TriZetto vs. PLEXIS Payer Platforms

RXNT has spent over 25 years building cloud-based healthcare software designed for ambulatory practices and medical organizations of all sizes and specialties. Our innovative, AI-powered, and data-backed software solutions help practices grow, improve clinical efficiency, and streamline business operations—whether you're a solo provider, large healthcare organization, or billing services company. With over 60,000 medical professionals across all 50 U.S. states relying on RXNT, our fully-integrated, ONC-certified software system includes Electronic Health Records (EHR), Physician Practice Management (PPMS), Medical Billing and Revenue Cycle Management (RCM), E-Prescribing (eRx), Scheduling, Patient Portal, mobile applications, and more. Every product works seamlessly as one system or can be used standalone, giving you flexibility to choose what works best for your practice. Our SaaS-based Full Suite software solution integrates every area of RXNT through a secure, centralized database, enabling real-time data flow across clinical and administrative functions. Whether you're modernizing your medical practice or scaling your healthcare business, RXNT delivers all-in-one technology to help you succeed. So far, users have transmitted over 125 million prescriptions and processed more than $7 billion in insurance claims. Built for usability and accessibility, RXNT’s cloud-based software is available 24/7 from any device and includes mobile apps for iOS and Android. Simple, transparent pricing means no hidden fees, and every plan includes free implementation & training periods, data migration, storage, software updates, and U.S.-based customer service.

Office Ally's Service Center is relied upon by over 80,000 healthcare practitioners and service organizations to effectively manage their revenue cycles. The platform offers functionality for verifying patient eligibility and benefits, as well as the ability to submit, amend, and monitor claims statuses online while also facilitating the reception of remittance advice. By supporting standard ANSI formats, data entry, and pipe-delimited formats, Service Center significantly enhances administrative efficiency and optimizes workflows for healthcare providers. Furthermore, this comprehensive tool empowers organizations to focus more on patient care by reducing the time spent on administrative duties.

CredentialStream® utilizes innovative patented technology to facilitate the requesting, collection, and verification of provider information, ultimately creating a trustworthy Source of Truth for subsequent processes. Its cutting-edge platform is regularly enhanced and is supported by extensive content libraries and top-tier data sets, making CredentialStream the premier solution for managing the entire lifecycle of providers. Additionally, the seamless integration of these resources ensures that organizations can maintain compliance and efficiency in their operations.

DoctorConnect stands as a reputable innovator in patient engagement solutions, having dedicated over 25 years to enhancing the healthcare landscape. We assist medical practices, regardless of size, in optimizing communication, automating everyday tasks, and elevating the patient experience. From independent doctors to extensive health organizations, numerous providers across the country depend on our adaptable tools to lighten administrative workloads, minimize missed appointments, and boost revenue streams. Our platform is crafted to align with real-world healthcare needs—offering scalability, user-friendliness, and seamless integration with a multitude of EMR and Practice Management (PM) systems. Whether your goal is to update appointment scheduling, automate patient reminders, or gather meaningful feedback, DoctorConnect delivers a comprehensive solution that caters to your specific workflow. Focusing on adaptability and tangible outcomes, we enable clinics to conserve time, improve patient satisfaction, and enhance operational efficiency while ensuring that current systems remain undisturbed. Our commitment to innovation continues to propel us as a partner in the ongoing evolution of healthcare delivery.

XpertCoding, developed by XpertDox, is an innovative AI-driven medical coding solution that leverages cutting-edge artificial intelligence, machine learning, and natural language processing to rapidly process medical claims within a 24-hour timeframe. This software not only optimizes the coding workflow but also contributes to quicker and more precise claim submissions, enhancing financial outcomes for healthcare providers. Among its numerous features are a detailed coding audit trail, reduced reliance on human oversight, a module aimed at improving clinical documentation, seamless connectivity with electronic health record systems, a robust business intelligence platform, a flexible pricing model, a notable decrease in coding costs and claim denials, and a risk-free implementation process that includes no upfront costs along with a complimentary first month of service. By utilizing XpertCoding's automated coding system, healthcare organizations can ensure prompt payments, streamlining their revenue cycle and allowing them to concentrate more on delivering quality patient care. Opt for XpertCoding to experience dependable, efficient, and accurate medical coding that is specifically designed to meet the needs of your practice and improve overall operational effectiveness.

