Alternatives to Cortex EDI
Compare Cortex EDI alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Cortex EDI in 2026. Compare features, ratings, user reviews, pricing, and more from Cortex EDI competitors and alternatives in order to make an informed decision for your business.
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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
Mercury One Plus
CrisSoft
Mercury One Plus is a Medical Practice Management solution that puts the fundamentals of Revenue Cycle Management at your fingertips; it acts as a stepping stone from standard billing to intermediate billing. Mercury One Plus is offered exclusively on the cloud, with the highest level of security- you can access your data anywhere 24/7. A complete product with big functionality, Mercury One Plus includes: patient demographics input, 100 plus reports to choose from, charge entry, full history of patient activity, ERA posting, credit card acceptance, and much more. Mercury Products are HIPAA compliant with a guaranteed connection to any clearinghouse or insurance company. Mercury One Plus's automated job system will facilitate a daily system tune-up: housecleaning; folder maintenance; daily backups; 837 exports; 835 imports;HL7. All subscriptions come with the expert help of CrisSoft Support. Willing to partner/intergrate with all EMR's through REST.Starting Price: $249.00 -
3
Mercury Medical
CrisSoft
Awarded among the Top 10 MPM and RCM solutions, Mercury Medical is a robust medical billing solution. With over 400 customizable reports, built in Scheduler and Patient Portal, Mercury Medical is the perfect solution for major billing, suitable for multiple specialties and RCM processes Mercury Medical is a reliable, proven professional Accounts Receivable solution that will reduce processing times, shorten payment cycles and increase cash flow. Mercury Medical is fully configurable to any vertical or process including: Anesthesiology, University, Physical Therapy, and more. Mercury Products are HIPAA compliant with a guaranteed connection to any clearinghouse or insurance company. Mercury Medical’s automated job system will facilitate a daily system tune-up: housecleaning; folder maintenance; daily backups; 837 exports; 835 imports; HL7. All subscriptions come with the expert help of CrisSoft Support.Starting Price: $440.00 -
4
OpenPM
OpenPractice
Open Practice is pleased to present OpenPM, our cloud-based RCM platform that has propelled the company through 17 consecutive years of double-digit growth. OpenPM connects all the disparate elements of the revenue cycle including; Scheduling & Registration, Billing, Clearinghouse, and Patient Payments/Collections. The result is highly automated accounts receivables management for optimized cash flow, and extensive reporting to help you proactively manage your organization. All of this control is securely hosted and delivered through the browser you already have, providing the perfect combination of security and availability. Medical billing software, revenue cycle management solutions, practice management software, practice management system, medical practice management, EMR integration, EHR integration, practice management scheduling, patient scheduling, online patient billing, patient billing, automatic patient billing and payments, patient payments, electronic patient payments. -
5
expEDIum Medical Billing
iTech Workshop
A secure, SaaS-based Medical Billing, RCM software that helps doctors to increase the collection, and receive faster payment with improved automation. Features like Seamless Insurance Eligibility Verification (IEV), Appointment scheduling, Claims scrubbing, Claim Status Inquiry (CSI),Auto Posting, and Public health clinic make the software efficient and easy to use. expEDIum SDK is available with several APIs to integrate EMR software seamlessly with expEDIum Medical Billing / RCM software. -
6
KhooCommerce
KhooCommerce
Save hours of work each week with our smart EDI system. Auto-allocate stock, auto-invoice and generate labels. Dispatch mixed shipments, send pallets, reduce operational overheads. Often teams print out orders and manually check what is in stock with the warehouse. This is slow and can lead to errors. With a smart EDI system you will be able to accept, reject and create pick lists for orders in minutes. Most EDI systems can't mix shipments together. But with KhooCommerce you can combine multiple POs to one location and optimise shipments. Chargebacks can be a real frustration for Vendors. EDI can't solve all the problems for you, but can help with: Carton Information Compliance Shortage Claims PO on Time Accuracy. License Plate Receive is one of the most helpful changes you can implement. This greatly increases the speed that Amazon receive your packages and can reduce your shortage claim chargebacks.Starting Price: $1000 per month -
7
EZClaim Medical Billing
EZClaim
