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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 Talos?

Talos offers a cutting-edge AI-powered platform that enhances the efficiency of image processing, PDF analysis, and medical coding activities. Users can seamlessly upload a variety of documents and images, while Talos automates the entire workflow, guaranteeing precise and effective results. By harnessing the comprehensive AI capabilities of Talos, individuals can conserve precious time and markedly boost their productivity levels. One of the standout features is the Image Enhancer, which utilizes AI to elevate image sharpness, color intensity, and resolution to deliver professional-grade outcomes. Another impressive tool is the 360 Image Segmentation feature, enabling users to break down images into interactive 360-degree perspectives for thorough analysis. Furthermore, the Watermark Decode tool proficiently manages and decodes watermarks, safeguarding the images' integrity throughout the process. Talos also excels in the realm of PDF Reading and Data Processing, automating the extraction and management of data from PDF documents to enhance efficiency. Its Medical Coding Automation system employs advanced AI techniques to simplify the coding of medical information with both speed and precision, making it indispensable for healthcare professionals. With this extensive array of features, Talos is set to revolutionize how users approach visual and document-related tasks, ultimately making their workflows more streamlined and productive.

Media

Media

No images available

Integrations Supported

BVNK

Integrations Supported

BVNK

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

Talos ML

Company Location

India

Company Website

talosml.com

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

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