Incredable serves as a comprehensive and customizable credentialing platform that connects healthcare facilities, providers, and administrators effectively. The solution simplifies the credentialing workflow by managing documents, tracking compliance, and verifying credentials seamlessly. By using Incredable, healthcare professionals can maintain their compliance and readiness consistently. Widely recognized in the healthcare sector, Incredable alleviates the strain of administrative tasks, boosts operational productivity, and promotes smooth collaboration among all parties involved, enabling healthcare teams to concentrate on providing exceptional patient care. Furthermore, this innovative solution adapts to various healthcare needs, making it an invaluable tool in today’s dynamic environment.

Our cloud-based platform for patient communication and engagement is designed to meet the daily demands of your dental practice, featuring an intuitive interface. With a HIPAA-compliant dashboard, it provides superior digital forms and consents, facilitates two-way communication with patients, enables intraoffice messaging, and automates appointment reminders, confirmations, reviews, recalls, and even includes a personalized app-based loyalty program. Modento effortlessly integrates with your existing Practice Management System, thereby enhancing operational efficiency and reducing the time your staff spends on document scanning and phone calls. Numerous dental offices across the nation have experienced increased case acceptance rates, higher patient retention, improved profitability, and growth in their patient base thanks to Modento. Visit our website today to schedule your demo and discover the transformative impact Modento can have on your practice. By utilizing our platform, you can elevate patient engagement and streamline your operations effectively.

Opus is a comprehensive platform that integrates EHR, CRM, and RCM functionalities, designed specifically to enhance the operational efficiency of treatment centers focused on behavioral health, including clinics for addiction, mental health, and substance use disorders. This platform provides a range of cohesive features that streamline patient management, billing, appointment scheduling, and telehealth services. By implementing intelligent lead routing, insurance verification, and automating routine tasks, Opus significantly enhances operational workflows, while also offering customizable forms tailored to diverse requirements. Moreover, it includes advanced reporting tools, AI-assisted progress note generation, and seamless laboratory integrations. With a strong focus on flexibility and scalability, Opus is an ideal solution for organizations of all sizes, from small practices to expansive multi-center facilities in the behavioral health field. As a result, Opus not only adapts to the ever-changing needs of the industry but also prioritizes delivering exceptional care to patients, establishing itself as a leading choice among providers. Its commitment to innovation ensures that organizations can thrive while maintaining high standards of service and support.

CredentialingSpectrum is a secure, cloud-based software designed for managing medical credentials, facility operations, payer interactions, and contract oversight. This innovative healthcare credentialing system streamlines the credentialing process, enhancing overall efficiency for users. With its one-click comprehensive automation feature, CredentialingSpectrum stands out as a user-friendly solution, positioning itself as the premier provider credentialing software in the United States. Its robust capabilities enable healthcare organizations to focus more on patient care while minimizing the complexities of credentialing management.

MedTrainer streamlines and enhances the education, compliance, and credentialing processes for the healthcare workforce. Its software platform is designed for optimal user interaction, enabling healthcare organizations to effectively manage their personnel. The learning management system (LMS) tailored for healthcare offers a wealth of educational courses and materials developed by experts, ensuring that organizations meet regulatory standards and accreditation needs while providing opportunities for continuing education credits. In terms of compliance, MedTrainer provides a comprehensive technology solution that integrates incident reporting, document management, and customizable reporting to bolster adherence to regulations. Additionally, its credentialing feature offers a complete solution with automation and organized workflows, making the entire process more efficient and minimizing delays. Every aspect, from primary source verification to provider enrollment and privileging, is consolidated on a single platform, allowing for full transparency and oversight throughout. With MedTrainer, healthcare organizations can significantly reduce the complexities associated with workforce management.