EZClaim is a medical billing and scheduling software company that provides a feature-rich practice management system specifically tailored for small to medium-sized provider office and outsourced medical billing firms. It also includes integrations with a number of EMR/EHR vendors. Whether you are a doctor, practice manager, or billing service owner, EZClaim Billing is designed with you in mind, simplifying your claims management from data entry to payment posting, and beyond. EZClaim primarily supports the following specialties, General Practice, Therapy, Vision, Surgical, Medical Specialties, Home Health Care, and Outsourced Medical Billing Services (RCM). However, the software is very adaptable and can be used for many other billing specialties. EZClaim’s billing software allows the creation of insurance payor lists for Medicare, Medicaid, Tricare, Clearinghouse payer IDs, governmental MCO’s, auto insurance, and worker compensation groups. -
8
iCareBilling
iCareBilling
iCareBilling is an American Healthcare IT Company that provides Medical Billing, Practice Management, and RCM Software and Services to independent healthcare providers, small, medium, and large medical practices, medical groups, and hospitals throughout the United States. iCareBilling Practice Management Software and RCM Services can be integrated with any EHR/EMR, Practice Management, or Medical Billing Software with any healthcare EDI vendor/clearinghouse in the U.S. healthcare industry. iCareBilling offers integration with all leading EHRs/EMRs in the U.S. Healthcare industry and where EHR/EMR vendor doesn't offer integration, manual workflow is available to take out the patient non-clinical information to submit the claim and receive payments on the behalf of healthcare providers.Starting Price: $450 per month -
9
NowMD
Inborne Technology
NowMD is modern, innovative and affordable software designed for use in healthcare practices and medical billing services. NowMD is used for billing insurance carriers and patients for professional health care services. NowMD’s Appointment Scheduler is designed specifically for scheduling patient appointments. Advanced features like appointment templates, recurring appointments and a wait list make the scheduler a great addition to NowMD’s billing features. Employees can clock in and out on any computer running NowMD. Payroll day is a breeze with employee work hour reports. NowMD can create ANSI 5010 compliant electronic claim files for use with a variety of included clearinghouses, for sending claims directly to an insurance carrier, or for use with other clearinghouses. Payments and adjustments can be created automatically through Electronic Remittance Advice auto-posting.Starting Price: $349 per computer -
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PDS Cortex
PDS Cortex
PDS Cortex makes your practice more efficient by providing tools for managing patient appointments, billings, collections and more. It makes it easy to navigate the complexities of today’s health insurance environment. Here is a look at a few of the features: Medical billing – The heart of Cortex; dynamic cash flow, reduced A/R, efficient retrieval and analysis of information. Managing insurance – Robust tools you need to manage, track, report and save time. Bad debts/collection agency tracking – Monitor collection agency activity and effectiveness; improve A/R efficiency. Appointment scheduling – Intuitive scheduling, with custom layouts and a powerful workflow. Electronic remittance distribution – Take control with electronic posting of insurance payments and streamline your insurance transactions. Reporting – Flexibility and control in the more than 270 standard reports -
11
Medical Office One
Biosoftworld Medical Software
Medical Office One. A HIPAA Compliant - NPI Compliant and feature-rich medical billing software package. Fast and easy to use, it allows the creation of the new CMS 1500 02/12 or UB-04 claims. Provides full customization, excellent reporting features and points of integration with popular software packages including Microsoft Word, Excel & Outlook. Data for claims can be entered directly or can be retrieved for the Electronic Medical Records portion of the software. Print the CMS 1500 and UB-04 Form, or send claims electronically to clearinghouses. Medical Office One provides QuickBooks® integration, an advanced SOAP Notes module, and a powerful chart generator. You can create additional databases for unlimited providers - practices! and handle all from the same interface. Start a successful medical billing from home business. Handle with one software package billing and clinical side of your healthcare practice. A powerful CMS 1500 Form Filler or UB-04 Form Filler. -
12
Precision Practice Management
Precision Practice Management
