Alternatives to ABN Assistant
Compare ABN Assistant alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to ABN Assistant in 2025. Compare features, ratings, user reviews, pricing, and more from ABN Assistant competitors and alternatives in order to make an informed decision for your business.
-
1
RXNT
RXNT
RXNT is an ambulatory healthcare technology pioneer that empowers medical practices and healthcare organizations to succeed and scale through innovative, data-backed, AI-powered software. Our fully-integrated, ONC-certified suite of medical software—like Clinical EHRs, Practice Management, Medical Billing and RCM, E-Prescribing, Practice Scheduling, Patient Portal, and more—optimizes clinical outcomes and RCM for your practice. Used by tens of thousands of medical professionals—from large physician practices to medical billing companies—to drive growth, streamline business operations, and improve patient care across all 50 U.S. states. Our unified “Full Suite” system employs a secure, central database so your data passes through every product in real-time from anywhere, and more than 125 million prescriptions have been transmitted and over $7 billion in claims have been processed using RXNT. -
2
ScriptSure
DAW Systems, Inc.
Discover the pinnacle of E-Prescribing solutions with ScriptSure Cloud ERX – the unparalleled winner of the esteemed White Coat Award for Most Accurate Prescriptions in 2021, 2022, and 2023, securing its position as an 11-time recipient of this prestigious accolade. ScriptSure Cloud ERX seamlessly integrates full e-prescribing capabilities, EPCS (controlled substance prescribing) and weekly updates to medications and daily updates to pharmacy lists. With ScriptSure you get price transparency as well; detailed costs, alternatives and ePA requirement indicators for most medications. Enjoy a user-friendly interface and streamlined workflow methods for electronic refills, order sets, compound medication ordering, prescription printing, patient reports and comprehensive audit logs. Security and compliance are paramount, with ScriptSure being fully HIPAA compliant, ensuring the confidentiality and privacy of patient data. ScriptSure is fast, accurate and built for patient safety. -
3
Service Center
Office Ally
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. -
4
XpertCoding
XpertDox
XpertCoding is an AI-powered medical coding software by XpertDox that uses advanced AI, natural language processing (NLP), and machine learning to code medical claims automatically within 24 hours. It automates the coding process, enabling faster and more accurate claims submissions to maximize financial gains for healthcare organizations. Features include minimal human supervision, easy EHR connectivity, flexible cost structure, a significant reduction in denials and coding costs, a HIPAA-compliant business intelligence platform, risk-free implementation with no initial fee and a free first month, and higher coding accuracy. XpertCoding's autonomous coding solution helps healthcare providers and organizations get paid faster, accelerating the revenue cycle and allowing them to focus on patient care. Opt for XpertCoding for a reliable and accurate medical coding software solution for your practice. -
5
Azalea EHR
Azalea Health
Azalea Health Innovations (Azalea) is changing the way health IT platforms connect community-based healthcare providers and patients across the care continuum. Offering a 100% cloud-based, interoperable solution, Azalea delivers an electronic health record that is fully integrated with telehealth, revenue cycle management, and analytic solutions designed for rural, community, and urban practices and hospitals. Quick to deploy and intuitive to use, Azalea's EHR ensures better care coordination and communication, and the “one patient, one record” approach provides care teams the agility to achieve better outcomes. The Azalea platform also delivers tools and resources to help providers meet their Meaningful Use requirements, and informs their strategies to navigate accountable care and alternative payment models. -
6
Benchmark PM
Benchmark Solutions
Benchmark PM enhances patient engagement from initial intake through final encounter with features such as patient onboarding, easy appointment scheduling, customizable reminders, robust reporting, and user-friendly dashboards. For billing, Benchmark PM simplifies filing, processing, and follow-up with integrated claims management, an integrated clearinghouse, electronic billing, insurance verification, and a versatile payment portal. Benchmark Solutions operates as healthcare practices’ one-stop management solution, comprising of Benchmark EHR software, Benchmark PM software, and Benchmark RCM services. Benchmark Solutions' offerings come together to form a comprehensive electronic toolset that can streamline daily internal operations and increase revenue earned all while improving the overall patient experience. Each piece of the Benchmark Solutions suite is modular so it can easily integrate with other technologies already in place. -
7
Practice Mate
Office Ally
Practice Mate by Office Ally is a comprehensive practice management solution used by over 25,000 healthcare organizations. It simplifies revenue cycle management and assists in HIPAA-compliant recordkeeping for new and existing practices. Its user-friendly interface offers easy billing management that checks eligibility and benefits and manages claim submission and tracking. Its seamless integration with other Office Ally solutions provides additional functionality such as patient intake, reminders, e-prescriptions, and more. With no cost, commitment, or implementation, you can get started today to help reduce unnecessary administrative tasks, enhance provider job satisfaction, and improve the overall patient experience.Starting Price: $0 -
