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What is mDOC?

Using our claims listing page allows you to quickly rectify any inaccuracies or missing information prior to submitting your claims. Once all essential data is inputted and the necessary diagnosis and modifier codes are included, you can smoothly upload a batch of claims to Trizetto Provider Solutions® with just one click. After this step, Trizetto Provider Solutions® performs another thorough review of the claims before sending them to the appropriate payers. When insurance companies process the payments, you will receive updates on the claims that show allowed amounts, adjustments, copays, coinsurance, and deductibles. To ensure accuracy, payments are recorded in groups. Statements are generated based on your chosen frequency—whether that’s daily, weekly, or monthly—and are crafted in a clear format that patients can easily understand. This transparency significantly reduces any previous misunderstandings! In addition, the statement includes a section for credit card authorization, making it easier for patients to settle any outstanding balances and ensuring a seamless payment experience. This thoughtful approach not only enhances patient satisfaction but also streamlines your financial operations.

What is Paradigm?

Paradigm Senior Services offers a robust, AI-enabled revenue cycle management solution tailored for home-care agencies that manage billing across various third-party payers, such as the U.S. Department of Veterans Affairs (VA), Medicaid, and numerous managed-care organizations. The platform streamlines and improves every aspect of the billing and claims process, which includes tasks like eligibility verification, authorization management, and handling state or payer-specific enrollment and credentialing. It also ensures the submission of correct claims, addresses any denials that arise, and facilitates payment reconciliation. By integrating smoothly with popular agency management software and electronic visit verification systems, it allows for the effective scrubbing of shifts, weekly authorization checks, and smooth payment reconciliations, ultimately leading to fewer denials and reduced administrative burdens. Furthermore, Paradigm provides a "back-office as a service" model for healthcare providers, meaning that even if agencies have their own billing teams or scheduling tools, Paradigm can still oversee claims processing as if it were a dedicated, knowledgeable billing department. This adaptability empowers agencies to prioritize patient care, alleviating them from the intricacies of billing operations by entrusting those complexities to experts. In doing so, Paradigm not only enhances operational efficiency but also supports better financial outcomes for home-care agencies.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Web-Based Support

Training Options

Not specified

Training Options

Documentation Hub
Webinars
Online Training

Company Facts

Organization Name

Mack Software

Company Website

www.macksoftware.com/mdoc.html

Company Facts

Organization Name

Paradigm

Date Founded

2015

Company Location

United States

Company Website

www.paradigmseniors.com

Categories and Features

Billing and Invoicing

Billing Portal
Contact Database
Dunning Management
Payment Processing
Tax Calculator

Categories and Features

Home Care

Not specified

Medical Billing

Not specified

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