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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 Overjet?

Streamlining and accurately assessing claims is essential for maintaining real-time payment integrity, which guarantees that each claim is processed swiftly and for the correct amount. This process supports healthcare providers in delivering exceptional care by automating administrative tasks and identifying key growth opportunities within their practices. We are thrilled to open several positions for dentists, computer vision specialists, and software developers, inviting you to help us create a substantial impact on the lives of countless individuals. Transitioning from labor-intensive and inconsistent claim evaluations to a fully automated and efficient system revolutionizes the examination of each claim. By moving from a reactive recovery method to a proactive prevention strategy, we ensure that payments are both accurate and timely. Moreover, we aim to boost dentists' productivity through automated charting, error detection in coding and billing, and the establishment of thorough diagnostic and treatment protocols for all patient visits, ultimately driving innovation within the healthcare landscape. This initiative not only streamlines operations but also enhances the quality of care provided to patients.

Media

Media

Integrations Supported

Denticon

Integrations Supported

Denticon

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

Overjet

Date Founded

2018

Company Location

United States

Company Website

www.overjet.ai/

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

Dental Imaging

2D Imaging
Calibration Management
Data Import / Export
Image Analysis
Treatment Planning
Video Support

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