8
ClearGage
ClearGage
Technology-enabled patient billing and payments. Accept PCI compliant payments through online and point-of-care payment methods including POS systems, Google pay, Apple pay, online payment portals and text to pay. Eliminate A/R with automated post-care payments pre-authorized up to a specific amount with patient consent. Send receipts instead of statements with digital-first text and email statements with secure payment options. Accept full or partial payments or enable patients to set up payment plans at their convenience with a fully customizable practice branded portal. Estimate your patients’ out-of-pocket expenses with greater accuracy for a more transparent patient experience and assist patients in financial management to improve treatment acceptance.Starting Price: $89.00 -
9
Canvas Medical
Canvas Medical
Care delivery companies, from 4-person telehealth startups to 40 million-member health plans, leverage Canvas software and APIs to launch new patient experiences and business models faster, and at a fraction of the cost of traditional solutions. That's the Canvas advantage. Innovative teams need an EMR and payments solution built for both clinicians and software developers. We bring together everything it takes to integrate new digital patient experiences, care models, and payment arrangements. The Canvas platform enables orchestrating care services and payments for companies delivering direct-to-consumer virtual care, at-risk complex care, and everything in between. The Canvas platform enables established medical groups to get ahead of industry transformation, as well as novel payer-provider collaborations. Canvas is a headless EMR with built-in payments and insurance reimbursements. Build your new patient experiences faster on Canvas to keep your care team at the top of their game.Starting Price: Free -
10
MediFusion
MediFusion
MediFusion is a fully integrated suite of software designed to offer innovative EHR and medical billing solutions to healthcare practices and enhance clinical, administrative and financial operations. Our team is just a phone call away to provide ongoing EHR training and be there for you whenever you need help and support. Speed-up your clinical processes and automate your workflow with our all-in-one integrated solution. A system that manages the entire revenue cycle from Eligibility Verification to Claim Processing and getting paid. Our cloud-based Electronic Health Record (EHR) software is an integrated and scalable solution to enable your practice to improve the quality of care provided to patients. This easy to use web-based EHR platform allows you to document, access and track your Clinical and Financial information on any internet-ready device no matter where you are. -
11
GenHealth.ai
GenHealth.ai
GenHealth.ai is a healthcare-focused generative AI platform built on a proprietary Large Medical Model (LMM) trained using data from over 100 million patient histories rather than natural language. The LMM processes medical codes and events to predict future patient trajectories, forecast costs, and simulate clinical pathways with higher accuracy and fewer hallucinations than traditional large language models. It supports a suite of purpose-built applications, including Intake Automation (PDF routing, data extraction, medical necessity), Prior Authorization Agent for automated adjudication, and G‑Mode analytics, which enables users to “chat” with historical and projected population‐health data via natural language, all without coding. This AI‑powered co‑pilot has shown 94 % accuracy in prior‑auth cases, a 120× improvement in medical loss ratio forecasting, and 110 % better cost prediction versus standard HCC scoring. -
12
CoverMyMeds
McKesson
We’re accelerating innovative solutions created to benefit all stakeholders in healthcare, to help increase speed to therapy, reduce prescription abandonment and support improved health outcomes for the patient. We’re committed to removing access barriers to healthcare — whether it’s resolving prior authorization requests or raising awareness around support services. Healthcare is seemingly more expensive than ever. Assist your patients in getting their prescribed therapy with affordability solutions that help with high-deductible health plans, increasing copays and a lack of visibility. For some, staying on therapy can be the hardest part of their healthcare journey — whether it’s learning how to take their medications or simply remembering to do it at the prescribed time. Which is why these adherence challenges must be met with people-first solutions. -
13
PMS Insight Medical Billing
PMS Insight
PMS Insight is a full-service and highly organized, medical billing service company dedicated to provide complete, custom-made, claims billing and patient accounting services. Our Medical Billing Services team are specialized in efficient and revenue generating billing practices and successfully meet with the demands of various needs of the health care industry. Our Medical Billing Services extends to Houston, Dallas, Austin, Los Angeles, New Jersey and Boston. In any organization dedicated to patient care managing medical billing can be a huge burden and a distraction from the core strength of patient care. Working with a professional medical billing service like PMS Insight guarantees that professionals are at work efficiently managing claims billing, authorization, appeals, patient billing and follow up. We at PMS Insight have streamlined our processes over the years and manage transactions through electronic processing, and integrated medical billing software. -