Whether you're looking to outsource all of your revenue cycle management functions or just some of them, Precision Practice Management has the experience and expertise to help you stay on top of the constantly changing landscape in this most important area. Precision can successfully address all areas of revenue cycle management, from compliance, credentialing, coding, claims processing, clearinghouse edits and electronic lockbox to claim denial management, reporting, financial analyses and more. Your in-house staff may be doing a tremendous job in managing some or most aspects of your medical billing, but your office staff has many other important clinical functions to perform. Sometimes billing matters receive lower priority and suffer as a result. Precision's medical billing experts are focused entirely on medical billing and nothing else; that's all they do. -
13
DentalWriter
Nierman Practice Management
Be up and running instantly with an easy web-based EMR for dental sleep medicine, TMD, & oral surgery that gets your ducks in a row for each and every patient. DentalWriter builds your case of medical necessity with individualized SOAP reports, your golden ticket for medical reimbursement and physician referrals. DentalWriter intelligently cross-codes from dental to medical for easy and accurate medical billing. Your integrated billing service concierge will handle the rest. DentalWriter Plus+ utilizes the intake and exam data to cross-code from dental to medical and generate individualized SOAP reports of medical necessity needed for medical reimbursement and physician communication. Maximize productivity while marketing your dental sleep and TMD practice all with the click of a button. -
14
ImagineBilling
ImagineSoftware
The industry’s first intelligent, multi-specialty medical billing software. Streamlining billing and patient collections for over 75,000 physicians across the country. Globalized data eliminates the need for duplicate entry. Visit-driven to allow for large volume and complex information. Flexible data structure accommodates requirements across multiple practices and specialties. Helping you get paid faster. Post payment manually or through electronic remittance. Automatically scrub claims for errors and missing information. Automatically refile insurance claims based on selected criteria. Fast review to evaluate and approve charges. Audit charges by modality, procedure, insurance, user, doctor or date of service. Intuitive reports for tracking the financial health of your front-end and back-end billing. Never lose another charge again. Integrates with your preferred clearinghouse or statement vendor. -
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WCH PMBOS
WCH Service Bureau
WCH’s professionalism in medical billing, provider credentialing, CVO, office management combined with experience of our programmers has helped create a one of a kind medical billing program and practice management system. WCH is a registered vendor with Medicare & Medicaid. In addition, our software for medical billing, (PMBOS), is recognized by most major insurance companies such as GHI, Blue Cross Blue Shield and Value Options. PMBOS is an abbreviation of Patient Management Billing Operating System. It is an effective and efficient medical billing program. Everything starts at the front desk! The appointments screen is one of the features offered that allow providers and their staff to schedule as well as maintain appointments, patient’s data, ledger, authorization and much more. Maintain accurate patient history from the first visit by matching claims billed in accordance to the appointment schedule. -
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Biosoftworld Medical Scheduler
Biosoftworld Medical Software
Biosoftworld Medical Scheduler. A medical software package that improves medical practice workflow management, electronic medical records and patient appointment scheduling for physicians. The best value for money healthcare solution in medical market today with a lifetime license! Created with the latest .NET Framework technology provides full scheduling, reporting and billing capabilities with full EMR features! Includes also the new revised CMS-1500 (02/12) claim form. Send claims electronically to clearinghouses. Biosoftworld Scheduler supports exporting scheduling data at Apple Calendar, Google Calendar. Review at out-of-office hours your appointments with your iPhone or Android smartphone. Biosoftworld Medical Scheduler can also run from the cloud using a virtual desktop. You can perform all of your tasks from any computer with an internet connection. -
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Amazing Charts Practice Management
Amazing Charts
