Alternatives to PrognoCIS Practice Management

Compare PrognoCIS Practice Management alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to PrognoCIS Practice Management in 2026. Compare features, ratings, user reviews, pricing, and more from PrognoCIS Practice Management competitors and alternatives in order to make an informed decision for your business.

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    Elation Health

    Elation Health

    Elation Health

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

    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.
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    Amazing Charts Practice Management
    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.
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    BrickMed Office
    Avoid PM software that’s designed to tie you to an EHR. At BrickMed, the prosperity of your business is our focus. Schedule Patient Appointments Flexibly (including recurring visit management & exporting to third-party appointment reminder systems). Speed Front Desk Payment and Checkout (leverage support for integrated credit card and check processing). Whether you run a “100% insurance” practice, an ambulatory surgery center, or a cosmetic practice that occasionally does reconstructive work, the realities of consumer-driven healthcare mean that your practice management solution has to empower your staff to efficiently handle everything from retail operations and product sales to traditional insurance billing. Today, billing centers need to go beyond claim processing to become trusted consulting partners to providers, irrespective of rapid change in the business of medicine. BrickMed solutions empower consultor billing centers.
    Starting Price: $2995 one-time payment
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    Jasmine Practice Management
    Streamline your acupuncture practice with Jasmine, a cloud-based practice management that provides patient relationship management, scheduling, customizable treatment notes, customizable intake forms with eSignatures, receipting & Superbills, insurance billing, and reporting.
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    AltaPoint

    AltaPoint

    AltaPoint Data Systems

    Fast. User friendly. Affordable. AltaPoint is the PM solution for your growing practice. Its easy to access and maintain schedules for all of your staff and resources. Bill primary, secondary, and even tertiary insurance. Choose your own claims clearing house or one of our select partners. Custom statements. Create beautiful, professional patient statements. Modify the layout, fonts, logo, labels, and dunning messages. Managerial reports. A complete compliment of accounting and managerial reports including: transaction journals, patient ledgers, client and insurance aging, practice analysis and more. Plans start at $79 per month for the first provider and $29 per month for each additional user. Everything is accessible from one place: patient information, billings and ledgers, notes, documents, family members, reminders, appointments, images, etc.
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    Eligible

    Eligible

    Eligible

    Eligible's powerful APIs are the easiest way to add insurance billing experiences into your applications. These accreditations assure patients and providers that Eligible has accomplished the strictest compliance with privacy and security best practices while processing millions of healthcare cases each month. We fully understand the role of a mature and proven information security program in meeting Eligible and customer goals. We are happy to announce the successful completion of our Type II SOC2 review. Achieving this certification helps us assure our customers and the companies with which we interact that we understand our responsibilities in keeping protected health information safe. Instantly deliver exceptional experiences for patient insurance billing to your end users. Run estimations, perform insurance verifications and file patient's claims all with simple APIs.
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    Intellect

    Intellect

    Prime Clinical Solutions

    Prime Clinical has provided professional services and time-tested practice management software to physicians for more than 30 years. Intellect, our ICD-10 ready practice management system streamlines all aspects of administrative workflow, from appointment scheduling to insurance billing. This allows you and your staff to focus on what matters most: delivering high-quality patient care. Intellect practice management software also allows for full integration with your EHR, permitting data to flow easily and securely through each of your healthcare organization’s patient data management applications. Send appointment reminders to patients via email, telephone or text message. Track and ensure that proper reimbursement is met for each CPT code on every bill. Have monthly, quarterly, and yearly stacked reports printed at any predefined time or interval. Enable scheduling and billing workload to be shared remotely between multiple practice locations.
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    NeuralRev

    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.
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    OptiMantra

