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Best Payer Intelligence Products

Best Payer Intelligence Products

This category is a work in progress

Payer Intelligence encompasses tools, reference libraries, and subscription alert services that aggregate policy, compliance, and payer-related information. These tools help providers, billing teams, and revenue cycle leaders stay updated with real-time payer alerts, policies, and changes, ensuring compliance and smoother workflows. The category offers external knowledge products that support decision-making and reduce administrative burdens, improving outcomes for providers and payers.

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Product Grid

Payer Intelligence: Products


Product Grid
422 products
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Innovaccer’s Data Activation Platform, leveraging modern cloud lakehouse architecture, is designed to help organizations rationalize their IT expenditures by driving ROI and realizing cost-saving opportunities within their infrastructure. Its data lake architecture provides more than 200 prebuilt connectors to allow hospitals to onboard and test data. With intelligent algorithms, the platform delivers deep AI- and ML-powered predictive insights to support

hospital operations. It’s one of the most cost-effective data archiving solutions and has a variety of use cases to impact productivity, efficiency, and quality for physicians, care coordinators, and healthcare leaders. 

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Andor Health was born over 4 years ago with a single mission; to fundamentally change the way in which care teams, patients, and families connect and collaborate. By harnessing the latest innovations in OpenAI/GPT models, our cloud-based platform unlocks data stored in source systems - such as electronic medical records - to deliver real-time actionable intelligence to care teams within ubiquitous virtual collaboration platforms like Zoom. By perfecting communication workflows, our platform accelerates time to treatment, decreases clinician burnout, and drives better patient outcomes.  

Healthcare institutions and providers use ThinkAndor® to enable providers to configure patient and clinician interactions with ubiquitous team collaboration platforms. This eliminates the need to manage added applications. ThinkAndor® enables a frictionless virtual interaction allowing physicians and patients to communicate without being distracted by disjointed technologies during a virtual consultation. 

ThinkAndor is the only integrated virtual collaboration platform that can truly bring together all aspects of outpatient, inpatient, post-acute and at home virtual care collaboration through the 5 Pillars of Virtual Health: Virtual Visits, Virtual Hospital, Virtual Patient Monitoring & Care Management, Virtual Team Collaboration, and Virtual Community Collaboration. 

Features include:

  • Virtual visits launched from the EHR
  • Voice-to-text clinical notes
  • Real-time alerts and notifications
  • Secure collaboration channels
  • ThinkAndor® AI Bot provides relevant content and clinical context to visits and care teams
  • Device-agnostic virtual rounding, nursing, sitting and remote consults to power the virtual hospital
  • Remote specialty consults such as Tele Stroke, Tele Psych, and Tele ICU
  • Access to a virtual on-demand network
  • Multi-room/patient virtual sitting for a variety of risk types
  • Virtual nursing to address staffing shortages

In 2020, Microsoft M12 took an investment position in Andor Health and works very closely to optimize virtual interactions leveraging OpenAI and GPT. Since then, Andor Health has grown to serve over 70,000 providers and over 500 hospitals leveraging the Andor Health platform across the US, Canada, and UK. Orlando Health, Medical University of South Carolina, Tampa General Hospital, Yale New Haven, and the National Institutes of Health are among some of the most notable. You may find some of our most prestigious partners here, https://andorhealth.com/partners.html. 

Most Importantly, Black Book has ranked Andor Health as the #1 Virtual Care Collaboration Solution with the Highest Client Satisfaction in 2023! Black Book Market Research used 18 key performance areas of operational excellence to rank Virtual Care Solutions vendors, and recognized Andor Health as the Highest in Client Satisfaction.  More importantly, Black Book reached out to nearly 1000 provider organizations, hospitals, and health systems to perform this independent market evaluation with Andor Health taking  #1 in 13/18 key performance indicators across all 5 pillars of virtual health & collaboration! This success is a proven indicator of Andor Health’s focus to empower clinicians and care teams with distinct, AI-powered virtual collaboration experiences. 

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product capabilities
Access & Scheduling
Intake & Virtual Waiting Room
Virtual Encounter
Diagnosis & Documentation
Billing, Orders, & Follow Up
Technical Support
Flexible Staffing
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HealthNautica’s eORders™, software is a comprehensive, easy-to-use, cloud solution for managing the entire perioperative process and surgical scheduling without changing your scheduling system. It begins with the physician’s office filling out an online surgery scheduling or procedure request.

Gone are the days of illegible, incomplete, inaccurate faxes sent back and forth between the physician’s office and the facility’s scheduling department. The cumbersome and error prone faxing process is replaced by an electronic form that is configured to each facility’s exact specifications and reacts to the user’s input thereby assisting the physician’s office in getting it right the first time.