Amazing Charts Practice Management is a comprehensive solution designed to streamline administrative tasks and enhance the efficiency of independent medical practices. Developed by a practicing physician, this system automates processes such as capturing patient demographics, scheduling appointments, pre-registering patients with insurance eligibility checks, and generating analytical reports. It also determines patient financial responsibilities at the point of care, maintains insurance payer lists, and ensures prompt and accurate billing to assist in payment collection efforts. Key features include the ability to view unpaid claims to ensure timely resolution, a claims manager who reviews submissions to reduce denials, and an integrated secure connect clearinghouse for high-level support and quick responses to payer changes. The system offers intelligent, interactive role-based dashboards that automatically prioritize work lists across all office areas.Starting Price: $229 per month -
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TotalMD
TotalMD
Our software adapts to your practice, giving you total control! Utilize our practice management software for your front office, or unify your entire practice with a built in EHR, patient engagement solutions and more. You can keep your existing clearinghouse, or leverage our integrated solution. Keep your current EHR, or enjoy the benefits of a fully integrated solution. The choices are yours! Our team will be here to help you from implementation to retirement. We’ll pair you with an Implementation Specialist to help make the transition easy for you and your team when you get started. Once you’re up and running, your Account Manager will be available to help make sure you’re making the most of the software and that you have the tools you need to manage your practice. Plus, a real person answers when you call our support team. It’s one of the many reasons people choose TotalMD! Experience robust medical software solutions designed for independent practices and medical billing services.Starting Price: $199 one-time payment -
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MedClarity
Medusind
MedClarity is Medusind's turnkey RCM technology. MedClarity is a robust, web-based medical billing and practice-management software. The solution comes with a range of tools to enable medical practices of all sizes to take full control of their front-office and revenue operations. In addition to offering intuitive navigation and workflows, MedClarity boasts an advanced rules engine for clean claim submission, smart scheduler, comprehensive reporting and business analytics, real-time insurance eligibility verification, denial management and claim status lookup, and integration more than 30 EMR platforms. -
20
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. -
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GreenSense Billing
GreenSense Billing
GreenSense Billing Medical Scheduling tool that simplifies your day conveniently for all your medical scheduling needs. You would never have to worry about your medical billing hassles ever again. Insurance Eligibility Verification Find out about any insurance coverage before the patient makes an appointment. With our eEligibility verification tool you can run queries for individual cases as well as run a batch. Appointment Alerts and Reminders Reduce delays and late arrivals with automated alert reminders. Notify your patients before each appointment to avoid late arrivals and no-shows. Snapshot Your Medical Schedule In the Instant view, you can see the number of your daily medical appointments for each provider and for any particular practice location.Starting Price: 3% -
22
Practice IQ
Devington Technologies
With Practice IQ EHR, it is easy for medical practices of all sizes to implement an Electronic Health Record (EHR, also referred an EMR or Electronic Medical Record) capable of demonstrating Meaningful Use for federal government stimulus payments — and to automate your practice while increasing the quality of patient care. The Practice IQ EHR software platform is fully integrated with Devington’s Practice Management and Clearinghouse solutions, optimizing the physician experience as well as registration, scheduling, claims, billing, and collections for your staff. The interface is simple, powerful, and is built to think like you do. With Practice IQ EHR you will never feel that a computer comes between you and your patient. Maintain eye contact and preserve the patient – physician bond that you have worked years to establish. -
23
Billworx 6
Billworx
The Billworx 6 Medical Billing System is the most comprehensive and automated billing package on the market today. Whether you manage a single practice or a national billing service, with Billworx 6 you will have all the function and flexibility that you need to succeed and excel. Billworx Medical Billing Systems' goal is to provide you with a complete and integrated medical billing solution. This solution begins with Billworx 6, a medical billing system that has no equal in price or function and includes full system support, enhancements, updates and optional on-site training. The Billworx 6 Medical Billing System provides you with streamlined and efficient processes for insurance and patient billing. Billworx Medical Billing Systems has taken input from hundreds of clinics, physicians and billing services over the past ten years to develop the most complete and efficient medical billing system on the market today. -