14
Southern Scripts
Southern Scripts
Southern Scripts simplifies the complexities of navigating through the Pharmacy Benefit Manager world by giving the employer group complete freedom, control, and choice as to how they structure their plan. Southern Scripts is a leading pharmacy benefits manager (PBM) founded by pharmacists to reinvent the traditional PBM approach. Our innovative pass-through PBM model and flexible solutions empower plan sponsors to achieve maximum cost savings, decreased risk, and optimum versatility in plan design to achieve true patient-centered clinical care at the lowest net cost. Plan sponsor is charged the exact price the pharmacy is paid. We pass all discounts and rebates that we secure at 100% to the plan sponsor. No additional fees for standard PBM services, such as prior authorizations, step therapy, and data reporting. Our robust clinical management program and high-performance drug formularies deliver the lowest net cost to protect plans from unnecessary expenses. -
15
Inbox Health
Inbox Health
Medical billing teams of every size use Inbox Health to turn managing patient responsibility from a liability into an asset. Take back your time by automating the most tedious and labor intensive parts of managing the patient A/R process. Your clients will receive the patient experience that they demand, while seeing increased collections rates and improved payment velocity. Inbox Health streamlines administrative tasks so you can focus on patient care. Improve patient satisfaction, increase profitability, save time, and reduce overhead costs. The platform ensures patient billing is efficient, empathetic, and effective. Encourage timely balance resolution with patient-friendly statements that get results. Automated billing cycles are set to the specifications of your clients and statements are delivered to patients via email, paper and text message. -
16
Prestige Billing
Elevos
Elevos understands our customers must have complete confidence in our revenue cycle management process. As one of the nation’s leading providers of EMS software and ambulance medical billing services, we have developed a proven business model focused on process execution and the patient experience. Our goal is to give our customers every advantage to elevate patient care by optimizing revenue recovery with technology, expertise, and unsurpassed customer service. Our billing solution generates over 60 financial and statistical reports out of the box. On top of that, we have used Microsoft’s Power BI to develop one of the industry’s most advanced Business Intelligence (BI) web-based reporting platforms. With Elevos you get enhanced visibility into your financials including views into charges and payments trending, revenue projections by payer, and more. -
17
EHR 24/7®
Office Ally
EHR 24/7 by Office Ally is a trusted electronic health record system used by more than 20,000 users. Its comprehensive patient charting and document management, real-time patient information, and customizable forms provide healthcare providers with an intuitive interface to manage patient care. By using EHR 24/7, providers can improve communication and collaboration between providers, leading to more accurate diagnoses and fewer errors. Its seamless integration with other Office Ally solutions also provides additional functionality such as patient intake, electronic prescription, etc. With no needed implementation, healthcare providers can use EHR 24/7 to treat and document patients today.Starting Price: $44.95 per month -
18
PracticeAdmin
PracticeAdmin
PracticeAdmin Scheduling reduces no-shows and improves your patient interactions by providing the data you need on demand. Using our proprietary rules-based architecture, you can set up your own preferences — whether you’re a solo provider, small to medium sized organization or a provider with multiple locations. Create your own scheduling templates for an unlimited number of locations and set up automated patient reminders. Billing is your one stop tool to manage patient registration, claims and payment. You can track all of your patient information and prior authorizations. It integrates easily with your EHR and helps keep track of your Meaningful Use certification. Billing lets you know if your claim has an error before it’s sent. Quickly re-submit your claim with no penalty, and monitor all of your EDI rejections. -
19
Waystar
Waystar
The financial and administrative challenges facing healthcare providers are daunting. Waystar’s technology platform simplifies and unifies healthcare payments across the revenue cycle. We empower healthcare organizations to automate manual work, gain insight into processes and performance, and ultimately collect more revenue. At Waystar, we know there’s a better, more efficient way forward. Let’s climb the mountain ahead of us to reach new heights in healthcare. We know that adopting new revenue cycle technology can seem like an obstacle. Whatever your existing systems, our cost-effective technology is compatible and gets up and running quickly. Our single sign-on platform lets you manage commercial, government and patient payments all in one place, so you can consolidate vendors and eliminate the hassle of multiple systems. Give your staff intuitive solutions that will make their jobs easier and their workflows more productive.Starting Price: $100 per month -
