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What is The Criterions Medical Suite?

Criterions offers an all-encompassing solution for overseeing medical practices and electronic health records. Our product lineup is shaped by invaluable insights from our clients, enabling us to not only meet the latest standards and regulations but also exceed expectations by catering to the distinct needs of every practice. We recognize that the effective use of tools is essential for successful implementation, which is why we emphasize education as a key component. Our training initiatives are crafted to ensure your team reaps the maximum benefits from the Criterions solution, featuring a range of instructor-led classes and online resources designed specifically for your needs. In light of the constantly shifting landscape of standards and regulations, managing a practice can present increasing challenges. Explore how Criterions can enhance your workflows and boost your practice’s efficiency. By collaborating with us, your practice can confidently and seamlessly navigate these complexities, ultimately leading to improved patient care and operational success. Our commitment to continuous support ensures that you will always have the assistance you need to thrive in this dynamic environment.

What is ClaimScore?

ClaimScore is the only independent software solution dedicated to addressing the increasing problem of claim fraud in class action settlements. Each claim undergoes a detailed evaluation on an individual level using our distinctive AI, ML, and Cloud Architecture, with outcomes presented immediately on an interactive dashboard. At the outset, every claim is assigned a ClaimScore of 1,000, which decreases whenever it fails to meet certain criteria. These criteria are assigned fixed or variable weights, reflecting their correlation with fraudulent or legitimate claims. To promote transparency, each claim includes deduction codes that align with the criteria that were not met, making sure that all parties involved, such as the administrator and the court, are well-informed about the exact reasons for any claim denial. This comprehensive method not only builds trust among stakeholders but also strengthens the credibility of the claims process, ultimately contributing to a more reliable settlement environment. By leveraging advanced technology in this manner, ClaimScore ensures a rigorous defense against fraudulent activities.

Media

Media

Integrations Supported

CGM LABDAQ

Integrations Supported

CGM LABDAQ

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

Criterions

Company Website

criterions.com

Company Facts

Organization Name

ClaimScore

Date Founded

2022

Company Location

United States

Company Website

www.claimscore.ai

Categories and Features

Medical Practice Management

Claims Management
E-Prescribing
EMR / EHR
HIPAA Compliant
Insurance Eligibility Verification
Inventory Management
Multi-Office
Multi-Physician
Patient Billing
Patient Portal
Patient Records
Patient Registration
Patient Scheduling
Physician Scheduling

Categories and Features

Insurance Claims Management

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

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