retrieval process but also equips healthcare professionals with the information they need to make well-informed strategic choices based on trustworthy data. By harnessing the power of HexIQ, stakeholders can navigate the complexities of healthcare reimbursement with greater confidence and clarity.

Media

Media

Integrations Supported

Google Sheets
Microsoft Excel
Microsoft Power BI
Tableau

Integrations Supported

Google Sheets
Microsoft Excel
Microsoft Power BI
Tableau

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

$25 per month per code
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

SSI Group

Date Founded

1986

Company Location

United States

Company Website

thessigroup.com/claims-management/

Company Facts

Organization Name

HexIQ

Date Founded

2022

Company Location

United States

Company Website

www.hexiq.com/platform

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

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

Categories and Features

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