Complex insurance processes and numerous payment methods and payment plans make it difficult for care providers to get paid what they deserve on time.
Our RCM automatically pre-approves patient insurance eligibility to reduce risks of claims denial due to coverage issues. Complete this step at check-in, or have patients submit their documents easily on our portal prior to their visit to streamline their check-in experience
Create processes to automatically verify and submit your claims to payers. Once payment is received our system automatically posts the payments onto your patient's account and reconciles any outstanding balance.
Ensure you have a view of the real-time status of all your claims, all from one dashboard, apply filters to quickly identify particular cases or stages of clams lifecycle to detect and resolve issues early
With multiple payment options, get paid the way that makes the most sense to you and your patients. Our system supports checks, credit/debit cards, cash, bank transfers, and more. We also offer further customizations for other novel payment methods.
Frontier system required ongoing support, our engineers are ready to solve any issues or demanded adaptability
More than 120,000 contributing organizations and 15,000 engineer contributors continuously improve system-wide performance.
Our AI tool for claims scrubbing leverages NLP technology to detect errors, recommend codes, and keep your practice up-to-date with the latest coding updates, billing practices, and any other regulatory requirements.
Our RCM systems supports direct EDI connections, as well as API connections with payer's systems, to facilitate the electronic exchange of claims, remittance advice, eligibility verification, and procedure authorization requests
If a payer does not fully cover expenses, our RCM will send automated reminders and pre-generated text/email/calls to patients, communicating unpaid balances and available payment options.
Robust analytics and reporting capabilities provide real-time visibility into key revenue cycle metrics, financial performance indicators, and billing trends. Our RCM then highlights actionable insights to improve revenue cycle.
RCM system flags denied claims, and leverages AI to automate the denial appeals process. By analyzing patterns in denial, our system can suggest changes to prevent future denials.
Ever's work was created from the ground up in partnership with physicians the world over. With your wisdom at the helm, Ever's powerful suite of tools can be further honed to fit your every need.
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