List of the Best Zelis Alternatives in 2025
Explore the best alternatives to Zelis available in 2025. Compare user ratings, reviews, pricing, and features of these alternatives. Top Business Software highlights the best options in the market that provide products comparable to Zelis. Browse through the alternatives listed below to find the perfect fit for your requirements.
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Veradigm Payerpath
Veradigm
Streamline revenue cycles, enhance profitability, simplify healthcare management.Veradigm Payerpath provides an extensive range of revenue cycle management tools aimed at improving the financial health of healthcare institutions by fostering better communication with both payers and patients, which in turn boosts profitability for practices of all sizes and specialties. The platform effectively tackles challenges such as incomplete data, erroneous coding, and input mistakes, ensuring that claims are lodged accurately and without issues. It further confirms that submissions are free of errors and missing information, optimizing the claims process. Moreover, through sophisticated analytical reporting, healthcare practices can compare their performance against local, national, and specialty benchmarks, helping them enhance their productivity and financial results. Additionally, Veradigm Payerpath assists in reminding patients about upcoming appointments while verifying their insurance benefits and coverage, simplifying the overall process. The system also automates the collection of patient responsibilities, making financial management more straightforward for practices. Importantly, the integrated solutions of Veradigm Payerpath are compatible with all major practice management systems, enhancing its adaptability across diverse healthcare environments. This compatibility not only increases its utility but also allows healthcare providers to devote more attention to patient care while effectively handling their financial processes. As a result, Veradigm Payerpath emerges as a crucial asset for healthcare organizations striving for operational efficiency and improved financial health. -
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Tebra
Tebra
Transforming healthcare with seamless solutions for practices and patients.To support the health of both patients and healthcare providers, independent practices need all-encompassing solutions. Tebra's product lineup is meticulously crafted to improve and simplify the overall experience for both patients and practices, functioning as a cohesive operating system when brought together on a single platform that serves the interests of both parties. Through the use of this interconnected system, practices can successfully draw in new patients while also keeping their current clientele engaged by boosting their online presence. Additionally, patients are supported at every interaction, creating a fluid experience that builds trust and fosters a more robust practice environment. Included in this comprehensive suite is an advanced, certified EHR solution specifically designed to address the needs of modern healthcare providers, offering critical functionalities like sophisticated charting, streamlined documentation, a complete overview of patient records, electronic prescriptions, laboratory integrations, telehealth options, and more, allowing providers to maintain oversight of their care delivery practices. With these cutting-edge resources available, practices are positioned to flourish in an increasingly challenging healthcare environment, ensuring they can adapt and meet evolving patient needs. As a result, the combination of technology and patient-centered care can lead to improved outcomes and operational efficiency. -
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Valenz Health
Valenz Health
Transforming healthcare through personalized solutions and data insights.Our all-encompassing platform delivers fully cohesive health plan solutions that simplify healthcare for employers, members, providers, and payers, while simultaneously adding substantial value. Valenz merges member-centric services with data-driven insights, fostering connections through personalized assistance that results in superior care and improved health outcomes. We emphasize proactive and regular engagement through impactful education and support services aimed at thwarting more serious and expensive health issues in the future. By opting for Valenz, you can cultivate a healthier member base while continually realizing cost savings for both plans and individual members year after year. To tap into the transparency and resources needed for making informed, quality-focused, and cost-effective choices, let’s explore your route to a more streamlined healthcare experience today. Moreover, the Valenz healthcare ecosystem optimization platform includes a comprehensive array of fully customizable solutions, all integrated within a unified strategic framework, providing a detailed visualization of cost, quality, and utilization opportunities, ensuring you are well-prepared to adeptly navigate the complexities of the healthcare environment. This holistic approach not only enhances efficiency but also empowers stakeholders to make more informed decisions, ultimately leading to better health outcomes for all involved. -
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Assurance Reimbursement Management
Change Healthcare