    OptiMantra

    OptiMantra

    OptiMantra is an EMR and practice management platform focused on helping integrative and wellness practices. It serves individual and multi-modality group practices of direct and primary care providers, acupuncturists, nurse practitioners, naturopaths, chiropractors, massage therapists, PTs, dieticians and nutritionists, aesthetics, and others across the US and Canada. It is a HIPAA and PHIPA-compliant platform and is highly adaptable and robust - it includes online appointment booking, patient messaging and email reminders, a patient portal, intake forms and customizable charting, integrated payment processing, integrated labs and imaging, insurance billing, in-program tele-health, inventory management, and more. The platform is cloud-based and accessible and usable via any desktop, laptop, tablet or phone with internet access.
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    Docta

    Docta

    WinBuilt Software

    Our state-of-the-art system delivers instant patient financial and clinical results for private small and medium healthcare practices allowing a fast, smooth and seamless integration accommodating technology to daily operations. ​Regardless of the size of your practice Docta makes working with computers a much simpler task with a simplified interface that allows browsing your patients and finding records much faster and easier. A very simple way to keep track of consults, vital signs, medical notes, prescriptions, patient current medications, diagnoses, procedures, documents and all the features that help your practice succeed. Get paid faster! Regardless if you choose to submit claims electronically or not, start organizing patient insurance policies (primary, secondary and tertiary) and keep track of the status of paper and electronic claims. Communicate with patients and potential patients with the right office tools that help you build marketing campaigns.
    Starting Price: $299 one-time payment
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    Psyquel

    Psyquel

    Psyquel

    Pysquel is an innovative Internet-based insurance billing, collection service, and practice management software solution for mental health providers. Feature-rich and powerful, this comprehensive mental health billing software and mental health electronic health record (EHR) platform offers a unique combination of features and tools that significantly improve your practice’s profitability and efficiency. Core features include claims management, appointment scheduling, Electronic Data Interchange (EDI), billing and invoicing, assessment and treatment plans, progress notes, patient portal, personnel management, and more.
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    ClinicPro Medical Software

    ClinicPro Medical Software

    ClinicPro Software

    ClinicPro medical 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 medical 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. All the features of our unlimited package software plus the trusted proven Billing Technology for independent clinics to simplify your medical billing and maintain control of your practice. Clinic Pro EMR is not Medicare certified. It is, however, an excellent tool for creating daily encounters for commercial insurances, Blue Cross Blue Shield, and personal injury practices using touchscreen or tablets, modality.
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    Rivet

    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.
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    InsureBill
    InsureBill is a comprehensive billing solution designed to manage the revenue side of insurance enterprises efficiently. It supports single and multiple policy accounts, multiple payers for policies, and non-premium billing, including deductibles, claim payments, recoveries, and subrogation. The system offers a vast selection of features that improve cash flow and generate timely, informative, and seamless reports, enhancing efficiency and productivity. InsureBill is flexible and extraordinarily easy to use, designed for more efficient cycles that increase internal staff productivity and reduce operating costs. It enables a higher volume of transactions to be handled by the same staff with a higher degree of efficiency. As a product that provides the highest degree of scalability and flexibility, InsureBill matches the growing needs of organizations, which is a vitally important factor when evaluating return on investment.
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    Veritable

    Veritable

    314e Corporation

    Veritable accelerates patient insurance eligibility verification and claims-status checks by providing instantaneous results in a clean, intuitive interface. It supports real-time, batch uploading of patient lists to verify eligibility across more than 1,000 payers (including national Medicare and all state Medicaid) and multiple service types. It also enables tracking of claims status, from submission through reimbursement, so practices and billing companies can proactively identify issues to reduce payment delays and denials. Key benefits include automating eligibility and claims workflows to reduce manual entry and phone calls, improving front-desk patient experience by validating coverage and copayments at check-in, and offering seamless integration for both technical and non-technical users with strong data-security controls. It includes a “Code Explorer” for instant lookup of ICD-10-CM, ICD-10-PCS, HCPCS Level II, and CPT codes.
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    Stage 4 MD

