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

Categories

Solutions

Description

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. 

Product Description:

Cedar Pay makes it simpler for patients to navigate the post-service financial journey and take control of their medical bills. We deliver enterprise-grade patient billing and payment solutions that leverage Cedar's cutting-edge consumer engagement technology, unique payer integrations and aligned incentives to help provider organizations increase collections, boost efficiency and deliver an exceptional patient experience. More than 55 of the nation's leading health systems and physician groups turn to Cedar to transform the patient financial experience. On average, Cedar Pay lifts patient collection rates by 30%, with 88% of patients reporting a positive experience.

About Cedar:

Cedar offers the first and only holistic solution that enables providers and payers to come together to offer an exceptional and affordable consumer financial healthcare experience. We’re reimagining the consumer aspects of healthcare, from the time an appointment is booked all the way to final payment. Only Cedar can take advantage of critical payer information and bring it together with provider financial and administrative processes to create the optimal experience for consumers navigating our challenging healthcare system. 

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

Product Capabilities

By integrating with real-time eligibility and patient estimation tools, Cedar Pre--our pre-visit patient engagement solution--sets appropriate payment expectations and drives more collections by personalizing the communication of out-of-pocket cost estimates. Cedar Pre dynamically presents the right financial context, payment options and calls to action to drive optimal financial outcomes and patient satisfaction.

Cedar Pay provides a modern, consumer-first billing experience with clear, accurate and empathetic communications via digital (email and SMS) and paper-based channels. Cedar creates powerful digital engagement by communicating with patients at the best times to collect, using their preferred channels, and messages and calls to action that resonate, which is why our clients typically see 60-70% of payments self-serviced digitally.

Cedar Pay’s consolidated patient financial statement includes both professional and facility charges as well as bills for guarantors and their dependents. The unified bill is presented in a patient-centric design, translating complex medical information into straightforward language for improved patient comprehension.

Cedar Pay is the only patient billing and payment solution that directly integrates with payers to simplify and streamline the patient financial experience. We build confidence in the billing process by prominently displaying payer branding next to balances to indicate that a payer has finished processing a claim, as well as that a bill and EOB matches. We also present detailed EOB information alongside bills, eliminating the need for patients to call in to customer service or log in to multiple portals.

Cedar Pay allows patients to pay bills on their own terms through modern, personalized payment options. As a mobile-first platform, Cedar presents patients with several payment methods and options including credit card, debit card, ACH, Apple Pay, and Google Pay. The platform dynamically engages with patients in a personalized manner by incorporating relevant patient-specific payment options and/or amounts (e.g., discounts, payment plans, etc.). Additionally, Cedar Pay supports traditional payment methods such as check by mail via a provider’s lockbox and secure pay by phone via interactive voice response.

Use Cases

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

Description:
  • Patient billing and collections
  • Patient engagement
  • Statement consolidation
  • Customer service
  • Reporting and reconciliation
Pediatric use cases:

Guarantors (i.e., parents and legal guardians) can access and manage bills on behalf of their dependents (i.e., children receiving healthcare services). 

Users:
  • Patients
  • Guarantors
  • Revenue cycle leaders
  • Business office representatives (e.g. customer service; treasury)

EHR Integrations

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

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Patient portal, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, Athenahealth, Self-developed

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Client Types

Awards

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Differentiators

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.

Differentiators vs EHR Functionality:

Consumer engagement is in our DNA: Cedar was founded as a consumer-oriented company and our commitment to improving the consumer-aspects of healthcare remains unwavering. We have built a team of professionals that come from the world's leading consumer companies, and incorporate this unique expertise and perspective into the development of Cedar Pay.

Industry-leading personalization for optimal patient experiences: At the core of Cedar Pay is a personalization engine that's powered by insights from millions of patient interactions as well as direct integrations with EHR and billing systems. Through a proven process rooted in expert data science and world-class user experience design, only Cedar Pay can surface the right information and interventions at the right moments along the financial journey to drive the best patient experience and payment outcomes.

Outsized results today, ongoing value into the future: Cedar Pay customers see an immediate impact to their bottom line with high patient satisfaction, and don’t have to wait for the next product release cycle to unlock additional business value. Cedar is constantly releasing new features and optimizations in Cedar Pay as well as making focused investments in innovation.

Differentiators vs Competitors:

Unparalleled investment in the future: Unlike other point patient billing solutions that have been acquired by larger companies and competing for resources, Cedar operates independently and is investing heavily in Cedar Pay and other products to solve a very specific problem--improving the consumer financial aspects of healthcare.

Industry-leading personalization for optimal patient experiences: At the core of Cedar Pay is a personalization engine that's powered by insights from millions of patient interactions as well as direct integrations with EHR and billing systems. Through a proven process rooted in expert data science and world-class user experience design, only Cedar Pay can surface the right information and interventions at the right moments along the financial journey to drive the best patient experience and payment outcomes.

Keywords

Images

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Videos

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Element Blue Branded RPA with Navinet Aetna.mp4

1 of 3

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Downloads

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66329_EB RPA Case Study REVISED.pdf
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Experimentation Whitepaper.pdf

Alternatives

Company Details

Founded in 2016

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