Revolutionize healthcare claims management with cutting-edge efficiency tools.Explore a specialized analytics-driven tool crafted for healthcare providers to effectively manage claims and remittances, aiming to refine workflows, optimize resource utilization, decrease denial rates, and improve cash flow. Enhance your initial claim acceptance rates with our comprehensive editing suite that ensures compliance with the latest payer guidelines and regulations. Increase your team's productivity by leveraging intuitive workflows that focus on exceptions while automating repetitive tasks. Your staff can easily access our adaptable, cloud-based platform from any device, promoting uninterrupted operations. Simplify the handling of secondary claims with the automatic generation of secondary claims and explanations of benefits (EOB) derived from primary remittance advice. Utilize predictive artificial intelligence to prioritize claims that need urgent attention, facilitating quicker error resolution and reducing the likelihood of denials before submission. Whether you are processing primary paper claims or organizing claims and EOBs for secondary submissions, you will experience enhanced efficiency in your claims processing. By adopting these innovative features, you can substantially improve your claims management approach and take your practice to the next level. This progressive solution not only streamlines operations but also empowers your team to focus on delivering exceptional patient care. -
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PLEXIS Payer Platforms
PLEXIS Healthcare Systems
Streamline healthcare operations with cutting-edge administrative solutions.PLEXIS provides an extensive array of high-quality applications tailored to equip payers with the sophisticated functions necessary for modern core administrative systems. These applications feature capabilities such as real-time benefit management, adjudication, automated EDI transmission, and self-service customer portals, ensuring that PLEXIS Business Apps can fulfill all your requirements. The Passport feature is essential for establishing vital connections between core administration and claims management systems, PLEXIS business applications, custom software, and existing internal systems. Its versatile API layer permits real-time integration with a variety of portals, automated workflow tools, and business applications, guaranteeing limitless connectivity. By utilizing this centralized and contemporary core administration and claims management platform, organizations can significantly enhance their workflows. This strategy not only streamlines the processing of claims but also alleviates the challenges tied to benefit administration, leading to a quick return on investment and the capacity to deliver outstanding customer service. Ultimately, PLEXIS enables organizations to excel in a healthcare environment that is becoming progressively intricate, ensuring they remain competitive and responsive to client needs. -
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PlanXpand
Acero Health Technologies
Empowering health benefits administration with seamless, innovative solutions.PlanXpand™ is a cutting-edge transaction processing engine crafted by Acero, designed to support all products tailored for health benefits administrators. This innovative system empowers clients to adopt Acero’s solutions either in full or incrementally, providing them with the versatility to fit their unique operational needs. In addition to choosing from a comprehensive selection of standard products, administrators are encouraged to leverage PlanXpand™ to develop customized solutions that enhance their existing system functionalities. Acero stands out with its distinctive, integrated offerings that utilize a Service-Oriented Architecture, allowing health benefits administrators and insurers to seamlessly expand their current adjudication platforms with added features and capabilities. The sophisticated design and engineering behind our solutions enable real-time adjudication for all types of claims, which directly interfaces with the core claims system, enhancing processing accuracy, boosting customer satisfaction, and minimizing the need for claims adjustments. This remarkable adaptability and meticulous precision in claims processing not only enhances operational efficiency but also reinforces Acero’s position as a frontrunner in the health benefits administration industry. Ultimately, our commitment to innovation ensures that clients can navigate the complexities of health benefits management with confidence and ease. -
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QuickCap
MedVision
Streamline operations, boost productivity, and enhance decision-making effortlessly.QuickCap, created by MedVision Solutions, serves as a holistic management platform that streamlines both administrative and clinical data tasks, allowing users to focus on their core business activities rather than being overwhelmed by paperwork. This innovative solution provides scalable oversight for workflows and information management, leading to enhanced operational efficiency. With a user-friendly customizable dashboard, QuickCap automates various processes, resulting in increased productivity and speed. Moreover, it simplifies the claims process, which contributes to a more seamless work experience for its users. In addition, QuickCap offers insightful analytics that enable users to evaluate the profitability of individual providers easily. By integrating these diverse features, QuickCap ultimately equips organizations to function more successfully and make well-informed decisions while fostering an environment of continuous improvement. Thus, it stands out as a key resource for healthcare management. -
