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Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
ClaraPrice provides Hospitals with managed compliance with federal Price Transparency regulatory compliance. Busy Hospital teams can fully offload the administrative burden of Price Transparency compliance to our team of Health IT and Hospital Pricing experts. Our innovative software platform will generate the required consumer-friendly website and machine-readable file formats to ensure compliance is achieved and maintained for the long-term.
About ClaraPrice:

Hospital Compliance and Revenue Cycle Solutions.  

ClaraPrice enables Hospitals to automate Price Transparency compliance with a system application that attaches directly to their existing EHR software (Epic, Cerner, Meditech, etc). The solution analyzes payment and Revenue Cycle data to make intelligent decisions about service pricing and publishes their pricing online in a manner that is compliant with all components of the legislative requirements. The software also acts as the monitoring mechanism required by CMS to attest to compliance.

Product Description:

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

About TQA Healthcare - Formerly Element Blue:

TQA Healthcare enables healthcare and life sciences organizations to transform the patient experience and reduce costs through increased personalization, intelligent automation, and AI. 

The practice’s solutions impact patient access, the revenue cycle, order processing, and clinical needs at the most critical stages of the patient journey, resulting in a seamless encounter.

By empowering individuals to actively manage their unique experiences, TQA Healthcare increases the satisfaction of every healthcare consumer: patients, staff, and clinicians.

Houston-based, TQA Healthcare is formerly Element Blue. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

100% Compliance Guarantee. Guarantees that your Hospital meets full compliance with the Hospital Price Transparency federal and state-level requirements.

Shoppable Service List. An interactive web page branded to your Hospital. It's interactive and built to CMS specification to ensure compliance and a great user experience.

Machine-Readable File. A comprehensive and secure machine-readable JSON data file that includes all CMS-required data points and nested, plan-level, payer-negotiated rates.

Works with your existing EHR. 100% Compliance with the CMS Price Transparency Rule. With ClaraPrice, you will get everything you need to achieve and maintan full compliance with the OPPS Final Rule for Price Transparency.

Public-Facing Resources. We provide you with a custom website that is compliant with all requirements of CMS’s 2021 OPPS Price Transparency mandate. Your consumer-friendly display is accessible by all. It’s easy to use, mobile friendly, and works with all browsers.

Admin Pricing Data Tools. Your team will have access to a custom admin portal with tools to filter, search, and download your Hospital pricing database.

Pediatric use cases:

None provided

Users:

Hospitals

Description:
  • Prior Authorization
  • Claims Status
  • Coding
  • Scheduling
  • HIM
  • Remittance Posting
  • Provider Credentialling
  • Accounts Payable
  • Human Resources
  • Clinical Services
  • Patient Access
  • Revenue Cysle Management 
  • Supply Chain
  • Finance
  • HR
  • Referrals
  • Faxes
  • PDFs
  • Emails
  • Scans
  • Invoices
  • Patient Charts
  • Patient Records
  • Lab Orders
  • Mail
  • Paper Documents
  • Resumes
Pediatric use cases:

Same as for any health system, but additional applications related to newborn insurance and patient proxy for infants and children.

Users:

Revenue Cycle Leaders

Finance Leaders

IT Leaders

HR Leaders

HIM Leaders

Operations Leaders

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Meditech, athena, Athenahealth

Hardware Compatibility:

Other

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Not applicable

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

Not applicable

Client Types

None provided

Awards

No awards image
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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

While EHRs offers integration tools, achieving seamless data exchange, particularly with non-EHR systems, can be challenging due to their limited interoperability.

This can create communication hurdles between providers using different EHRs, healthcare facilities not on a particular EHR, and providers who need to integrate with other advanced technology platforms outside of the EHR ecosystem.

Element Blue's solutions can integrate with any platform and are independent of particular products or technologies. This affords our teams unlimited creativity when ideating custom solutions for each healthcare organization.

Differentiators vs Competitors:

Element Blue's practice is dedicated exclusively to healthcare and life sciences. This is unique among our UiPath competitors, who serve multiple industry verticals.

A UiPath Platinum partner, Element Blue is recognized as a leading systems integrator with more than 20 years' experience in working with some of the world's best known providers, payers, diagnostics, and life sciences organizations.

Keywords

Images

1 of 3

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Videos

1 of 1

price-transparency-product-video.mp4

1 of 3

Epic Claim Denial Resubmission with BCBS.mp4

Downloads

No content provided

media thumbnail
66329_EB RPA Case Study REVISED.pdf

Alternatives

Company Details

Founded in 2018

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