20
Veradigm AccelRx
Veradigm
Veradigm AccelRx delivers a free, automated, comprehensive solution to help you streamline specialty medication fulfillment for your patients. With faster time to therapy comes better odds for medication adherence and positive outcomes, as well as fewer phone calls and faxes for your staff. Combining electronic enrollment, consent, prior authorization, and script into an all-in-one system, AccelRx can help your practice significantly cut time-to-fulfillment for all specialty drugs, with any payer. Automatically populate patient data on enrollment and other forms with the click of a button. A single user-friendly platform to help you transform specialty medication management. Enhance your management of most specialty drugs all in one place, including electronic prior authorization (ePA). Access your enhanced specialty medication management as part of your existing electronic health record (EHR) workflow. -
21
Quadax
Quadax
How well you manage the challenges of your revenue cycle has a direct effect on your bottom line and the success of your entire organization. It doesn’t matter how many patients seek your care if it’s taking months to receive the expected payments for the services you provide. And, you shouldn’t have to spend hours each day tracking down the payments you’ve worked hard to earn. There’s a better way to maximize healthcare reimbursement. Let Quadax be your guide to creating a comprehensive, sustainable and orderly strategic plan, and select the right technology solutions and services that best fit your business model. With us as your partner, you can achieve operational efficiency, optimize financial performance and enhance the patient experience. The goal for every claim going out the door is to avoid a denial and get paid as quickly as possible. -
22
Infinx
Infinx Healthcare
Leverage automation and intelligence to overcome patient access and revenue cycle challenges and increase reimbursements for patient care delivered. Despite the progress AI and automation is making in automating patient access and revenue cycle processes, there still remains a need for staff with RCM, clinical and compliance expertise to ensure patients seen were financially cleared and services rendered are accurately billed and reimbursed. We provide our clients with complete technology plus team coverage with deep knowledge of the complicated reimbursement landscape. Our technology and team learn from billions of transactions processed for leading healthcare providers and 1400 payers across the United States. Get quicker financial clearance for patients before care with our patient access plus a platform that provides complete coverage for obtaining eligibility verifications, benefit checks, patient pay estimates, and prior authorization approvals, all in one system. -
23
AuthParency
Oncospark
Prior Authorization with AuthParency Prior authorization is a growing administrative burden for healthcare providers. Our automated prior authorization solution, AuthParency™, is powered by AI and machine learning (ML). This advanced system can cut your team’s prior authorization time in half. It is also compatible with all EHR and practice management systems AuthParency helps: Analyze payers’ tendencies Reduce patients’ days to care Improve patient outcomes Stop losses from non-reimbursable services Identify financial toxicity burdens Analyze population health data Track disparities Pharmaceutical companies -
24
Collectly
Collectly
We help 300+ medical groups accelerate and increase patient cash flow, automate the entire patient billing process, and increase patient satisfaction. Collectly is a tech-enabled patient billing platform that works as an add-on for your EHR/PM. Collectly accelerates and increases patient cash flow, streamlines post-service billing operations, and provides the best patient experience that works for all demographics. Since patient responsibility increases every year by 12%, more and more private practices, urgent cares, and other ambulatory healthcare organizations feel the need for better ways to collect patient payments. Collectly is an innovative tool for practices that want to demystify medical billing, boost patient collection rates, and improve the patient billing experience. Most importantly, your current EHR/PM practices can remain the same. -
25
Silna Health
Silna Health
Silna Health’s Care Readiness Platform handles all prior authorizations, benefit checks, and insurance monitoring upfront to make sure patients are clear to receive care while providers gain capacity to focus on treatment. Its AI‑powered engine manages the entire prior authorization workflow, from tracking upcoming authorizations and sending weekly reminders to submissions and follow‑ups, automatically applying industry‑proven rules and escalating exceptions for human review. Specialty‑specific benefit checks verify coverage, accumulations, authorization requirements, and visit limits in real time, delivering accurate quotes at intake. Continuous insurance monitoring flags lost coverage, detects new plans, and safeguards against eligibility lapses. Designed for zero extra headcount, Silna ingests data directly from EMRs and practice management systems, offers configurable rule sets and strategic guidelines, and presents clear dashboards with incremental revenue insights. -
26
pMD
pMD
