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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 EvoClaim?

A robust claims management software solution is specifically crafted to effectively address claims, complaints, and customer service interactions. It streamlines the claims settlement process, reduces costs associated with each claim, and manages high volumes of claims efficiently by utilizing features such as trend analysis, fraud detection, and comprehensive reporting. Through its cloud-based accessibility, it functions as a unified platform for sharing real-time information and delivering actionable insights. The integrated report generator empowers users to produce tailored ad-hoc reports while offering advanced management data through visual tools like heatmaps, dashboards, and trend analyses. Our system is designed without constraints, allowing for smooth integration with any current back-office systems you may utilize. By leveraging Microsoft-based enterprise technology, it is capable of evolving alongside your business's growth and requirements. The minimized onboarding duration ensures that your team can begin operating effectively from the outset. Additionally, it provides managers with automated reporting features that deliver real-time updates. The platform also facilitates the integration of legacy systems and meets a variety of technological demands. Drawing on expertise across multiple industries, it simplifies the processes of discovery, development, and integration for varied business necessities, guaranteeing a holistic solution tailored to your organization's unique challenges. Ultimately, this innovation positions your company for enhanced efficiency and responsiveness in a competitive market.

Media

Media

Integrations Supported

DWF 360

Integrations Supported

DWF 360

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

DWF Group

Date Founded

1977

Company Location

United Kingdom

Company Website

dwfgroup.com/en/services/dwf-360/evoclaim

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

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

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