    Stage 4 MD

    Stage 4 Enterprises

    Stage 4 MD® is the next evolution of practice management/EMR software. Built by a practicing plastic surgeon, it is a HIPAA-compliant, cloud-based program with access from any device, anywhere with an internet connection. Features include a simple to use, clean and intuitive interface, integrated telehealth, automated appointment reminders, flexible charting, photo management/imaging, customizable quotes, digital consents, patient portal, ePrescribing, robust reporting, CRM consult follow-up, and much more. Insurance billing available this summer. FREE 30-day trial with no startup fees, free remote training, free tech support, and free migration of existing data. Plus, all monthly fees are waived while your office is closed due to coronavirus. Subscriptions are month-to-month with no long-term contract and no annual maintenance fees. All for $650/month for the first doctor with unlimited users, unlimited devices. Use the time your office is closed to switch. Contact us for a demo.
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    EMR Datacenter

    EMR Datacenter

    Software Motif

    EMR Datacenter is a billing software is designed as an appointment-centric application for healthcare disciplines that require meticulous management of patient appointments. This may be for an office with a high visit volume, or it may be a multi-provider, multi-discipline office. Appointment management deeply integrated into the framework of EMR Datacenter, making it "appointment-centric", ensuring that appointments are kept (or rescheduled). If appointments are kept, then entering procedure codes and payment are the "result" of kept appointments. Unlimited insurance policies for each patient, allowing for indicating active and inactive insurance payers for the ability to reprint or resubmit insurance claims indefinitely. Patient letters on demand or mass mailing with filtered searching.
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    PracticePro
    MTBC provides more than just medical billing services. We help doctors automate their manually handled tasks. PracticePro™ simplifies every step of the practice management and medical billing process, right from the initial scheduling of an appointment to the provision of quality service and remittance tasks following every patient’s visit. These technologically advanced medical billing solutions automate your office’s labor-intensive jobs, allowing you to focus more on patient care rather than administrative chores. It takes the stress out of preparing claims by auto-populating fields and providing built-in tools like diagnosis and CPT code lookups. An advanced collection of billing rules and real-time error alerts are built into the workflow to prevent mistakes, so you can prepare claims quickly and accurately. Provides real-time insurance eligibility verification.
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    Inovalon Insurance Discovery
    Insurance Discovery reduces uncompensated care and underpayments by identifying active billable coverage previously unknown to the provider. Using sophisticated search capabilities, this solution identifies if patients have multiple active payers to help boost reimbursement opportunities. Prevent reimbursement delays and increase the speed of revenue capture by sending claims to the right payers on the first submission, enabled by more accurate coverage information. Run Insurance Discovery with verified patient demographic data to get accurate coverage and eligibility information. Replace manual insurance discovery methods with one quick, comprehensive search that inquires numerous databases in seconds to deliver detailed, accurate coverage information. Improve the patient/resident experience and estimate accurate out-of-pocket costs to improve their financial experience.
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    Benchmark PM

    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.
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    BHRev

    BHRev

    BHRev

    BHRev is a specialized revenue cycle management service and automation platform built for behavioral health providers that helps practices streamline and optimize their entire financial workflow from claims submission to payment collection with AI-powered automation, expert oversight, and industry-specific expertise. It focuses on the unique challenges behavioral health organizations face, including complex payer rules, documentation requirements, high denial rates, and evolving compliance standards, by automating up to 80% of RCM tasks while human experts handle exceptions, compliance checks, and more nuanced billing functions to ensure faster reimbursement and fewer administrative errors. It combines advanced automation with human review to handle critical steps such as insurance eligibility verification, claims processing and scrubbing, denial management and follow-up, and patient payment posting so clinics can reduce operational burden and increase cash flow.
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    HARMONY

    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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    Quick-MD