End-to-end practice management and revenue cycle solutions. From patient intake to getting paid, pMD has all the software and services you need to run your medical practice. With fewer systems involved, there's less room for errors and inefficiencies. Use all of the features pMD has to offer, or we can integrate seamlessly with your existing systems. A comprehensive and secure communication strategy means fewer gaps in care and a better patient experience. Delivering the best possible care means having a standardized communication channel to connect about and with your patients. We make sure all the important patient information is accessible in one place, saving you valuable time when you need to access it. pMD offers the comprehensive, integrated, and HIPAA-compliant telemedicine platform solution health care providers need to provide unparalleled patient care. Explore all the easy-to-use telehealth software app offers and get pMD telemedicine for your practice and patients.Starting Price: Free -
27
CureMD Medical Billing
CureMD
CureMD is an award-winning provider of specialty EHR and billing services to help optimize efficiency, decrease cost, and enhance the patient experience. Our cloud platform enables the seamless exchange of information across multiple platforms, systems, and organizations - driving greater collaboration, productivity, and patient safety. With 20 years of medical billing experience, our team is equipped with advanced technology and operational excellence to take your billing operations forward, whether you are a multi-specialty group or a solo practice. Payor changes are inevitable, but we stay ahead by constantly updating our rules engine: a knowledge base with more than 4 million rules that automatically detects claim issues before submission. This ensures that 96% of our claims get accepted and paid on first submission, helping you collect much faster.Starting Price: $295.00/month -
28
AdvancedMD
AdvancedMD
Enjoy ease of access and security without compromise. Work remotely, see patients and stay connected with a comprehensive cloud suite of office and remote care technologies. Since 1999 we are the only medical office software built on a 100% cloud platform. We are pleased to offer our entire suite of software and data storage on the Amazon Web Services (AWS) cloud hosting platform. Combined, AdvancedMD and AWS offer an unprecedented experience with fast, reliable access to all your information, unwavering data security, and simplified storage with automatic backup. No other ambulatory software system offers this standard of hosting, which means starting or growing your practice on the cloud is as easy and affordable as it gets. Because our software is hosted and managed on AWS, as part of your low monthly subscription you get the highest levels of reliability, security and performance. Our cloud platform makes our software simple to access across multiple devices and platforms. -
29
Rivet
Rivet Health
Patient cost estimates and upfront collection. Understand patient responsibility instantly with automatic eligibility and benefit verification checks. Hyper-accurate estimates based on your own practice data, creating better care and a healthier business. Send estimates via HIPAA-compliant text or email. It's time to treat 2020 like 2020. Collect more than ever with upfront mobile patient payments. Ditch the write offs and decrease patient AR. Run eligibility checks and provide accurate cost estimates, even for multiple payers, treatments, facilities or providers. Collect payment up front via HIPAA-compliant text or email. Reduce A/R days, collect more revenue and increase patient satisfaction all at once. Identify, analyze and resolve denials, as well as track ROI from reworked claims. Automate denial assignments to team members via Rivet, and leave notes and links along the way to resolve future denials even faster. -
30
Experian Health
Experian Health
Patient access is the starting point for your entire revenue cycle process. Ensuring correct patient information on the front end reduces the errors that cause rework in the back office. 10 to 20 percent of a health system's revenue is forced to remediate denied medical claims and 30 to 50 percent of those occur during patient access. By adopting an automated, data-driven workflow—not only are you reducing the errors that lead to claim denials, you’re also improving access to care for your patients through capabilities like online scheduling options that are available 24/7. Access is further improved by reducing the friction around patient billing by leveraging real-time eligibility verification to deliver accurate patient estimates at registration. Increase staff efficiencies by improving registration accuracy. Correct discrepancies and errors in real time to avoid costly denials and rework. -
31
Myndshft
Myndshft
Experience a seamless workflow by having real-time transactions driven within existing technology platforms. Providers and Payers reduce time and effort by up to 90% for benefits and utilization management. Eliminate the current benefits and utilization management black box – eliminating confusion for patients, providers and payers. Self-learning automation and fewer clicks mean more time for patients, providers and payers to focus on care. Myndshft eliminates the quagmire of point solutions by providing a unified, end-to-end platform for in the moment payer-provider-patient interactions. Myndshft dynamically updates automated workflow and rules engines based on the actual responses and results from provider-payer interactions. Our technology continuously adapts to the rules in use by payers. The more you use it, the smarter it gets. A library of continuously-updated thousands of rules for national, state and regional payers. -
32
XIFIN RPM
XIFIN