24
ClinicGate
MedSites
ClinicGate is a Medical Software offers an easy to use Windows interface featuring an integration of Medical Billing, Appointment Scheduling, Patient Record, Insurance Claim CMS 1500, Tracking Receivables, Managing Expenses and Generating Customized Reports And Graphic Reports. ClinicGate is a Network and Multi-User Medical Software, Medical Office Billing Software, Electronic Medical record Software and for Small-Large Medical Practice that contain all the Financial, Clinical, and Operational elements For a successful running Medical Office.Starting Price: $199 one-time payment -
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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. -
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AdvanceClaims
MP Cloud Technologies
Our seamless ePCR and Clearinghouse integration means no more switching back and forth between different apps to get things done. It doesn't matter which ePCR system your customers use, AdvanceClaim for billing companies handles them all. With Automated Imports from most ePCRs, one-click searches, and auto-population of key claims data, AdvanceClaim for agencies maximizes accuracy and efficiency by reducing redundancy and human error. Say goodbye to downloading massive remittance files, uploading claim files to your clearinghouse, and waiting for validation. AdvanceClaim does automatic submission through our fully integrated clearinghouse so you be confident claims or batches are processed. Quickly get a view of performance across all your clients with our multiple tax ID rollups, or break the reporting down by geography, client size, billing volume, and much more. The entire system is 100% HIPAA, ICD-10, and HITECH compliant; and runs on AWS. -
27
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. -
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HARMONY
Harmony Medical
Harmony Medical is a trusted leading provider of electronic health record, practice management, and revenue cycle management software solutions. Purpose-built for independent medical practices, Harmony is a fully integrated HIPAA compliant practice management platform that helps streamline your practice in order to improve patient care and enhance your bottom line. The solution features a variety of tools for easy scheduling, robust reporting, comprehensive claims scrubbing, insurance and patient billing, patient history, patient tracking, patient referral tracking, and so much more. -
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athenaCollector
athenahealth
Improve your medical billing process with athenaCollector, a medical billing and practice management solution by athenahealth. athenaCollector offers top-rated tools that help reduce the complexity of medical billing and practice management, enabling practices and clinics to focus on more important tasks. With athenaCollector, users can view all scheduling and patient billing information in real-time, schedule patient appointments, process claims, report practice performance, and more, in one place. -
30
MedOffice
ClaimTek Systems
More Americans are insured than ever before. Outsourced medical billing is expected to surpass “in-house” billing and nearly triple by 2024! Personalized one-on-one training to fit Your schedule, pace and background. Training from the Comfort of your home. No travel necessary. Growing, steady and recurring income. Generate multiple streams of revenue by offering a dozen practice management services. Work with any Medical & Dental specialty In the U.S. with no territorial restrictions. Excellent marketing campaign provided. ClaimTek is a market leader in the world of Health Information Technology (HIT) being the owner and developer of its software applications MedOffice® DentOffice® EHR Manager® and VisitTek.® Leverage the power of ClaimTek’s established branding, proven business model, world-class training & support, and our cutting-edge technology. For full details or to chat with one of our Business Development Managers, leave your information below. -
31
SydaMED
Sydasoft
Our flagship product, SydaMED medical billing software is a comprehensive medical practice management software that offers complete patient recordkeeping, appointment scheduling, claims processing, electronic claims submission, receivables management, patient billing, and accounting integration. This product is designed to handle the complex needs of health care providers and medical billing professionals. It can handle small and large offices ranging from one to hundreds of users. We know that learning a new software program is often a time-consuming frustrating task. For this reason, our engineers spent months analyzing and designing SydaMED to be the easiest, most user-friendly program ever created for medical practices. Our software's interface is attractive, easy-to-learn, and functional beyond comparison. -
