HealthRules Payer vs. NaviNet Open Comparison Chart

Service Center by Office Ally is a trusted Revenue Cycle Management and patient payments platform used by more than 80,000 healthcare providers and health services organizations, which process more than 950 million transactions annually. Service Center is a cost-effective solution enabling providers to control their revenue cycle. With a user-friendly interface, Service Center helps providers check and verify patients’ eligibility and benefits, submit, correct, and check the status of their claims online, and receive remittance advice. Accepting standard ANSI formats, data entry and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers.

Provide exceptional, data-driven care from anywhere with Valant, the all-in-one EHR and practice management software designed exclusively for behavioral health practices of all sizes. - Focus the efforts of your entire workflow in one system built for individual psychotherapy, medication management, group counseling and more, whether delivered in person or virtually. - Speed your documentation process with 100+ clinical templates for evidence-based and specialized therapies, such as DBT, CBT, MFT, TMS, and weight and eating disorders. - Track your progress with 100+ comprehensive reports on patient retention, compliance, productivity, and financial performance. Demonstrate the value of your care to payers with 80+ reportable outcome measures you can schedule send to patients, auto-score, document, and track progress.

Elation Health is the leading technology platform for primary care, providing clinical-first solutions since 2010. Our award-winning EHR and billing platform supports 32,000 clinicians in delivering personalized care to over 16 million patients, helping providers rediscover the joy in medicine. Elation’s tools center on supporting primary care practices with tailored capabilities and workflows that streamline the complexities of longitudinal care, facilitate alignment with value-based care, and maximize revenue for each practice. Elation Health provides a comprehensive platform for primary care practices, including a clinical-first EHR for streamlined care workflows, integrated billing software to optimize revenue cycle management, and AI-powered tools that reduce documentation time by up to 2 hours daily, streamlining clinical encounters. Together, these solutions enhance efficiency, support personalized patient care, and empower independent practices to thrive.

For solo and small-group mental health practice owners, TheraNest is the EHR and practice-management platform that simplifies clinical documentation, streamlines billing, and empowers sustainable practice growth without administrative headaches. Unlike SimplePractice and TherapyNotes, TherapyNotes uniquely allows therapists to run secure group telehealth sessions (up to 20 participants), automatically insert evidence-based Wiley® treatment plans, and access built-in flat-rate RCM services — all in one place. TheraNest gives therapists back time, control, and confidence by combining workflow automation, AI-enhanced documentation, and reliable U.S.-based support.

Opus is a comprehensive EHR, CRM, and RCM platform designed to streamline operations for behavioral health treatment centers, including addiction, mental health, and SUD (substance use disorder) clinics. The platform provides integrated tools for patient management, billing, scheduling, and telehealth services. Opus enhances efficiency with features like intelligent lead routing, insurance verification, automated tasks, and customizable forms. It also includes advanced reporting, AI-driven progress note generation, and seamless lab integrations. With a focus on flexibility and scalability, Opus is ideal for small to large multi-center organizations in the behavioral health space.

Qualio is the leading quality and compliance platform built exclusively for emerging life sciences companies. MedTech, pharma, biotech, and diagnostics teams use Qualio to standardize quality processes, connect them to regulatory obligations, and gain real-time visibility into compliance health. With a modern eQMS at the core and Compliance Intelligence layered on top, Qualio helps teams get audit ready in weeks and stay audit ready forever — without spreadsheets, fire drills, or heavyweight GRC systems. What Qualio delivers: ✔️ Audit ready in weeks ✔️ Inspection ready anytime — no fire drills ✔️ Faster market entry ✔️ Lower total cost of compliance ✔️ Confident, risk-managed scaling

Incredable streamlines and simplifies the complex process of medical credentialing for hospitals and medical facilities, helping you save valuable time, reduce costs, and minimize risks. With Incredable, you can effortlessly manage all your healthcare providers and their credentials within a single, unified platform. Our state-of-the-art technology ensures top-notch data security, giving you peace of mind. Our platform offers comprehensive features such as Expiration Management to keep track of credential renewals, detailed Reporting for insightful analytics, and Task Management to streamline your workflow. Additionally, Payer Tracking helps you stay on top of insurance requirements, while Privileging and Appointments ensure seamless provider assignments. We also provide Exclusions and Sanctions Monitoring, keeping you compliant with regulations, and License Verification to confirm the validity of provider credentials.

Increase your EMPLOYEE PRODUCTIVITY and improve MEMBER ENGAGEMENT with ShapeNet Club Management Software. An all-in-one cloud-based management solution for fitness, country clubs and wellness facilities. Shapenet delivers a full suite of integrated technology solutions. Services offered include TEXTING, MOBILE APP, SALES MANAGEMENT, POS, GAMIFICATION AND LOYALTY POINTS, CUSTOM QUESTIONNAIRES, DOOR ACCESS, SCHEDULING, PERSONAL TRAINING AND CLASS MANAGEMENT, AUTOMATED BILLING, VIDEO FITNESS WORKOUTS and ABILITY TO PASS CONVIENCE FEES TO MEMBERS, Since 2002, ShapeNet has been providing enterprise cloud-based SaaS solutions, including Health Club Management Software, Health Club Billing Software.

NovusMED is an ecosystem that includes call center, administrative, driver applications, and client/clinic booking applications. NovusMED is the platform of choice for a wide range of medical transportation services and includes configurations for brokerage, providers, senior, community, and home health programs. Accurately manage calls and patient information. Monitor real-time performance and adjust resource capacity to meet changes in service demand. Manage will calls, confirmation calls, and recurring trips/standing orders in real time. Improved mileage reimbursement and cost calculators to manage multiple contractors, funding sources (payors), multiple providers, and volunteer driver programs. Enhanced credential management for vehicles and drivers. Manage subcontractor outsourcing with provider mobile, trip bidding, and trip offers. Able to see the closest vehicle and perform immediate bookings.

Macaw AMS is for selling Insurance. Brokers, MGAs, MGUs, Program Managers and Lloyds Coverholders can use Macaw AMS to automate their operating model. Macaw AMS is built with a customer-centric model. It supports CRM, Sales, Underwriting, Rating, Policy Servicing, Claims Intimation and Billing. Self-service portals are available for Customers, Producers and Carriers. The reporting, analytics and visualization capabilities are best-in-class. Macaw AMS comes with in-built Document Management and Task Management facilities. It has several ready adaptors to provide integrated & in-flow facilities for eSignature, Payment, OFAC check, Mass Emailing and Computer Telephony, using 3rd Party Services. Macaw AMS is hosted in cloud and tested for cyber security. Technology-wise, the screens are responsive and can be used from web / mobile / tablet. The database is relational and the core components are written in Java. At the peak, Macaw AMS can process 500-1000 Policies within one day.