Powered by our advanced, cloud-based technology platform, XIFIN RPM is a comprehensive, highly automated Revenue Cycle Management solution that maximizes efficiency, refines medical cycle billing, improves cash collection, and increases financial accuracy. Diagnostic providers need financial management technology that not only helps improve cash collections, but also delivers visibility and control over financial operations, and provides connectivity within and beyond the organization. With these increasingly complex needs, diagnostic providers are poorly served by traditional billing systems that lack the referential and financial integrity required to deliver accurate, auditable information. Instead, they need a technology infrastructure with a solid financial and accounting foundation that delivers full visibility to understand the financial status of every diagnostic activity a provider performs, at every stage from order submission to payment. -
33
Rhyme
Rhyme
Rhyme connects payers and providers intelligently inside the prior authorization workflow, reclaiming the time lost on back-and-forth efforts and returning it to the patient. Automating manual tasks is critical (that’s why we do it), but it isn’t enough. When the nuances of clinical decision-making require collaboration between payers and providers, Rhyme keeps your workflow clear, agile, and fluid. We created the largest integrated prior authorization network, to leave a disjointed system behind and replace it with intelligent collaboration. Deep relationships and connections to EHRs, payers, and benefits managers, all on one platform. No scrambling, no screen-scraping, no secondhand info. We meet providers and payers right where you are, in your existing systems and workflows. Connections are easy so we can adjust to you, not the other way around. Prior authorizations aren’t an add-on to our platform, they’re all we do. -
34
Practice Fusion
Practice Fusion
Save time with templates and patient charts in the cloud-based EHR that adapt to your needs. Browse from a library of medical charting templates built by practices like yours. Efficiently manage prescriptions including controlled substances and those requiring prior authorization. Seamlessly exchange information with local pharmacies, laboratories, imaging centers and other tools integrated into the EHR platform. Choose from over 500 lab and imaging centers to order tests and share results with patient. Flexible billing options with industry-leading partners who help you get paid faster. Monitor your progress with insightful dashboards and submit reporting data to CMS directly through your EHR. Access customizable dashboards to track your progress on quality initiatives like MIPS. Explore extensive education and training materials to navigate the complexities of quality measures. -
35
Valer
Valer
Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large-sized healthcare settings, specialties, and payers from one platform and portal. Valer is the all-specialty, all-payer technology solution designed around your needs, not ours. Unlike off-the-shelf products that limit specialties, service lines, and payer mix (that don’t even automate submissions), Valer is explicitly customized to fit your needs. Because Valer is so easy to use, the dashboard increases staff productivity, simplifies staff training, and measures staff and payer performance across all service lines to enable continuous improvement. Valer doesn’t just connect to some of your payers for some of what you need. We link to all payers for all specialties, service lines, and care settings with real-time payer rule updates. -
36
Cohere Unify
Cohere Health
The Cohere Unify platform supports all of our intelligent prior authorization solutions with touchless and predictive technologies, evidence-based clinical content, and other advanced capabilities. Our technologies reduce or eliminate manual steps toward creating an end-to-end fully automated prior authorization process. This predictive capability enables health plans to virtually eliminate prior authorization workflow steps. Instead, the system can automatically craft specific care plans based on patient and population auth and claims data, including multiple services that can all be pre-approved upfront before they are even requested. Evidence-based clinical criteria for select specialties that inform our touchless and predictive technologies. Proven single sign-on capabilities with Availity, NaviNet, and other common portal technologies. Rules configuration and deployment proven to scale over multi-million+ transactions. -
37
PAHub
Agadia Systems
As Prior Authorization volumes continue to rise, and as specialty drugs create additional clinical complexities, Health Plans, Pharmacy Benefit Managers (PBMs) and Third-Party Administrators (TPAs) are challenged to adapt while maintaining or improving operational and clinical efficiencies. PAHub, is a HITRUST certified solution that puts the tools at your fingertips to streamline and control all clinical, compliance and administrative aspects of Prior Authorization at the point-of-care to improve compliance, reduce turn-around times and costs. By leveraging the latest technologies for data mining, data analytics, content management and advanced decision support trees, PAHub, enables customers to automate the end-to-end prior authorization process. -
38
Qure4u
Qure4u