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IntegriChain ICyte
IntegriChain
Transforming life sciences data into actionable market success.Life sciences organizations, irrespective of their scale or intricacy, rely on the ICyte platform to improve their processes for entering pharmaceutical markets and commercializing therapies. This platform provides biotech and pharmaceutical manufacturers with outstanding services, which encompass the collection of channel and patient data, management of pricing and contracts, gross-to-net forecasting, and accrual systems, along with specialized solutions that promote launch effectiveness and pricing transparency. By leveraging ICyte, both pharmaceutical and biotech companies can markedly improve their market access abilities by rapidly transforming complex data related to patients, payers, transactions, and channels into actionable insights. Moreover, ICyte delivers analytics-as-a-service, enabling the implementation of standardized models and metrics across a variety of applications, data sources, and analytical needs. The platform is designed to incorporate key performance indicators (KPIs) specifically tailored for organizations in the life sciences sector. In addition, it boasts sophisticated analytics capabilities such as forecasting, scenario modeling, and a machine learning-powered recommendation engine, all of which support firms in making informed, data-driven choices. ICyte's comprehensive approach not only streamlines operations but also equips organizations with the tools necessary to adeptly navigate the intricate landscape of the pharmaceutical industry. As a result, companies utilizing ICyte can better position themselves for success in a competitive marketplace. -
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Trella Health Mosaic
Trella Health
Unlock insights to elevate healthcare performance and collaboration.Mosaic delivers remarkable insights into extensive market performance metrics across diverse provider categories, allowing you to evaluate risks before engagement, strengthen relationships, and thrive in today's value-oriented healthcare landscape. As you aim to build and maintain a strong network, the performance of your team is significantly impacted by any underperforming partners. Discover methods to address weaknesses and seize potential opportunities that arise. Establish and reach specific goals, such as integrating new types of providers or forming a preferred provider group. Collaborate with providers to enhance quality, optimize resource utilization, and effectively manage costs. In the end, your efforts will lead to a decrease in overall care expenses while improving patient outcomes, creating a beneficial scenario for all parties involved. By utilizing these insights, you can cultivate a culture of ongoing improvement and flexibility within your healthcare network, ensuring that it remains responsive to evolving challenges and opportunities in the industry. This proactive approach will not only strengthen your position but also promote sustainable growth and success. -
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TriZetto
TriZetto
Streamline payments, enhance patient experience, and ensure transparency.Accelerate payment procedures while reducing administrative burdens. With a network of over 8,000 payer connections and partnerships with more than 650 practice management providers, our claims management solutions significantly decrease the number of pending claims and lessen the reliance on manual processes. Claims for a wide range of services, such as professional, institutional, dental, and workers' compensation, can be sent efficiently and accurately, ensuring timely reimbursements. Address the changing landscape of healthcare consumerism by providing a seamless and transparent financial experience for patients. Our tools for patient engagement help facilitate informed conversations about eligibility and financial responsibilities, while also minimizing barriers that could negatively impact patient outcomes, ultimately enhancing the overall healthcare experience. By improving transparency and communication, we contribute to a more patient-centered approach in the healthcare industry. -
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AxisCore
HealthAxis
Transform health plan management with cutting-edge automation technology.Gain a competitive advantage in the marketplace with AxisCore™, which employs advanced and flexible technology tailored for the seamless automation of your health plan management responsibilities. Move past the obstacles created by outdated core administrative processing systems (CAPS) and embrace our all-encompassing integrated solution. Thoughtfully crafted to optimize benefits administration, expedite healthcare claims processing, and elevate health plan oversight, AxisCore™ empowers your organization to thrive in the dynamic healthcare landscape. Its forward-thinking design not only makes operations more efficient but also strategically positions your organization for enduring success and growth in the future. Adopting AxisCore™ could transform the way you handle health plan administration. -
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Amadeus Digital Care Record
Orion Health
