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What is Virtual Examiner?

The Virtual Examiner®, developed by PCG Software, serves as a comprehensive tool for overseeing an organization’s internal claims process, efficiently tracking provider data to identify fraudulent or abusive billing practices while enhancing financial recovery. This advanced software enables healthcare organizations to optimize their claims adjudication systems, processing over 31 million edits per claim, which significantly streamlines operations. By meticulously monitoring the internal claims processes, it effectively pinpoints and mitigates payments made for incorrect or erroneous codes, ultimately preserving premium dollars. Beyond mere claims management, the Virtual Examiner® acts as a robust cost containment solution that analyzes claims for not only abusive billing patterns but also those that may require attention to third-party liability coordination, case management opportunities, physician billing education, and various other valuable cost recovery insights. Its multifaceted approach provides healthcare organizations with the tools they need to navigate complex billing landscapes and improve overall financial health.

What is AbuseHQ?

AbuseHQ emerges as the leading SaaS platform tailored for ISPs, Telcos, and Hosting & Cloud Providers, focusing on the detection and resolution of network abuse issues. This cutting-edge solution enables users to exercise control and oversight, effectively preventing instances of abuse within their networks. By allowing security and abuse teams to automatically identify, respond to, and alleviate compromised accounts, AbuseHQ significantly boosts operational productivity. Our dedication to tackling network abuse and cyber threats on a global scale positions AbuseHQ as an essential asset in this mission. The platform not only streamlines security and abuse operations but also enhances productivity, speeds up subscriber notifications, and fortifies network defenses while lowering operational expenses, thus creating an unwelcoming environment for malicious entities and their automated systems. Additionally, AbuseHQ facilitates smooth integration with various subscriber security alerts through email, a comprehensive API, honeypots, MTA logs, user login failure alerts, and a range of edge security system logs, making it an adaptable resource in the ongoing battle against network vulnerabilities. In today’s fast-paced digital environment, AbuseHQ guarantees that your organization is well-equipped to meet and overcome emerging threats, ensuring long-term resilience and security. Ultimately, our platform represents a proactive step towards safeguarding your network and its users.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

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

PCG Software

Date Founded

1984

Company Location

United States

Company Website

pcgsoftware.com/product-offerings/virtual-examiner/

Company Facts

Organization Name

Abusix

Date Founded

2009

Company Location

United States

Company Website

abusix.com/products/abusehq/

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

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

Categories and Features

Network Monitoring

Bandwidth Monitoring
Baseline Manager
Diagnostic Tools
IP Address Monitoring
Internet Usage Monitoring
Real Time Analytics
Resource Management
SLA Monitoring
Server Monitoring
Uptime Monitoring
Web Traffic Reporting

Network Security

Access Control
Analytics / Reporting
Compliance Reporting
Firewalls
Internet Usage Monitoring
Intrusion Detection System
Threat Response
VPN
Vulnerability Scanning

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