Qure4u's Complete Virtual Care Platform offers patients and providers a fully integrated solution that supports the entire patient journey and will optimize care before, during, and after office visits. Want to learn what Remote Patient Monitoring can do for your bottom line? Current reimbursement models are making remote patient monitoring more practical and profitable – and Qure4u’s Platform will help you take full advantage of this opportunity for you and your patients. Try our ROI Calculator to learn how much revenue RPM can generate for your organization. Qure4u drives brand equity, in-office efficiency, and revenue while enhancing clinical insight and improving the patient experience. Qure4u's complete virtual care platform offers patients and providers a fully integrated solution that supports the entire patient journey and optimizes care before, during, and after office visits. Our flagship solution, MyCarePlan, improves patient outcomes and communications. -
39
Cedar Pay
Cedar Cares
It pays to care. Discover the healthcare financial engagement platform that keeps patients happy and businesses healthy. We take care of end-to-end billing, so you can take care of patients We combine expertise from the worlds of healthcare, tech and design to create a seamless financial experience for every patient. From pre-visit registration to post-visit billing, we personalize the care journey to take each patient to payment with ease. Next-level personalization. We tailor patient engagement and messaging to maximize the chance of payment. A standout user experience. We take a patient-first approach to design to create an intuitive platform and straightforward billing. yellow Dependable implementation. Our implementation complements your workflows, requires minimal lift and is designed to meet your needs. Real-time insights. We give you full visibility into your revenue cycle, with actionable analytics about your performance. -
40
Hippocrate
HIPPOCRATE
Engage, Diagnose, Prescribe and improve Patient Experience, Satisfaction and loyalty through a Patient-Centric Approach to Medicine. Get access to more Patients and increase your profitability while decreasing your costs! Connect, Discuss, Refer a Patient securely and Present your toughest cases to colleagues. Collaborate with other Medical specialists and share your knowledge and experience, in our fully encrypted smart Medical Social Network. A Highly Secure and Scalable Big Data Health Platform, designed for Medical Researchers. Play with our anonymized Health data, MRT, fMRI, Genes, discover behind patterns and improve Patients Treatments with Big Data and Analytics! Hippocrates was selected to present the Best Big Data Health platform in the most prestigious Medical University in the world: Stanford Medical School. We introduced our new research in Health Care Systems and Medical Technology and explained how our solutions can revolutionize the Medical Field at no cost. -
41
Bridge
Bridge Patient Portal
Bridge is an award-winning enterprise patient engagement solution for healthcare organizations. The platform allows companies to replace their existing EHR’s patient portal, connect multiple health IT systems, consolidate patient engagement tools, and launch a digital front door. Scalable and easy to deploy, the solution is ONC 2015 Edition Certified and available as a client-branded web application and mobile app for Android and iOS. Bridge streamlines the patient experience by automating the entire care journey. Patients are kept engaged with customizable electronic communications, and multi-platform access to health, financial, and appointment information. Features include self-scheduling, health information access, secure patient-provider messaging, mobile intake, bill pay, telemedicine and much more. With a fully-documented and free API, healthcare organizations can easily create their own interfaces, add-on features, and run advanced reports.Starting Price: $500.00/month -
42
ECFS
ECFS
Increase your practice revenue while improving the patient experience. We strive to provide superior long term partnerships with the practices we serve. Allowing providers to concentrate on patient care is our number on priority. We focus on administrative tasks so providers can focus on patient care. ECFS' history is rooted in our mission to serve providers and patients alike. ECFS is committed to building a solution that works for your practice and your patients. We can help your practice improve its efficiency and help you and your staff concentrate on what matters most, patient care. Our mission is to provide a better billing and electronic health records solution. Learn how a partnership with ECFS Billing can help improve your practice. Our comprehensive billing solution helps your practice increase revenue. Most claims are ready to pay within 48 hours. Track claims and payments with our state of the art clearinghouse. -
43
I-Med Claims
I-Med Claims
I-Med Claims provides top-tier medical billing and revenue cycle management (RCM) solutions, trusted by healthcare practices across the U.S. We handle all aspects of RCM, from eligibility verification to denial management, helping practices streamline operations and maximize reimbursements. With billing plans starting at just 2.95% of monthly collections, we offer affordable solutions that enhance financial workflows, maintain compliance, and improve cash flow. By outsourcing billing to us, practices can focus on patient care while benefiting from reduced claim denials and faster payments. -
44
AppealsPlus
Etactics