Transforming patient care through integrated data and collaboration.The Amadeus Digital Care Record (DCR) provides a comprehensive solution designed to equip healthcare providers with a unified view of patient information precisely when it is required. By integrating data from a variety of healthcare systems into a Health Information Exchange, this platform creates an all-encompassing, current profile for each patient. This streamlined approach not only enhances clinical decision-making and increases efficiency but also reduces clinician burnout by cutting down on repetitive tasks. In addition, the Amadeus DCR features analytical tools and care coordination capabilities that are instrumental in improving patient outcomes by identifying risks early and supporting effective care throughout the patient’s journey. By facilitating collaboration among healthcare teams, this integrated system ultimately enhances workflow and encourages a more patient-focused methodology in healthcare delivery. Consequently, the DCR represents a significant advancement in the way patient care is administered, making it a vital asset in modern healthcare environments. -
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Talix
Talix
Transforming healthcare workflows with innovative, scalable technology solutions.The Talix platform is engineered to support sophisticated workflow applications tailored for healthcare organizations that assume risk, enabling them to excel in a value-based care landscape. Our offerings for both healthcare payers and providers leverage advanced technologies that function smoothly and effectively at scale. We have designed the Talix Platform to meet the diverse needs of a vast user base worldwide, allowing for concurrent access by numerous users. Furthermore, our architectural framework is adaptable, accommodating various SaaS applications and streamlining the processing of millions of patient records and encounter data. The Talix Platform is composed of a network of interconnected technological components that are vital for delivering scalable software solutions to healthcare stakeholders. These foundational elements bolster the platform's capabilities in artificial intelligence (AI), enhancing its overall performance and efficiency within the healthcare industry. Consequently, the seamless integration of these innovative technologies firmly establishes the Talix Platform as a frontrunner in the transformation of healthcare workflows, paving the way for future advancements in the sector. Through constant evolution and adaptation, we ensure that our platform remains at the forefront of healthcare solutions. -
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HealthRules Payer
HealthEdge Software
Transformative solutions for health plans to excel effortlessly.HealthRules® Payer is a state-of-the-art core administrative processing framework that delivers transformative capabilities for health plans of all shapes and sizes. For more than ten years, health plans that have adopted HealthRules Payer have successfully seized market opportunities and sustained a competitive advantage. What distinguishes HealthRules Payer from other core administrative systems is its unique utilization of the patented HealthRules Language™, which closely resembles English and introduces an innovative approach to configuration, claims management, and transparency of information. This exceptional system empowers health plans to grow, innovate, and excel beyond their competitors more efficiently than any other core solution currently available. Consequently, HealthRules Payer not only enhances operational efficiency but also cultivates a culture of adaptability and responsiveness within health organizations, ultimately leading to improved patient care and satisfaction. By integrating advanced tools and methodologies, HealthRules Payer positions health plans to thrive in an ever-evolving healthcare landscape. -
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Particle Health
Particle Health
Revolutionize healthcare innovation with seamless, centralized data access.Healthcare data is now accessible nationwide, but its true value diminishes when the information is often cumbersome to utilize due to being scattered across numerous hospitals, networks, and organizations in a disorganized mix of formats and standards. Particle Health addresses this challenge with a cutting-edge API platform that centralizes records for over 270 million patients across the United States. Our solution provides a seamless and secure gateway to the essential data that fosters swift and scalable advancements in digital healthcare. You can quickly prototype new solutions, optimize workflows, and explore various applications within a fully functional sandbox environment. Accelerate your market entry with user-friendly implementation guides, a straightforward interface, and easily accessible code snippets. Particle Health has invested years in developing the complex integrations necessary to access previously disconnected medical records. This allows you to concentrate on critical tasks while we manage the intricate aspects of data integration. By partnering with us, you gain the freedom to innovate and improve healthcare outcomes without getting bogged down by the technicalities of data management. -
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CareCloud
CareCloud
Streamline operations, enhance care, and elevate practice efficiency!Enhance your practice's capabilities by adopting CareCloud, the leading cloud-based EHR and practice management software available today. CareCloud delivers a comprehensive suite of resources tailored for healthcare professionals and organizations of all sizes, ensuring that every need is met efficiently. Key offerings include Concierge, which serves as a robust revenue cycle management system; Central, an easy-to-use practice management application; Charts, a user-friendly electronic health records system; Community, which provides tools for fostering patient engagement and social connectivity; and Companion, a mobile app designed to assist with both clinical and administrative responsibilities. By leveraging these innovative tools, practices can not only streamline their operations but also significantly improve the quality of care provided to patients. Ultimately, integrating CareCloud into your operations can lead to enhanced efficiency and better health outcomes for those you serve. -