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BRMS
Benefit and Risk Management Services
BRMS processes and manages all Medical, Dental, Vision and Retiree claims efficiently and accurately with an impeccable turnaround time. With eligibility transferred from our MyHealthBenefits system nightly, eligibility is completely current. And, with PPO negotiation expertise, we specialize in reducing employer claims costs. From receipt to eligibility to negotiation and payment, we handle the entire claims administration process. Completely centralized, all claims, medical management, PPO network management, and billing is managed in-house, allowing us to provide you with flexible and quick service with a personal touch. For self-insured organizations, BRMS provides an excellent resource to process Medical, Dental and Vision claims efficiently and accurately. -
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CGM webPractice
CompuGroup Medical
CGM webPRACTICE is a fully web-based, or SaaS (software as a service), practice management system designed for practices to manage all of their billing and operational needs. Whether your organization is a solo-physician practice or a multi-office, multi-specialty medical group, CGM webPRACTICE has all of the functionality and features you need to help optimize your administrative and financial processes. At the same time, it offers ultimate ease of use, minimizing the time and resources needed for implementation and training. This powerful, web-based practice management solution meets your needs today and far into the future. Designed for interoperability, CGM webPRACTICE facilitates seamless integration with a variety of EHR systems, including CompuGroup Medical's own clearinghouse, eMEDIX. CGM webPRACTICE features a customizable desktop workflow manager including the Practice Vitals dashboard which provides you with immediate insight into your key performance indicators. -
34
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. -
35
MedicsPremier
Advanced Data Systems
Keep your practice on track with MedicsPremier (MedicsPM), a reliable practice management software from Advanced Data Systems. MedicsPremier comes with a wealth of tools that enables practices to streamline operations and get paid more, faster. This includes specialty-specific scheduling, automated patient workflow, patient information management, tax rates, products and inventory, specialty-specific EDI, patient statements, and integrated document scanning. With our system, get out-of-network alerts while scheduling patients. Access the patient responsibility estimator for an approximation of what they’ll owe after insurance. Remind patients about their copayments. Perform pre-appointment batch eligibility verifications. Get proactive alerts on claims likely to be denied. Yes…protect your revenue in advance! -
36
Quanum RCM
Quest Diagnostics
Quanum Revenue Cycle Management (RCM) delivers a holistic solution for managing the financial component of a medical practice with a focus on increasing revenue. Created by Quest Diagnostics, a leading provider of pre-employment drugs-of-abuse screening for employers and risk assessment services for the life insurance industry, Quanum RCM offers a complete medical billing solution, from billing claims to denial management and other billing related activities and support. -
37
eDoc Health
Biz Technology Solutions
Our solutions lower the cost of operations, risks, enhance patient care and profits for our clients. We have proven experience in the healthcare domain. We use software development best practices to deliver solutions for clinics, medical practices, hospitals, TPAs, and billing clearinghouses. In the healthcare world of today, the volume of clinical and financial data is not only overwhelming, but it is also poorly structured and not easily accessible for analysis. Intelli-Health is a business intelligence (BI) technology built to address such issues. The ability to analyze large amounts of data, whether clinical or financial, can yield better evidence-based decision-making for your organization. Intelli-Health technology can evolve your information into visualized data to support evidence-based decisions for your healthcare system. Biz Technology Solutions, Inc. provides a number of electronic medical claim processing solutions based on the HIPAA EDI X12 industry standards. -
38
DocVilla
PS3G
DocVilla is a comprehensive, multi-specialty, mobile-friendly, HIPAA-compliant cloud-based health technology platform that integrates EHR/EMR, telehealth, e-prescribing, patient engagement, medical billing, analytics and reporting, direct primary care, inventory management, remote patient monitoring, and more into a unified, configurable suite. Providers simply sign in to access a customizable electronic medical records system with secure messaging, video visits, controlled-substance e-Rx, and a free patient portal for scheduling, payment, and secure communications. The platform streamlines workflows by automating eligibility checks, claim submissions, charge posting, insurance eligibility and claim filing, ERAs/EOBs, medical dictation and speech-to-text, patient consent forms, lab integrations, electronic fax, and automatic appointment reminders.Starting Price: $100 per month -
