Payer Intelligence: Resources

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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helpful tools

Product Grid

Company Self-Categorization

Clinical Decision Support Systems

Tools that provide physicians and other health professionals with assistance, often at the point of care, to help inform decisions about a patient's care.

ReferralMD Platform

NICUtrition Tier 1: Initial Insights

COVID Complications AlgoMarker

InterQual Connect™

PicassoMD

Pathways - Curbside Health

Gesund Platform

Phix Analytics System

Eko CORE Digital Attachment

HOPE-CAT - by Invaryant

Epocrates

iOrder - Ambulatory Order Management and Radiology Solutions

Jvion

GenoAct

Atropos Evidence Platform

AI Co-Pilot for Clinical Excellence

riskLD

InsightRX Nova

InterQual AutoReview™

Intelligent Medical Objects

CapsicoHealth

CareGauge

HealthReveal

Persyst Development Corporation

Eko DUO ECG + Digital Stethoscope

Mobile Health Information System

WiserCare

CareManager

Surgical Intelligence Platform

3M™ Littmann® CORE Digital Stethoscope

OBIX Perinatal Data System

Remote Patient Monitoring (RPM)

Stanson Health

Marmo Health

Predicta Med's platform

Etiometry platform

Zirr AI Medical Scribe

Applied Pathways, LLC

National Decision Support Company

Clinical Pathways

ConsilX

Medasense Biometrics Ltd.

Comprehend Clinical

Decisive Health

Riskvue™

Wolters Kluwer Health

Avo Builder

Avo Assistant

Ask Avo

Data Aggregation Solutions

Software that gathers, cleans and integrates data from different sources for the purposes of analysis and reporting.

HealtheAnalytics: HEDIS Quality

HealtheAnalytics: BPCI-A

Verato Universal MPI (UMPI)

External Data Aggregator

Clearsense Data Management Platform

Prevent Avoidable ED Visits

4medica Data Management Platform

OMNY Health Marketplace

Health IoT Platform

Puzzl

Data Activation Platform

Talent Marketplace

Market Console & Advanced Analytics

Binary Fountain

imPowr™ Enterprise

Migrate/ Archive Legacy EHRs

Government Fee Schedule Lookup Tool

5. Enterprise Data Management and Business Intelligence

HealtheRegistries

Torch Insight

Decision Support

AskOBI Clinical Query System

HealtheAnalytics: ACO Quality

The OBASHI Platform

HealthEC® 3D Analytics™

Milestone Local and Reviews

Data Science Platform

Virtual and Dental Scribe

Automated Audiology Clinical Extended

Vista Analytics

intelligent Transfers as a Service ®

Medical summarization

EMR / EHR Data Management Solutions

Hierarchical Condition Categories

HealtheAnalytics: Cost and Utilization

Invaryant (gateway for providers)

Sickbay

Healthcare Data Fabric

Orderly Health

Revenue Cycle Management Services

Solutions to track, analyze and manage the revenue from patients and payers throughout the healthcare financial process.

Prior Authorization Bot

Revenue Cycle Management Bots

Cedar Pay

Intelligent Automation Managed Services

TQA HealthCare's Intelligent Automation

Patient Portal

Rev/Track Payments Intelligence Tools

Acuity Revenue Cycle Analytics

Allscripts® Financial Platform

R1 Business Office Solutions

Authorization Management Services

MedData A/R Recovery & Resolution Services

MedData Patient Responsibility/Early Out Services

ConvergeHEALTH Revenue Intellect

Hospital Price Transparency

QCode AI

Revenue Cycle Management

Medical Reimbursements of America, Inc.

RevenueMed

Financial - Early Out Messaging

Early o

HealthRescue Partners

ArcoInvoice

Medical Billing

Nym's Autonomous Medical Coding Engine

Reconciliation

ERA Processing

Dashboard

MedData Patient Screening Tablet Application for Advocates

FinThrive Revenue management

efficientC

PayRight Health Solutions

Healthation

R1 End to End Revenue Cycle Management

Bolder Healthcare Solutions

Sun Knowledge Pvt Ltd

ChartWiseCDI

EOB Conversion

Autonomous Medical Coding

Benefit Screening

MBA HealthGroup

R1 Physician Advisory Solutions

Physician Billing Partners

Advantum Health

Ontario Systems

Agilum (Anthem Healthcare Intelligence)