    Quick-MD

    Quick-MD

    Quick-MD, A Professional Practice Management Software System, delivers the absolute most value for your dollar! We give Office Manager, the opportunity to purchase a feature-rich Practice Management Software system at a very attractive and affordable price. And most importantly, you will not find an easier-to-use, faster or more stable Windows-based product on the market today. Quick-MD is a full-featured Practice Management Software System. We give you complete control over Patient Scheduling, demographics, filing insurance claims both on paper and electronically, posting payments, managing your accounts receivables, soap notes, transcriptions, fee schedules, prescriptions, and much more. Our reporting is second to none, with literally thousands of reports built into the system. Stay on top of your patient's accounts, run reports by user-definable classes, analyze your aged balances in several powerful ways, see reports of all claims billed, and more.
    Starting Price: $995 one-time payment
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    RAPID

    RAPID

    ACOM Health

    ACOM Health is a premier provider of superior billing services and software solution. Specifically built for chiropractic offices, RAPID by ACOM Health offers the industry's most results-oriented, effective, and comprehensive solutions for electronic health record (EHR), notes, practice management, and insurance billing and collections services. Key features for doctors include fully automated EHR workflow, chiropractic templates and charts, automated alerts. For patients, RAPID provides an online patient registration, patient appointment reminders, self-service registration kiosk, appointment reminders, and more.
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    Availity

    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.
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    Sift Healthcare

    Sift Healthcare

    Sift Healthcare

    Sift demystifies healthcare payments by integrating actionable intelligence into revenue cycle workflows to help healthcare organizations optimize payment outcomes and reduce the cost to collect. Sift equips healthcare providers with actionable denials intelligence that enables them to protect their receivables and accelerate cash flow. Sift captures insurance claim and patient financial data into a HIPAA-compliant, cloud-based and normalized database, providing a single source of truth for around your healthcare payments. Sift fills the gaps between a provider’s EHR, clearinghouse, workflow tools, and patient engagement platform. Sift unifies the data points from each system to build a unique and proprietary data set and provide holistic payments oversight. By applying multiple data science techniques, Sift provides comprehensive and integrated recommendations for denials management, payer assessment, patient collections and patient acquisition.
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    POWEReob

    POWEReob

    Unicomp Corp. of America

    Insurance payment posting, like so many other tasks, falls under the proverbial 80/20 rule. The 20% of your payments that are still posted from paper EOBs take 80% of the overall payment posting work, if not more. Not so with POWEReob. POWEReob is a combination of free software and a pay-per-transaction service that will convert the paper EOBs you still receive from some payers into electronic remittances files in the ANSI 835 or NSF format. These files can then be used for automated payment posting to your practice management software, electronic secondary claims billing and denials management. POWEReob can work with any practice management that accepts remittance files from 3rd party sources (not just from their designated clearinghouse). For those that don't, we'll work with your practice management or clearinghouse so you, too, can benefit from the labor savings resulting from 100% electronic remittances.
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    AltuMED PracticeFit
    Conducting thorough checks on the financial eligibility of the patients, running their insurance’s analysis and monitoring discrepancies, the eligibility checker covers all. If however any error does creeps in the data submitted, our scrubber working on deep AI&ML algorithms is capable of scrubbing errors be it coding errors, incomplete or wrong patient financial information. The software, at present, has 3.5 Million edits pre-loaded in its memory. To further streamline the process, automatic updates are issued by the clearing house to inform about the status of in-process claims. Covering the entire billing spectrum from verifying the patient financials to working on denied or lost claims and also has a through follow-up feature for appeals. Our intuitive systems warns if a claim could be denied, taking corrective actions to prevent it but also is capable of tracking and appealing for lost or denied claims.
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    Symplast

    Symplast

    Symplast

    Symplast is the comprehensive solution for Plastic Surgeons, Medical Spas, and more. Boasting an intuitive Patient App, Marketing Analytics, best-in-class EHR, Practice Management System, Insurance Billing, and more – your practice will thrive with Symplast! Streamline patient encounters with lightweight, actionable charting. Speed things up by writing or dictating EHR notes from customizable templates or add your own. Free up hours of time across your practice with online appointment requests, a digital new patient intake portal, and HIPAA- secure automated appointment reminders. Give your patients peace of mind by staying in touch with them through real-time, two-way, HIPAA-secure messaging, media sharing, appointment reminders, and more. Doctors, patients, and staff alike can securely share images, videos, and files with the push of a button. Easily tag media for marketing purposes and keep it all organized with a global catalog.
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    Cortex EDI