39
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. -
40
ClinicPro Chiropractic
ClinicPro Software
The Pro’s Choice for Medical or Chiropractic Practice Management Software – ClinicPro practice management software is used for pain management clinics, OB/GYN, chiropractic, ophthalmology, general practice, imaging centers and pediatric specialties. Because ClinicPro is so adaptable to the practice management needs of any specialty, ClinicPro software can interface with the clearinghouse of your choice. ClinicPro chiropractic practice management includes comprehensive patient data, insurance coverage, appointment scheduler, management reports, electronic or hard copy insurance claims, plain paper insurance statements or emailed patient statement. ClinicPro chiropractic practice management includes comprehensive patient data, insurance coverage, appointment scheduler, management reports, electronic or hard copy insurance claims, plain paper insurance statements or emailed patient statement. -
41
ABN Assistant
Vālenz
For providers, medical necessity denials cost thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. For payers, the same is true on the other end of the claim management spectrum: Paying for medically unnecessary procedures and treatments – and time spent working on denial appeals – raises costs without improving outcomes. And of course, for the patient, there can be unnecessary copays and other out-of-pocket costs, not to mention a poor patient experience involving costs and moments of care they did not need. ABN Assistant™ from Vālenz® Assurance delivers the prior authorization tools providers need to validate medical necessity, print Medicare-compliant ABNs with estimated cost, and stop over 90 percent of medical necessity denials by verifying necessity before care is delivered to the patient.Starting Price: $1039.00/one-time/user -
42
NeuralRev
NeuralRev
NeuralRev is an AI-powered Revenue Cycle Management (RCM) platform that automates and accelerates end-to-end financial workflows in healthcare, reducing manual effort and errors while improving cash flow and operational efficiency. It automates insurance eligibility verification by connecting to clearinghouse networks in real time so patient intake and coverage checks happen instantly, and it handles prior authorization by assembling clinical and payer requirements, submitting requests electronically, and tracking approvals to reduce denials and delays. It also delivers real-time patient cost estimates by combining eligibility data with payer rules to improve transparency and upfront collections, and it streamlines medical coding, claim submission, claims processing, post-claim follow-up, and recovery, so teams spend less time chasing paperwork. -
43
NueMD
NueMD
NueMD is an all-in-one medical billing, practice management, and electronic health records (EHR) solution for small and mid-sized practices. Fast, user-friendly, and feature-packed, NueMD helps practices streamline their administrative operations so they can spend more time with patients and get paid fast. Top features include scheduling and appointment reminders, best-in-class medical billing, patient portal, e-prescribing and e-labs, desktop sync, on-demand info claim and custom reports, and more.Starting Price: $99.00/month/user -
44
CureAR
TechMatter
CureAR is an AI-powered medical billing and revenue cycle management software designed for in-house billers, billing companies managed-service providers and DME companies. The software consolidates eligibility verification, charge capture, AI-assisted coding suggestions, claim scrubbing, electronic claim submission, ERA ingestion, and automated payment posting into a single cloud-hosted system. It is configurable for specialty billing rules and supports multi-tenant operations for practices that handle multiple client accounts. Key Features: AI-assisted coding and claim scrubbing: Machine learning highlights likely coding errors and applies payer-specific validation rules before submission. Real-time claim status and alerts: Tracks claims from submission to adjudication and surfaces exceptions for prioritized follow-up. ERA ingestion and automated posting: Electronic remittance advice handling with configurable reconciliation workflows reduces manual posting effort.Starting Price: $129/month/user -
45
Clinicaid
Clinicaid.ca