Clinical Workflow Analysis

Concila

Kareo

CareCloud

GeBBS Healthcare Solutions

Full Service RCM

Clearance Authorization

Alphie

Denials and Appeals Management Services

Pulse Revenue Cycle Benchmarking

R1 Revenue Integrity Solutions

Eligibility and Enrollment Services

Revenue Cycle Solutions for Hospitals and Health Systems

MedData Veterans Administration Complex A/R Services

Financial - Digital Statements

PMMC

AccuReg Software

Correspondence Indexing

Global Healthcare Provider Credentialing App

6. Finance & Accounting Outsourcing Services

Accounting and Consulting

RCM Complete

MedData Virtual Screener

MedData Denials Management Services

MedData Third Party Liability Complex A/R Services

Robotic Process Automation

Assurance Reimbursement Management

Financial - Card on File Messaging

Financial - Pre-Auth/Co-Pay Notifications

Patient Payment Processing

Medical Lockbox

eORders

TimeSmart.AI

Omnichannel access and scheduling

Medical scribe services

BioClaim

Advanced Data Systems Corporation

Adonis Billing

XIFIN

Rev/Engage Predictive Patient Payment Management

R1 Coding Management Solutions

Titan Health Management Solutions

Parallon Business Solutions

R1 Denials Management and Prevention

R1 Clinical Documentation Integrity (CDI) Solutions

AR Boost

MedData Advocate App

MedData Workers' Compensation Complex A/R Services

MedData Out-of-State Medicaid Billing & Enrollment Complex A/R Services

MedData Eligibility & Enrollment Services

Financial - Payment Reminders

Financial - Online Payments

AwareCDI

Revenue Cycle Management

XpertCoding

Insurance Eligibility Verification & Prior Authorization

Platforms that offer electronic transmission of information between the prescriber and PBM/payer to enable real-time approval for medication at the point of care.

Prior Authorization Bot

BanjoPA

Scala Med

Prescription Advisory Systems & Technology

Availity Authorizations and Referrals

UiPath Business Automation Platform

eBlu Solutions

Prior Authorization Management

Valer Enterprise Prior Authorization Platform

Revenue Cycle Management

Pledge Health

Digital Clinical Assistant (DCA)

basys.ai

ParX Solutions

Affinite Utilization Managment

Workflow Support

CRM systems that identify trigger points to initiate automated workflows and instructions for staff based on patient’s data.

CareAlign

Intelligent Automation Managed Services

Pycube’s Asset Protection

Decisio Health

Digital Asset (Medical Asset Lifecycle)

Referral & eConsult Manager & Second Opinion Manager

Clinical Workflow Analysis

Charlie for Visits

Clinical Workflow

X-HIS

EHR Integrated Applications

Healthcare Feature Set

Wellsheet

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Market Map Download

Payer Intelligence: Market Map

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Payer Intelligence Overview

Category Description

Payer Intelligence is a popular category with 420 products in AVIA Marketplace
There are 353 verified clients including academic medical centers, accountable care organizations, pediatric facilities and clients with rural presence using a Payer Intelligence solution at their organization
Subcategories of Payer Intelligence includes Clinical Decision Support Systems, Data Aggregation Solutions, Revenue Cycle Management Services, Insurance Eligibility Verification & Prior Authorization and Workflow Support

Payer Intelligence: Market Map

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Payer Intelligence Overview

420 products

Listed in AVIA Marketplace

117 products

With AMC Clients

134 products

With ACO Clients

95 products

With Rural Clients

68 products

With Pediatric Clients

Highest Rated Products

Xealth

5.0

5 reviews

ReferralMD Platform

5.0

3 reviews

Valer Enterprise Prior Authorization Platform

5.0

4 reviews

Payer Intelligence: Market Map

VIEW FULL PROFILE ON AVIA MARKETPLACE.

Payer Intelligence Subcategories

104 Products

Clinical Decision Support Systems

103 Products

Data Aggregation Solutions

114 Products

Revenue Cycle Management Services

38 Products

Insurance Eligibility Verification & Prior Authorization

34 Products

Workflow Support

27 Products

Denials & Appeals Management

26 Products

Real-Time Notifications

Payer Intelligence: Market Map

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Payer Intelligence: Market Map

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Payer Intelligence: Market Map

VIEW FULL PROFILE ON AVIA MARKETPLACE.

114 Products

Revenue Cycle Management Services

Payer Intelligence: Market Map

VIEW FULL PROFILE ON AVIA MARKETPLACE.

Payer Intelligence: Market Map

VIEW FULL PROFILE ON AVIA MARKETPLACE.

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