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Optum
Optum Claims Management
Optum Claims Management streamlines the claims process for healthcare providers, from preparation and submission to payer response. It uses content and rules-based editing to screen and correct claims, enhancing first-pass payment rates and reducing feedback loops.
Product Overview
Security and Compliance Certifications: HIPAA
Optum Claims Management streamlines the claims process for healthcare providers, from preparation and submission to payer response. It uses content and rules-based editing to screen and correct claims, enhancing first-pass payment rates and reducing feedback loops. The solution helps healthcare organizations minimize rework, delays, and denials, and ensures compliance with payer regulations.
Customers Served
Categories
Company Info
HQ Location
Eden Prairie , MN
Founded
2011
Headcount
10000+
Total Funding
$16M
Latest Round
Series A
Latest Round
05/17/2019
Company Socials
AthenaHealth
Athenahealth
Company Info
Founded: 1997
Headcount: 5001-10000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
6 ReviewsSecurity and Compliance Certifications: HIPAA, PCI DSS, ISO 27001, ONC Health IT (2015 Edition)
Athenahealth provides cloud-based healthcare solutions, including electronic health records (EHR), revenue cycle management, and patient engagement tools. Their platform, athenaOne, integrates these services to support clinical documentation, billing processes, and patient communication. Athenahealth's offerings are utilized by various healthcare organizations, from small practices to large health systems, to enhance operational efficiency and patient care.
Availity
Availity Essentials
Company Info
Founded: 2001
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
Availity Essentials is an end-to-end RCM solution for providers. It offers a range of features aimed at improving efficiency and accuracy in tasks such as eligibility and benefits verification, claims management, and prior authorization.
Candid Health
Claimed
Candid Health
Company Info
Founded: 2019
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
4 ReviewsSecurity and Compliance Certifications: HIPAA
Candid Health is an end-to-end revenue cycle management platform. It enables claims submission, detects and resolves billing issues, integrates with existing healthcare infrastructure via API, and provides real-time analytics for tracking and improving financial performance.
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