AppealsPlus™ is a cloud-based solution that automatically analyzes ERAs, applies rules to place suspect payments and denials into appropriate work queues, and utilizes dashboards and key performance indicators to provide quantitative management and used to help drive decisions. The regulatory climate moves quickly and can change directions rapidly, leaving little time for providers and their patients to adjust. Providers don’t know if their patients will be able or willing to pay the bills after a procedure is performed. What most studies, vendors, and software companies fail to take into account is that the definition of denial is subjective. This definition differs by physician, biller, and institution. We'll take you and your team through a personalized four-week-long implementation phase to ensure that the solution is customized to your liking. After the initial four-week implementation phase you can continue to contact us with any questions or concerns you have. -
45
Cortex EDI
Cortex EDI
Cortex EDI provides medical, institutional, and dental practices with all the services they need to increase efficiency in the workplace. Our free medical billing software and claims clearinghouse software can help you streamline your workplace processes. We have the user-friendly tools you need to help you manage client billing and save you time. Our tools also provide you with such necessities as patient eligibility verification for private health insurance, Medicare, and Medicaid. We provide our free medical billing software to medical, institutional, and dental practices with no signup fees and no contracts. Sign up today to receive free training on how to properly use our practice management and medical claims clearinghouse software. Consolidate your various EDI service needs with Cortex EDI today to start streamlining your workplace processes. Cortex EDI is a leading clearinghouse and practice management software vendor for electronic medical transactions. -
46
MedicsRIS
Advanced Data Systems
MedicsRIS is a comprehensive radiology information system that empowers radiologists to seamlessly manage their practice and easily get paid for every diagnostic exam. Developed by Advanced Data Systems, MedicsRIS takes inbound orders from referring physician’s stage 2 certified electronic medical record (EMR) without any costly HL7 interfaces as well as obtain incentives and avoid penalties. Core features of MedicsRIS that help boost business productivity include a referring physicians portal, automated billing with EDI, multi-modality scheduling, insurance eligibility verification, mammography tracking, and more. Give referring physicians and radiology departments access to our qualified CDS option via the MedicsRIS portal for those who don’t have their own qCDSM. Stymied with getting prior authorizations manually? Our automated PA option gets them online without leaving MedicsRIS. -
47
Availity
Availity
Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS. -
48
eClaimStatus
eClaimStatus
eClaimStatus provides simple, practical, efficient and cost effective real time Medical Insurance Eligibility Verification system and Claim Status solutions that power value added healthcare environments. At a time when healthcare insurance companies are reducing reimbursement rates, medical practitioners must monitor their revenue closely and eliminate all possible leakages and payment risks. Inaccurate insurance eligibility verification causes more than 75% of claim rejections and denials by payers. Furthermore, refiling rejected claims cost an organization $50,000 to $250,000 in annual net revenue for every 1% of claims rejected (HFMA.org). To overcome the revenue leakages, you need a no-fuss, affordable and effective Health Insurance Verification and Claim Status software. eClaimStatus was designed to solve these specific challenges. -
49
Notable
Notable Health
Engage more patients, optimize your operations, and improve outcomes by automating healthcare workflows with Notable. Complex administrative workflows have inflated costs, compromised patient experiences, and hindered the transition to virtual care. Notable provides AI-enabled digital assistants that perform repetitive administrative, clinical, and revenue cycle workflows just like a human would, empowering healthcare providers to identify and serve more patients in need of care while reducing administrative costs. 1/2 of physician time is spent in EHRs, and only 1/4 is spent with patients, leading to 80% of medical records copied and pasted. Patients forget 40-80% of medical information provided by doctors due to rushed visits, foreign terminology, and a lack of education. Deploy solutions essential automation use cases out-of-the-box, customize as needed, or create your own with our fully configurable platform. -
50
Cohere PaaS Intelligent Prior Authorization
Cohere Health
Cohere helps health plans digitize the process and apply clinical intelligence to enable in-house, end-to-end automation of prior authorization. Health plans can directly license Cohere’s PaaS intelligent prior authorization for use by the plan’s internal utilization management staff. As a result, our client health plans achieve both significant administrative efficiencies and faster, better patient outcomes. Cohere delivers a tailored, modular, and configurable solution suite for health plans. Digitizes all prior authorization requests into a single automated workflow. Automates prior authorization decisions using health plan-preferred policies and accelerates manual review. Helps clinical reviewers adjudicate complex requests, using responsible AI/ML and automated capabilities. Leverages clinical intelligence with AI/ML and advanced analytics to improve utilization management performance. Improves patient and population outcomes with innovative, specialty-specific programs.