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LexisNexis MarketView
LexisNexis
Unlock actionable medical insights for competitive healthcare innovation.LexisNexis® MarketView™ delivers medical claims-based insights specifically tailored for healthcare payers, providers, life sciences companies, and health IT organizations across the United States. This innovative platform equips users with actionable intelligence aimed at improving their competitive edge, allowing businesses to discover valuable insights and visualize groundbreaking strategies. Whether you are part of a life sciences organization, a health insurance provider, a healthcare system, or a health IT company, MarketView can significantly refine essential business functions like marketing, sales, strategic planning, physician engagement, outreach, market research, network optimization, talent acquisition, pricing strategies, contracting, and clinical management, among others. To maintain an advantage in the fast-paced market, it is crucial for your organization to access the most pertinent insights possible. However, identifying which areas to prioritize can often be difficult without a clear overall perspective. MarketView effectively tackles this challenge by delivering insights into diverse elements such as referral patterns, strategies for aligning with physicians, the performance of clinically integrated networks, and metrics regarding patient volume, all of which empower organizations to make well-informed decisions. Furthermore, by utilizing these insights, businesses can not only spark innovation but also enhance their operational efficiency significantly, ultimately leading to better patient outcomes and streamlined processes. -
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ContinuumCore
Logibec
Transforming healthcare data management with flexible, powerful insights.ContinuumCore acts as the central dashboarding tool for Continuum Health, providing extensive capabilities when paired with Intellium to create a versatile datamart. As data requirements evolve, ContinuumCore remains flexible, allowing clients to make the most of their optimized data management systems. The platform features over 100 integrated connectors that funnel into a single data warehouse, and it consistently adds new connectors, making it easier for users to access both clinical and financial data while ensuring minimal disruption to source systems through careful planning. Users have the ability to organize their data by topics, enhancing usability and efficiency. Furthermore, ContinuumCore supports agnostic data, enabling seamless queries across various data sources, and includes a dictionary-based documentation system that offers clear definitions for quick reference and effective searches. The platform employs data normalization to standardize values and implements validation techniques to detect potential issues. Additionally, it provides tools for data enhancement, well-structured processes, and customizable report builders that cater to a wide range of analytical requirements. Overall, ContinuumCore distinguishes itself as a holistic solution that adapts to the changing landscape of modern healthcare data management while continually striving to meet the diverse needs of its users. This adaptability ensures that healthcare professionals can rely on ContinuumCore to provide accurate and timely insights into their data. -
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IBM Watson Health
IBM
Empowering healthcare transformation through innovative technology and expertise.Watson Health utilizes its core competencies, profound knowledge of the healthcare industry, and state-of-the-art technological solutions—including AI, blockchain, and data analytics—to support clients as they navigate their digital transformation journeys. By fusing innovative technology with expert consulting services, we help organizations increase efficiency and resilience, ultimately improving their capability to meet the needs of the communities they serve. Discover the Watson Health solutions that are crafted to maximize clinical, financial, and operational efficiency while leveraging analytics to bolster initiatives focused on at-risk populations. Moreover, our services enhance clinical trials and aid in the creation of real-world evidence, which is essential for the progression of healthcare methodologies. We also offer solutions that empower payers to manage performance, engage members, and maintain robust business networks effectively. In addition, Watson Health supports organizations with benefits analytics and fortifying business continuity, establishing ourselves as a holistic partner within the healthcare ecosystem. This comprehensive strategy underscores our dedication to fostering positive outcomes across diverse health system dimensions and elevating overall service delivery, ensuring that we remain at the forefront of healthcare innovation. Our commitment to continuous improvement is what drives us to constantly seek new ways to enhance patient care and operational success. -
