MEDICAID BILLING
- Improved cash flow and Super Low denials and write-off's
- No more Emailing spreadsheets, calling billing companies, waiting for status and reports
- Electronic Batch Billing (837P or 837I) for Medicaid and Managed Care Payers
- Automated posting of Health Care Claim Payment and Remittance Advice (835)
- Forecast Analytics and Financial reports
TRANSPORTATION BILLING
- Ability to Schedule the Transportation
- Ability to bill directly to Adult Day Care or Medicaid for transportation billing
- Ability to bill private payers for transportation billing
PRIVATE PAYER / FOUNDATION ORGANIZATION
- Automated end to end generating invoices based on attendance, bathing, toileting, food, transportation
- Ability to post private payment via check or credit card
- Ability to generate invoices based on family members
AI-Powered Claim Scrubbing
Our advanced AI-powered claim scrubbing ensures error-free & clean claims are submitted promptly, leading to faster reimbursement & minimal denials/rejections.
AI-Enhanced Electronic Submission
Experience seamless corrections & re-submissions powered by AI, systematically addressing any claims held. Identify and resolve issues promptly for optimal efficiency.
AI-Driven Automated Reconciliation
Efficiently manage ERAs and EOBs with automated reconciliation, verifying each payment and proactively following up on any denied or rejected claims.
Dashboard Analytics
Access at-a-glance updates of your financial health through our AI-enabled insight dashboard. Filter data by provider, carrier, location, & date range for actionable insights.
Customized Reports
Get detailed insights into payment trends, charges, & adjustments for each billing entry with customized reports. Our reports are user-friendly & can be customized to fit your requirements.
AI-DRIVEN VALIDATION PRIOR TO SUBMISSION
Utilize AI technology to automatically identify Certain to Deny claims, boosting first-pass billing accuracy rates by an average of 50%. Our software employs AI to validate a range of critical factors, including:
- AI-Enhanced Eligibility Verifications
- AI-Powered Eligibility Discovery
- AI-Enabled Prior Authorization
- AI-Driven Client Demographic Validation
- AI-Assisted Billing Diagnosis Code Validation
- AI-Validated Payer Information
- AI-Verified Ordering Physician Details
- AI-Secured Authorization Code Verification
Experience the power of AI-driven validation for proactive claim processing and increased revenue integrity.
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