Context 4 Health Plans SuiteContext4 Healthcare
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Related Products
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About
Protect the integrity of your health plan and determine accurate pricing with the Context4 Health Plans Suite, our modular, cloud‑based technology platform. Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts. Accurate data and cutting-edge cloud technology combine to create a proven and defensible medicare reference-based pricing (RBP) solution. More than 100 healthcare data sets, with professional support to optimize efficiency and compliance. Advanced medical coding software designed to expedite claim submission and minimize denials. Our cloud based Payment Integrity Platform utilizes our proprietary analytics engine to identify coding errors, medical necessity, unbundling, fraud-waste-abuse, audit risks, pricing and other aberrations that can impact your business.
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About
Our AI-powered technology helps you deliver fast and accurate claims decisions, enabling you to better serve your customers. However, by adapting certain features and data sources, we have developed a solution that’s configurable for every insurance line, from health and life insurance to motor and property. Sprout.ai provides fast and accurate claims decisions whatever the sector. From handwritten doctor’s notes, to call transcripts and prescriptions, our technology extracts all the relevant information from any type of claim document. The claim is validated with external data points such as treatment codes, provider network policies, or medication information, and then checked against policy documents. Deep learning AI algorithms predict the best next step for a claim and pair it with a clear justification.
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Audience
Healthcare organizations and care teams looking for a digital health solution to deliver high-quality care, improve population health management and drive performance
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Audience
Companies wanting an AI powered insurance claims automation platform
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Support
Phone Support
24/7 Live Support
Online
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Support
Phone Support
24/7 Live Support
Online
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API
Offers API
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API
Offers API
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Screenshots and Videos |
Screenshots and Videos |
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Pricing
No information available.
Free Version
Free Trial
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Pricing
No information available.
Free Version
Free Trial
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Reviews/
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Reviews/
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Training
Documentation
Webinars
Live Online
In Person
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Training
Documentation
Webinars
Live Online
In Person
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Company InformationContext4 Healthcare
Founded: 1988
United States
www.context4healthcare.com
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Company InformationSprout.ai
Founded: 2018
United Kingdom
sprout.ai/
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Categories |
Categories |
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Integrations
Virtual Benefits Administrator (VBA)
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