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Doctivity
Doctivity Health
Transforming healthcare with insights for strategic decision-making.Doctivity provides healthcare leaders with essential insights into various aspects, including physician performance, referral patterns, and areas where patient referrals may be lacking. Utilizing distinctive data analytics and ongoing collaboration with seasoned healthcare professionals, Doctivity delivers vital information that supports leaders in refining strategies to enhance business outcomes and increase patient engagement. The core mission of Doctivity is to improve operational efficiencies in healthcare settings, boost provider productivity, and foster business expansion. By gaining clear visibility into current operations, organizations are equipped to make timely and informed decisions that optimize their practices, strengthen their networks, improve recruitment strategies, streamline the onboarding of new employees, and more. Furthermore, Doctivity not only aids in addressing immediate challenges but also prepares healthcare decision-makers to adeptly tackle future complexities in their field with assurance and accuracy. Ultimately, it becomes an indispensable resource for those seeking to drive meaningful change in the healthcare landscape. -
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Netsmart KPI Dashboards
Netsmart
Transform data into insights for enhanced healthcare performance.KPI Dashboards™ provides an all-encompassing data visualization solution for clinical, financial, and operational metrics, allowing users to customize their views and filter aggregated data according to parameters like program, service type, and client access. This flexible and intuitive platform empowers staff to consistently track performance metrics that have a direct impact on essential data points, including both performance and clinical outcomes. As a result, organizations can make steady and measurable progress toward their specific goals. Furthermore, our healthcare benchmarking tools enable effective comparisons of your organization's financial, operational, and clinical performance metrics. By monitoring services and treatments for individuals across various care settings, you can reduce duplicative services and simplify care transitions through secure data exchange methods. In addition, our care coordination solutions connect organizations with a network of providers, promoting secure data sharing among local health information exchanges (HIEs) and broad interoperability frameworks like Carequality, which ultimately improves the overall quality of care delivered. This integrated strategy not only optimizes processes but also cultivates a collaborative healthcare environment that benefits all parties involved. Moreover, by leveraging advanced analytics, organizations can identify trends and areas for improvement, further driving innovation and excellence in patient care. -
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MCH Strategic Data
MCH Strategic Data
Unlock healthcare success with insightful data intelligence solutions.The healthcare industry presents a vast array of opportunities, challenges, and risks, encompassing everything from medical device sales to integrated delivery networks and the latest care trends. For companies seeking to succeed in this highly competitive environment, having access to reliable data intelligence and insights is essential. MCH provides timely and budget-friendly healthcare data resources that furnish you with the essential tools needed for your upcoming sales efforts, enabling extensive and precise searches like never before. Our all-encompassing healthcare database contains over 2 million contacts gathered from leading industry experts, allowing you to delve into corporate ownership, provider specialties, and a diverse range of care facilities, laboratories, and other health organizations with remarkable ease. You can finely tune your searches by institution type, professions, and specialties across more than 7,000 hospitals nationwide, while also scrutinizing key statistics such as the current number of beds, physicians, and other healthcare providers. This sophisticated data analysis capability guarantees that you are thoroughly prepared to make well-informed decisions that can drive your business forward in the dynamic healthcare landscape. With MCH, you gain a competitive edge that empowers you to navigate the complexities of the industry effectively. -
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Anagram
Anagram
Boost profits, enhance patient satisfaction, and simplify savings!Anagram Prosper allows your practice to return funds to patients at no cost, thus improving your profit margins while fostering patient satisfaction and removing the necessity for courtesy discounts. We have partnered with leading vendors to establish wholesale pricing that serves both your interests and those of your patients. This arrangement enables you to provide rebates on items already in your inventory, which motivates your patients to participate more actively, ultimately resulting in higher revenue. By leveraging Anagram Prosper, you can assist your patients in saving money without affecting your margins or resorting to discounts. Our rebate initiative is crafted to enhance your sales while ensuring patient happiness. Many patients may not realize their out-of-network benefits, but with Anagram Access, you can quickly check real-time eligibility for vision plans, guaranteeing optimal savings for them. Anagram Access empowers you to easily ascertain your patient's financial obligations and the reimbursement they can expect from their vision plan, simplifying the payment process. This groundbreaking strategy not only benefits your practice but also significantly enriches the overall experience for your patients, leading to a stronger relationship between them and your practice. By prioritizing their needs, you can create a loyal patient base that appreciates both the value and service you provide. -
