Healthcare FlintRC™ Pre-Certification Automation

CMS Claims Conversion

Integration Service Connector

85

The CMS Paper Claims Electronic Conversion use case accelerator automates the conversion of CMS 1500 and UB04 claim forms to EDI 837P and 837I, respectively.

Free

Epic FHIR R4

0

A cloud based Electronic Health Record (EHR) or Electronic Medical Record (EMR) management system used by healthcare providers to manage patient and related information.

Free

Prior Authorization Determination

11

An automated precheck of the prior authorization request for errors and missing information, assessing the likely outcome of the request prior to submission.

Free

Healthcare FlintRP™ Remittance Posting Automation

4

FlintRP™ significantly reduces direct labor costs, eliminates errors that would otherwise be required to research and correct mistakes, and accelerates revenue reconciliation.

Free

Healthcare FlintCM™ Care Management Automation

1

Healthcare FlintCM™ delivers critical information to patients and providers in real-time while information is being collected and assessed for care management.

Free

Healthcare FlintPQ™ Patient Quality Automation

0

FlintPQ™ reduces the oversight required to monitor clinical activities while improving the quality of care being delivered and avoiding revenue penalties associated with quality and safety gaps.

Free

Preauthorizations Intake

34

The preauthorization forms intake use case accelerator automates paper Prior Authorization intake forms from email, STP or shared drive, classifies the documents, extracts required information.

Free

Prior Authorization Requirements

20

Activity that instantly identifies if prior authorization is required for Payers across multiple CPT/HCPC codes, and determines the optimal submission route between EDI/278, fax, and payer portals

Free

Digital Claim Interchange Request

23

Reduce technical debt in your revenue cycle management (RCM) processes by enabling easy EDI X12 mapping in your eligibility process.

Free

Prior Authorization Submission

26

Instantly identifies the prior authorization form(s) and submission requirements for a given payer, plan, then submits the completed prior authorization via the optimal submission route.

Free

Insurance Claims Submission Status

41

Add real-time EDI data transformation capabilities to your claim status intake automation process to eliminate old technical debt and enable hundreds of additional claim-centered use cases.

Free

Partner Solution

Cerner Claims/Encounter Adjustments Bot

by CampTek Software

WorkerBot logs into Cerner, searches claim/encounter, applies adjustment and/or applies comment and logs out.

Paid

CMS Claims Conversion

Integration Service Connector

85

The CMS Paper Claims Electronic Conversion use case accelerator automates the conversion of CMS 1500 and UB04 claim forms to EDI 837P and 837I, respectively.

Free

Epic FHIR R4

0

A cloud based Electronic Health Record (EHR) or Electronic Medical Record (EMR) management system used by healthcare providers to manage patient and related information.

Free

Prior Authorization Determination

11

An automated precheck of the prior authorization request for errors and missing information, assessing the likely outcome of the request prior to submission.

Free

Healthcare FlintRP™ Remittance Posting Automation

4

FlintRP™ significantly reduces direct labor costs, eliminates errors that would otherwise be required to research and correct mistakes, and accelerates revenue reconciliation.

Free

Healthcare FlintCM™ Care Management Automation

1

Healthcare FlintCM™ delivers critical information to patients and providers in real-time while information is being collected and assessed for care management.

Free

Healthcare FlintPQ™ Patient Quality Automation

0

FlintPQ™ reduces the oversight required to monitor clinical activities while improving the quality of care being delivered and avoiding revenue penalties associated with quality and safety gaps.

Free

Preauthorizations Intake

34

The preauthorization forms intake use case accelerator automates paper Prior Authorization intake forms from email, STP or shared drive, classifies the documents, extracts required information.

Free

Prior Authorization Requirements

20

Activity that instantly identifies if prior authorization is required for Payers across multiple CPT/HCPC codes, and determines the optimal submission route between EDI/278, fax, and payer portals

Free

Digital Claim Interchange Request

23

Reduce technical debt in your revenue cycle management (RCM) processes by enabling easy EDI X12 mapping in your eligibility process.

Free

Prior Authorization Submission

26

Instantly identifies the prior authorization form(s) and submission requirements for a given payer, plan, then submits the completed prior authorization via the optimal submission route.

Free

Insurance Claims Submission Status

41

Add real-time EDI data transformation capabilities to your claim status intake automation process to eliminate old technical debt and enable hundreds of additional claim-centered use cases.

Free

Partner Solution

Cerner Claims/Encounter Adjustments Bot

by CampTek Software

WorkerBot logs into Cerner, searches claim/encounter, applies adjustment and/or applies comment and logs out.

Paid

CMS Claims Conversion

Integration Service Connector

85

The CMS Paper Claims Electronic Conversion use case accelerator automates the conversion of CMS 1500 and UB04 claim forms to EDI 837P and 837I, respectively.

Free

Epic FHIR R4

0

A cloud based Electronic Health Record (EHR) or Electronic Medical Record (EMR) management system used by healthcare providers to manage patient and related information.

Free

Prior Authorization Determination