All orders are legible, complete, screened for CMS Medical Necessity, incorporate SCIP, VTE, SSI and ACS NSQIP measures, verified for insurance eligibility, pre-certified and satisfy edits by CMS, commercial payers and the facility. Our solution ensures efficient surgery center scheduling and block time management while streamlining processes such as prior authorization.

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Leading Health System
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The Clinician Journey with Avo Assistant:

  • Reviews Patient Chart: Clinician reviews the patient chart prior to encounter, receiving an automated chart snapshot and best next step summary in the EHR based on the patient records and institutional guidelines.
  • Records Patient Conversation: Clinician meets with the patient and records the conversation on mobile using Avo’s scribe technology, or using existing ambient software. 
  • Generates Documentation: Clinician goes back to workstation and in one-click auto-generates documentation in any format, thanks to easy prompting available behind-the-scenes in Avo Builder.
  • Submits Orders and Billing Codes: Clinician uses Avo Pathway to check protocol for admitting this patient and pends orders based on the latest evidence. Clinician submits note with MEAT criteria for accurate billing. 
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product capabilities
Contextual understanding
Interoperability
Data security and privacy
Naturalistic interaction
Scalability
Adaptability
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Leading Health System
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Leading Health System
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The Stel Vitals Hub seamlessly and securely connects bluetooth vitals devices to health records without complex setup, WiFi, or mobile applications.

Healthcare leaders are struggling with the reality of the digital divide and integrating hundreds of point solutions across the care continuum.

Patients simply plug in the Hub and use their vitals device.
Care teams can better monitor patient trends and alerts within their preferred workflow.

With Stel, patients don’t require Wi-Fi, smartphones, or tech-literacy to connect with their care teams. 

Stel passively and securely connects the device data to their care team’s Electronic Health Records (EHR) or preferred platform without risking Protected Health Information (PHI) or complicated workflows. 

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product capabilities
Analytics
Data Collection
Accessibility & Equity
Integration & Interoperability
Operational Support
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Leading Health System
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Clinicians can order, deliver, and monitor care from one unified platform within their current workflow. These include everything from connected devices to services including meal delivery and transportation, from patient education to surveys and PROs. Looking to alleviate the disparity in healthcare delivery while recognizing common technologies most people share, Xealth helps health systems make digital health a competitive asset.

Xealth enables healthcare teams to order digital content and services as easily as they do medications today. Patients can then access these digital health prescriptions from the provider's portal, so that they can actively manage their health.

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product capabilities
Multimodal delivery options
Connected FDA-approved devices
Real-time data collection
Integration and interoperability
Data Collection
Integration & Interoperability
Analytics
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key clients
Leading Health System
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Leading Health System
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Leading Health System
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  • Digital Pathways (Algorithms) and Calculators: Library of 150+ society and academic institutional guidelines digitized into an actionable format and 50+ top clinical calculators.
  • Knowledge Base: Information warehousing of your unique guidelines and protocols, customizable with Avo Builder.
  • Custom Builds: Transformation of your guidelines and protocols into actionable clinician tools by our informatics experts.
  • Analytics: Dashboards on algorithm and calculator usage to guide your education and adoption strategy.
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Leading Health System
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Leading Health System
Health system
Leading Health System
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Leading Health System
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+50 verified clients
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Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large sized healthcare settings, specialties, and payers from one platform and portal.

All built just for you.

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product capabilities
Requirements Identification
Form Completion
Forms Library
Documentation Collection
Request Submission
Status Monitoring
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key clients
Leading Health System
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Leading Health System
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Leading Health System
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Leading Health System
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  • Create: Use Avo’s customizable templates, EHR data-pulling functionality, and AI features, to create tools that work for your organization in our "no code" Builder paltform with "drag and drop" functionality. 
  • Simulate: Enhance team collaboration and simplify the review process by verifying with your teammates in Avo Builder.
  • Publish: Provide instant access to your tools and make seamless updates as you receive feedback and as medical evidence evolves.
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key clients
Leading Health System
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Leading Health System
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Leading Health System
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Leading Health System
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+50 verified clients
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The easy button for patient communication.Built for busy ERs and hospitals, Vital sits on top of your EHR to communicate with patients & family when staff are too busy.

AI explains lab and radiology results in plain language, predicts wait times, and anticipates patient complaints before they escalate. Discharge goes faster. Patients are prepared for every conversation. Nurses save time and registration staff find a more peaceful waiting room.

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key clients
Leading Health System
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Leading Health System
Health system
Leading Health System
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Leading Health System
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+50 verified clients
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AVIA Marketplace offers a product grid that is a comprehensive resource for health care buyers in their research journey. The grid showcases products from leading vendors and ranks them based on compatibility level and market presence. This approach ensures that the products listed are not only relevant to the buyer's needs but also established in the market. With AVIA Marketplace's product grid, health care buyers can make informed decisions and select products that meet their specific requirements.

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