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NaviNet Open
NantHealth
Empowering healthcare collaboration with secure, efficient communication solutions.For a company that prioritizes value-driven healthcare, having an effective communication strategy through a flexible and scalable platform is vital for achieving success. NaviNet Open is recognized as one of the leading collaboration tools in the United States, significantly enhancing provider engagement and generating dependable, actionable insights across the entire healthcare delivery spectrum. This secure multi-payer system not only facilitates better communication but also increases operational efficiency, lowers costs, and improves provider satisfaction. It allows for real-time sharing of important administrative, financial, and clinical information between payers and providers. At NantHealth, ensuring security is a top priority; our commitment to HIPAA compliance and foundational values has maintained our EHNAC HNAP accreditation since 2006. Furthermore, NaviNet Open's HITRUST certification illustrates adherence to essential regulations and industry benchmarks. This platform effectively reduces risks linked to third-party privacy, security, and compliance, providing a solid framework for all users involved. By focusing on both security and efficiency, we are cultivating a culture of trust and collaboration within the healthcare ecosystem, which ultimately benefits all stakeholders. Such an integrated approach is pivotal for adapting to the evolving demands of the healthcare landscape. -
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Inovalon Provider Cloud
Inovalon
Transform patient care and revenue with seamless efficiency.Optimize revenue cycle management, ensure high-quality care oversight, and enhance workforce efficiency through a comprehensive, intuitive portal that offers single sign-on functionality. More than 47,000 provider locations leverage our innovative solutions to simplify the intricacies of the patient care journey. Revolutionize the financial experience for patients while reducing administrative and clinical burdens with the Inovalon Provider Cloud, which integrates various workflows into a cohesive system. Our Software as a Service (SaaS) solutions are tailored to improve both financial outcomes and clinical results throughout the patient's experience, enabling streamlined revenue cycle operations for better reimbursement and maintaining adequate staffing levels for superior care quality. This integrated portal empowers your organization to enhance its overall performance, increasing revenue, employee satisfaction, and standards of care. By improving operational efficiency, productivity, and overall effectiveness, you can realize the maximum potential of your organization. Discover the transformative features of the Provider Cloud today, and watch your organization thrive. -
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Majesco ClaimVantage
Majesco
Streamline claims, enhance satisfaction, and future-proof your operations.The impact of digital technologies on the insurance industry is significant, with companies that embrace these advancements poised to achieve a substantial competitive advantage. Traditional claim management processes that depend on multiple platforms, physical paperwork, and labor-intensive workflows are increasingly being replaced by cloud-based enterprise claim management systems. One such solution, the Majesco ClaimVantage Claims Management Software for Life and Health, streamlines the claims process from initial intake to payment calculations, all while integrating various systems to improve information flow across the organization. By facilitating accurate and timely claim decisions, businesses can enhance customer satisfaction and increase operational efficiency. Furthermore, built on the Salesforce Lightning Platform, Majesco ClaimVantage not only helps insurance companies and third-party administrators modernize their claims handling but also prepares them for future growth opportunities within the industry. As technology continues to advance, adopting such innovative tools will be essential for maintaining long-term competitiveness and success. Ultimately, the ability to adapt and evolve will determine which companies thrive in this rapidly changing environment. -
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Centauri Health Solutions
Centauri Health Solutions
