MEDICAID BILLING
- Enhanced cash flow with minimal denials and write-offs.
- Eliminate emailing spreadsheets, lengthy calls to billing companies, and waiting for updates.
- Electronic Batch Billing (837P or 837I) tailored for Medicaid and Managed Care Payers.
- Automated Health Care Claim Payment and Remittance Advice (835) posting.
- Comprehensive forecast analytics and financial reporting.
TRANSPORTATION BILLING
- Schedule transportation seamlessly.
- Bill transportation services directly to behavioral health providers or Medicaid.
- Facilitate billing for private payers with ease.
PRIVATE PAYER / FOUNDATION ORGANIZATION
- Generate end-to-end invoices based on attendance, counseling sessions, therapeutic activities, and transportation services.
- Accept private payments via check or credit card.
- Create invoices tailored for family members or guardians.
AI-Driven Eligibility Check
Harness the power of AI to perform quick and precise insurance eligibility checks. Streamline workflows, reduce account receivable days, and prevent denials with ease.
AI-Powered Claim Scrubbing
Submit accurate, error-free claims faster with AI-driven claim scrubbing technology. Experience prompt reimbursements and fewer rejections or denials.
AI-Enhanced Electronic Submission
Seamlessly manage corrections and resubmissions using AI tools. Automatically address held claims, ensuring optimal processing efficiency.
AI-Driven Automated Reconciliation
Efficiently process ERAs and EOBs with automated reconciliation tools. Validate payments and proactively follow up on rejected or denied claims.
Dashboard Analytics
Monitor your financial health at a glance using an AI-powered dashboard. Easily filter and analyze data by provider, carrier, location, and date for actionable insights.
Customized Reports
Access in-depth insights into charges, payments, and adjustments for each billing entry. Customize reports to suit your unique requirements and gain a clearer financial perspective.
AI-DRIVEN VALIDATION PRIOR TO SUBMISSION
Utilize AI to detect "Certain to Deny" claims before submission, significantly increasing first-pass accuracy rates by up to 50%. Our software validates:
- AI-Enhanced Eligibility Verifications.
- AI-Powered Eligibility Discovery.
- AI-Enabled Prior Authorization.
- AI-Driven Client Demographic Validation.
- AI-Assisted Billing Diagnosis Code Validation.
- AI-Validated Payer Information.
- AI-Verified Ordering Physician Details.
- AI-Secured Authorization Code Verification.
Experience AI-driven validation for proactive claim processing and improved revenue cycle integrity, tailored specifically for behavioral health providers.
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