    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.
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    Freddie Med

    Freddie Med

    Freddie Med

    Cloud-based, patient-centric, user-friendly practice management technology Manage your entire clinic from booking to billing in a professional network. Why Freddie Med? Manage your entire clinic from booking to billing on Freddie Med Add your team or let us manage your practice remotely with our partners. Verify and submit e-invoices to UK insurance companies in less than a minute. We auto create invoices for all your payers or take direct credit card payments from your patients. Easily create and manage consultation notes and documents. Use specialty specific templates and automated reports. Share with your patient after authorization. Let Freddie Med manage your legal documents. Add your legal documents and we ensure that your patients have always accepted the latest version via the patient portal, your tablet or on paper. Work with your colleagues, build virtual clinics and global pathways Set up multi-departmental clinics in minutes and use the full potential
    Starting Price: $45 per user, per month
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    MedicsPremier

    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!
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    ClinicPro Chiropractic

    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.
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    MedClarity

    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.
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    mDOC

    mDOC

    Mack Software

    Using our claim listing page you can quickly resolve errors and omissions prior to submitting your claims. After all information has been posted, diagnosis and modifier codes applied, you can submit a group of claims to Trizetto Provider Solutions® in one quick step to upload the claims. Trizetto Provider Solutions® will in turn perform additional claim scrubbing and then send your claims on to the payers. Post payments from insurance companies against claims indicating allowed amounts, adjustments and copay, coinsurance and deductible. Payments are entered in batches to ensure accuracy. Statements are prepared at your desired frequency - daily, weekly, monthly. These statements are presented in a simple, clear format that is easy for patients to read and understand. No more confusion!! A credit card authorization area is included on the statement for convenient payment of balances due.
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    Stride EMR

    Stride EMR

    Stride EMR

    Stride EMR is an AI-powered outpatient rehab platform built to help physical therapy, occupational therapy, and speech therapy practices run clinical and business operations on a single system. It combines a modern electronic medical record with Patient Relationship Management and revenue cycle management billing so clinics can automate documentation, scheduling, patient intake, insurance verification, claims submission, and follow-up without switching between tools. Stride’s AI significantly accelerates clinical workflows by auto-populating notes, reducing clicks and typing, ensuring medical necessity documentation is compliant, suggesting treatment goals, and minimizing claim denials through payer-rule-aware coding. The PRM suite includes intelligent online scheduling, waitlist management, automated reminders, two-way text messaging, reputation and review growth tools, and patient engagement campaigns to keep schedules full and improve retention.
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    Pro Health Billing

    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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    DocVilla
    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.
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    ABN Assistant
    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
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    Practice IQ

    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.
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    Veradigm Payerpath
    Veradigm Payerpath is an end-to-end revenue cycle management suite of solutions built to assist organizations to improve revenue, streamlining communications with payers and patients, and boosting practice profitability for practices of all sizes and specialties. Eliminate missing information, incorrect coding, and data entry error to ensure clean claim submission. Ensure claims pre-submission are correctly coded, have no missing information, and are error-free. Compare performance against peers at the state, national, and specialty levels to optimize productivity and improve financial performance with advanced analytical reporting. Remind patients of their appointments and confirm their insurance coverage and benefits information. Automate the billing and collection of patient responsibility. Veradigm Payerpath’s integrated solutions are practice management (PM) agnostic, interfacing seamlessly with all major PM systems.
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    BindExpress Suite

