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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 Scritch?

Scritch acts as an AI-driven recovery agent specifically designed for support and product teams in B2B software companies. Its software development kit (SDK) connects a failed action within an application to a recovery procedure that assesses the server's response and relevant read-only information. This method simplifies the problem for the user and gathers details that only they can provide. If changes are necessary, Scritch requests approval and confirms through code that the proposed solution is valid before informing the user to continue. Teams can also specify the tools and repair methods available to the agent. In situations where Scritch cannot resolve an issue, it generates a comprehensive report and case history for the support team, with the capability to easily hand off the case to relevant ticketing and messaging platforms. Common scenarios include challenges such as declined invoices, failed imports or uploads, session expirations, and access issues. Notably, this product is dedicated to tackling technical obstacles in B2B applications and deliberately avoids consumer-focused tasks like appealing social media bans or moderating content, thereby reinforcing its commitment to improving operational effectiveness in the business landscape. This ensures that organizations can rely on Scritch to streamline their troubleshooting processes and enhance user experience efficiently.

Media

Media

No images available

Integrations Supported

Integrations Supported

Discord
Intercom
Jira
Linear
Slack
Zendesk

API Availability

API Availability

Has API

Pricing Information

Pricing not provided

Pricing Information

$0.25/recovery
The first 25 recoveries are free with no card required. After adding a card, recoveries remain free for 14 days; afterward, successful recoveries cost $0.25 each. No per-seat charge or monthly minimum; a monthly spend cap is set by the customer ($50 default). Enterprise plans are priced by recovery volume and can run on the customer's servers.
Free Version
Free Trial Offered?

Supported Platforms

SaaS

Supported Platforms

SaaS
On-Prem

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Not specified

Training Options

Documentation Hub

Training Options

Not specified

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

Okapi Works

Company Location

Belgium

Company Website

scritch.xyz/

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

Medical Coding

Not specified

Categories and Features

Customer Service

Not specified

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