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

Categories

Solutions

Description

Product Description:

DataMartrix Medical's prior authorization services are perfect for those practices backed up by the burden of prior authorizations and are not reimbursed promptly. We will handle PAs throughout the entire process. We can work alongside current staff to support orders, submissions, approvals, and the denial/appeal process or handle the whole process to free up time for you and your staff.

Our HIPAA-compliant and secure service is EHR and EMR agnostic, so we can work with any system with a minimum setup cost that is, on average, 70% less than AI-centered RCM tools and 50% less than an hourly employee. DataMatrix is 99+% accurate and offers 24/7 capabilities, so there is no downtime. The prior authorization service by DataMatrix Medical accommodates all private insurance, no-fault, and worker's comp.

For over 25 years, DataMatrix Medical has been a leader in healthcare business process support. The prior authorization product can work seamlessly with other products, such as medical scribing, document indexing, and medical credentialing.

Try the DataMatrix Medical prior authorizations service risk-free and no long-term contracts; cancel anytime.

About DataMatrix Medical:

DataMatrix Medical is a leader in medical scribing and prior authorization outsourcing

Our BPO services, like proofreading, insurance eligibility verifications, voicemail to EHR transcription, document management, charge posting, billing, and coding services, have boosted productivity for over 250 medical practices and hospitals nationwide. We adhere to the highest standards and have excellent references from clients of 20+ years. 

Our clients love our 24-hour customer service, rapid turnaround, and the convenience of easily customized service

Product Description:
  • Cohere Unify™ Intake: Digitizing and improving intake across fax, EMR, and portal
  • Cohere Unify™ Decisioning: Prior authorization check, completeness scan, automated clinical review, and pended review pre-processing
  • Cohere Unify™ Review: Queue management, AI-assisted manual review, and letter generation

About Cohere Health:

Cohere Health is a clinical intelligence company that provides intelligent prior authorization as a springboard to better quality outcomes by aligning physicians and health plans on evidence-based care paths for the patient's entire care journey. Cohere's intelligent prior authorization solutions reduce administrative expenses while improving patient outcomes. The company is a winner of the TripleTree iAward and has been named to both Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists. Cohere's investors include Flare Capital Partners, Define Ventures, Deerfield, Polaris Partners, and Longitude Capital.

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:

The DataMatrix Medical prior authorization product is used by small to mid-size practices and as large as those that will do hundreds of PAs weekly. The service is medical specialty agnostic so that DataMatrix can support orthopedics, pediatrics, cardiology, and more. We specialize in authorizations for Radiology, DME, Injections, Surgeries, and more. This service is best for practices that need to cut overhead costs while working to increase reimbursement rates. 

Pediatric use cases:

The application is the same across all medical specialties, taking into account the obvious rules and appropriate restrictions. The PA service is HIPAA-compliant and audited regularly under gregarious scrutiny. 

Users:
  • Office Administrators
  • VP of Operations
  • Operations Managers
  • Office Managers
  • Clinical Coordinators
  • Any Medical Practices with PA Needs
Description:
  1. Submit Prior Authorization
  2. Check Prior Authorization status
Pediatric use cases:

None provided

Users:
  1. Physicians
  2. Administrative staff
  3. Billing staff
  4. Nurse practitioner

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

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:

None provided

Integrations:

Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic

Hardware Compatibility:

None provided

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

DataMatirx Medical can support ALL EHR systems and functionality 

Differentiators vs Competitors:
  • Minimus is 70% Less than leading RCM tools
  • Hourly rates are 50% of the cost of full-time specialist
  • Hybrid module so that service is more accurate than AI-centric SAAS competitors
  • EHR agnostic meaning all EHRs or EMRs are supported 
Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

The only UM platform designed to support in-house operations, or fully-delegated programs.

Whether a health plan is seeking to innovate their in-house UM operations or outsource utilizing a vendor partner for key service lines, Cohere is uniquely positioned to partner with them to build a path from digital transformation to true care collaboration.

  1. 25-40% reduction of administrative costs
  2. 65 NPS score among providers
  3. 70% faster access to patient care
  4. 15%+ medical cost savings beyond incumbent programs

Health Equity

Keywords

Images

1 of 4

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Prior Authorization Team at AAOE 2024

No images provided

Videos

1 of 3

As Per Month.mp4

1 of 1

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Video: Cohere Unify

Downloads

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DataMatrix Solutions Booklet 24.pdf
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Cohere Health Overview

Alternatives

Company Details

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