Transforming healthcare with innovative technology and compassionate support.Centauri Health Solutions focuses on healthcare technology and services, driven by a strong desire to improve the efficiency of the healthcare system for clients while providing compassionate care to those in need. Our innovative software utilizes advanced analytics to assist hospitals and health plans—including sectors like Medicare, Medicaid, Exchange, and Commercial—in managing their variable revenue through a tailored workflow platform. Additionally, we offer personalized support to patients and members, ensuring they have access to essential benefits that can greatly enhance their quality of life. Our comprehensive solutions include Risk Adjustment services (such as Medical Record Retrieval, Medical Record Coding, Analytics, and RAPS/EDPS Submissions), management of HEDIS® and Stars Quality Programs, Clinical Data Exchange, Eligibility and Enrollment services, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, and both Referral Management & Analytics, while also addressing Social Determinants of Health to improve healthcare outcomes and accessibility even further. Each element is meticulously crafted to function together, ultimately fostering a more effective and compassionate healthcare experience for all stakeholders involved. By integrating these services seamlessly, we aim to create a healthcare environment that not only meets but exceeds the expectations of our clients and the communities we serve. -
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OneTouch Claims Processing Software
Apex EDI
Streamline your claims with effortless navigation and access.OneTouch is a convenient application designed to help users swiftly send claims or statements to Apex, navigate the Apex website, and check previously submitted claims directly from their desktop. To ensure OneTouch operates effectively, users need to register with Apex EDI and create a username and password. Once these credentials are established, users can customize OneTouch to fully utilize its extensive features. The Search function within OneTouch allows users to effortlessly find their submitted claim and statement files to Apex, providing easy access to essential information from their desktop. Users can search for specific patient names, subscriber IDs, and various other criteria within this feature. After the search is initiated by clicking the search button, users are seamlessly logged into their Apex webpage to review the results. To kick off the search, users should choose their preferred search criteria from a dropdown menu symbolized by a magnifying glass. This efficient method not only conserves time but also significantly improves the user experience when handling claims and statements, making OneTouch an indispensable tool for managing healthcare documentation. Additionally, the intuitive design of OneTouch encourages users to explore its additional functionalities, further enhancing their workflow. -
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EzyMed Online 4
Top Tech Computing Systems
Streamline your practice, enhance care, empower healthcare professionals.EzyMed Online 4 is a comprehensive Medical Practice Management solution that caters specifically to General Practices, Radiology, and Specialist Centres throughout Australia. It is meticulously crafted to address the distinct requirements of the Australian healthcare environment, providing essential features for facilitating Online Claiming with Medicare Australia, along with claims for the Department of Veterans Affairs (DVA) and the Australian Childhood Immunisation Register (ACIR). This all-in-one system streamlines practice management with its user-friendly interface, allowing for seamless operational efficiency with minimal input from staff. With a robust and secure database management system, EzyMed Online 4 guarantees outstanding performance and reliability while managing extensive data, including over one million records. Once patients register at the reception desk, the software carefully monitors the entire consultation process, digitally archiving all relevant information in the patient’s record. This capability allows healthcare professionals to access a detailed medical history at any time, which includes every appointment ever recorded, thereby significantly improving the continuity of care and the quality of services provided. Ultimately, EzyMed Online 4 not only simplifies the administrative burdens of medical practices but also enhances their overall operational effectiveness, allowing healthcare providers to focus more on patient care. Furthermore, its ability to adapt to the evolving needs of the healthcare sector makes it an invaluable tool for practitioners. -
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MicroMD PM
Henry Schein
Transform appointment management for seamless patient experiences today!Equip your front desk team with the necessary flexibility to ensure smooth patient experiences throughout each step of the appointment journey. Utilizing MicroMD’s Practice Management scheduling tools allows for the effective management of even the busiest days with precision and ease. Effortlessly identify available time slots that cater to patient needs and staff availability while being able to add notes and classify appointments for better organization. The advanced waiting lists intelligently match the required duration, physician, time, and location, ultimately boosting productivity and enhancing patient satisfaction. By employing template-driven layouts, you can showcase appointment schedules by week, day, location, and provider, ensuring that everything remains clear and well-structured. The addition of color-coded views, assigned time slots, and recurring schedules simplifies the scheduling process significantly. Furthermore, patients benefit from the ability to book appointments or send requests through the Henry Schein Secure Chart Patient Portal, where they can log in and instantly view available times for multiple providers. This convenient access not only fosters greater patient involvement but also significantly enhances the operational efficiency of your practice, creating a more effective healthcare environment. As a result, both your team and patients experience a smoother, more organized approach to managing appointments.