ClinicAid helps you efficiently optimize your time by letting our cloud based medical billing software do the heavy lifting for you. Keeping patient care as your priority requires keeping administrative work to a minimum with next generation medical billing and coding software. Automatically add your practice and patient information to claims and avoid complicated workflows. ClinicAid physician billing software keeps your practice on track with powerful report options designed with feedback from our clients. That means you have detailed Remittance, Rejection, Efficiency, and other vital reports available at a click. The reporting within our medical billing software meets your changing practice needs. You can customize and save your own reports with up to 46 individual data points for maximum intelligence in your practice.Starting Price: $19 per month -
46
Cvikota MBS
The Cvikota Company
Cvikota Medical Business Services – Your partner for medical billing results. Cvikota MBS, a USA based medical billing company, has been in the business of revenue cycle management for over 50 years. Through five decades we have carefully developed our best practices in order to provide attentive, boutique-level billing services while offering outstanding value. As a proven provider of medical billing services and comprehensive practice management, we bring our unique experience and proven medical billing processes to all of our business relationships. Independent physicians, hospitals, and office based practices alike rely on us as their trusted comprehensive revenue cycle team. Can we put our practice management and medical billing expertise to work for you? We are a USA medical billing business working with independent physicians who want outstanding results in their accounts receivables. -
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DuxWare
Medical Practice Software
DuxWare is a medical practice software built for physicians, practice administrators, billing service, and integration partners. With DuxWare, medical professionals can stay organized and secure and get paid faster. The platform is easy to use and also comes with automated appointment reminders, onhold music and messaging, real-time claim scrubbing, and more.Starting Price: $150.00/month -
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Pro Health Billing
Pro Health Billing
Pro Health Billing's Medical Billing Software has simple tools that help with data entry, automated task that take only minutes to setup and very easy to use. You can print your first claim in 20 minutes! With tools like Auto-Codes, Repeat Last Claim and Auto Co-Pays. Pro Health Billing is a wrist saver! Small Medical Practice Companies love Pro Health Billing's Claim and Patient Scheduling Modules. Together they become a powerful tool that cuts your workload almost in half! With tools like Non Payment and Non Billed Alerts your revenue will increase as your workload shrinks! 'Pro Health Billing' is the best medical billing software to help you bring in more income and quickly! With our Claim Catcher Dashboard and our industry leading 'Revenue Cycle Manager' to fix those alerts, claims never go unnoticed! Know the status of all your claims with just a glance. -
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Medical Billing
Advantedge Healthcare Solutions
Medical billing services, practice management and coding optimized for your specialty – and your bottom line. AdvantEdge customers have complete confidence working with a superior medical billing company. Comprehensive revenue cycle management that improves your bottom line! Our “future proof” physician billing solutions incorporate the best of today’s medical billing technology plus the ability to integrate it with other information, both today and tomorrow. AdvantEdge offers your group practice or hospital comprehensive medical billing services including telemedicine billing services. Our entire company is focused on achieving superior results for clients including ClientFirst service and fully transparent operations. Every medical billing service and operation is first measured by its results. At AdvantEdge, we take pride in net collections rates in the mid and upper 90’s, Days in A/R in the low to mid 30’s and, most importantly, consistent client cash flow. -
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Centauri Health Solutions
Centauri Health Solutions
Centauri Health Solutions is a healthcare technology and services company driven by our desire to make the healthcare system work better for our clients and to provide compassionate support for individuals in need. Our analytics-powered software enables hospitals and health plans (Medicare, Medicaid, Exchange and Commercial) to manage their variable revenue through a custom-built workflow platform. While our tailored support of their patients and members provides them with access to life-enhancing benefits. Our solutions include Risk Adjustment (Medical Record Retrieval, Medical Record Coding, Analytics and RAPS/EDPS Submissions), HEDIS® and Stars Quality Program Management, Clinical Data Exchange, Eligibility and Enrollment, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, Referral Management & Analytics, and Social Determinants of Health.