    BindExpress Suite

    SpeedBuilder Systems

    At SpeedBuilder Systems, our commitment is to develop software products that enable you and your customers to conduct business easier and faster. Whether you’re an insurance agent or the insured entity, our BindExpress Suite package is an end-to-end policy administration system that delivers exceptional ease of use, quick alterations, and superior results for personal and commercial insurance lines. From policy administration to claims processing to billing and premium accounting, this is the technology that will keep you miles ahead of the competition.
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    Approved Admissions

    Approved Admissions

    Approved Admissions

    Approved Admissions is a secure platform that automates tracking of coverage changes for Medicare, Medicaid, and commercial payers bundled with real-time eligibility verification and coverage discovery. The platform's primary goal is to help providers minimize the number of claim denials due to a missed insurance coverage change and accelerate the billing cycle. Approved Admissions is using the innovative RPA (Robotic Process Automation) Bridge solution to ensure patient data consistency across multiple systems, and benefit coverage search. Key Features: - Automated eligibility verifications and re-verifications - Email or API notifications if any coverage changes are detected - Real-time verifications - Batch eligibility verification - Seamless integration with RCM, EHR platforms (PointClickCare, MatrixCare, SigmaCare, DKS/Census, FacilitEase, and many others) - RPA-powered cross/platform synchronization
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    eClaimStatus

    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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    Inovalon Eligibility Verification
    Eligibility Verification Standard streamlines patient access and billing workflows by enabling staff to assign and prioritize patients/residents, payers, and tasks during eligibility verification. This technology goes beyond basic eligibility needs, providing a dashboard to confirm, manage, and store every inquiry. Speed up eligibility verification processes with automated enrichment of incomplete or incorrectly formatted transactions from the payer. Perform multiple eligibility inquiries at once with batch file uploads that verify Medicaid, Medicare, and commercial coverage quickly and efficiently. Easily assign tasks to team members, apply follow-up flags, and create eligibility documentation for future reference. Manage patients between batches and resolve issues with just a few clicks. Save time and ensure coverage accuracy with one cloud-based, all-payer health insurance eligibility verification software that empowers staff to manage benefit inquiries however, works best for them.
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    AirCare

    AirCare

    AirCare

    AirCare is a robust healthcare platform designed to help private practices run more efficiently and deliver a better experience to patients. For as low as $29 per month, AirCare offers independent healthcare providers with a host of tools to manage their practice from one easy place. AirCare comes with smart scheduling, patient self-booking, payment processing, 3-click insurance claims, and a patient portal.
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    NowMD

    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.
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    Oracle Health Specialty Practice Management
    Oracle Health Specialty Practice Management is part of the Oracle Health family of clinical and practice management solutions, designed to provide the tools needed to run a profitable medical practice. Oracle Health Specialty Practice Management is customizable and integrates well with user-friendly EHRs offering medical document management, patient appointment scheduling and health record management. With an internet connection, Oracle Health Specialty Practice Management provides near real-time updates on claim status. With most payers, Oracle Health Specialty Practice Management is designed to help your practice have its claims adjudicated, paid and posted weeks sooner than a paper-based system. Other key features include patient scheduling, monitoring and posting payments. Oracle Health Specialty Practice Management includes capabilities to help your practice improve efficiencies during the scheduling, monitoring and payment process.
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    Nexus EHR

    Nexus EHR

    Nexus Clinical

    Nexus EHR is a cloud-based EHR and PM platform for clinical healthcare providers. Our EHR works with your clinical workflow and maximizes the physician-patient encounter. Access anywhere, any time, and with any device (PC, Tablet, Mobile). Breeze through encounters via our intuitive, easy-to-use interface that allows you to practice naturally. Multi-modal data input allows for maximum flexibility. Nexus Practice Management systems help you manage all billing activities, claims, and ERAs to maximize your revenues. Nexus EHR offers telemedicine to connect with your patients remotely. Nexus's Patient portal offers great flexibility to patients to fill all the demographics, insurance information, and histories online at their convenience.