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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
Data Management
Data Management

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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:

Loyal Data Management is the only data management platform in the market that allows health systems to easily enable digital touchpoints across the patient journey acting as one source of truth for a fully digitized patient experience.

Benefits:

  • Control and manage your data (provider, locations, services, and taxonomy) with one tool across the entire digital front door (websites, search, scheduling, referrals, and provider outreach).
  • Automate the analysis, use, and application of data while managing accuracy.
  • Work from a comprehensive clinical taxonomy library that aligns with current standards and is customizable for your needs.
  • Automatically map specialties, conditions, treatments, and helpful synonyms to each provider’s specialty, enhancing the physician’s online profile and making care more easily searchable.

Results:

  • Increased provider matching and patient satisfaction.
  • Establishes data governance and enables controlled access to data.
  • Reduces errors and identifies gaps in data.
  • Improved operational efficiency and increased savings.

About Loyal:

Founded in 2015 in Atlanta, Georgia, Loyal is a healthcare technology company dedicated to enabling a healthier life for all by making care more clear, accessible, efficient, and consistent for patients and the providers they rely on. 

We do this by combining our deep understanding of healthcare consumer intent and clinical taxonomy with a suite of best-in-class patient engagement products, helping patients choose your organization, find your doctors, schedule appointments and re-engage when the time is right. . Beyond that, we can help optimize your systems and improve your relationships with patients, providers, payors, employers, and the broader community, so you can better understand your patients and be able to reach them at the right time in their care journey. Fully implemented, Loyal becomes a central part of your operations,providing actionable insights for the enterprise, supporting a deeper understanding of patient demand, visit inventory, consumer preference and even physician staffing needs. . 

As the preferred platform for improved care utilization, Loyal is used by the nation’s leading healthcare organizations, partnering with 37+ health systems, 490+ hospitals, and 55+ providers from across the U.S. 

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:
  • 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:

None provided

Pediatric use cases:

None provided

Users:

None provided

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, Patient portal, Credentialing, Website / public online sources

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, athena, Athenahealth

Hardware Compatibility:

None provided

Client Types

None provided

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:

None provided

Differentiators vs Competitors:

None provided

Keywords

Images

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TQA Logo.png

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Videos

1 of 3

Medical Claims Submission_ Bot Automation.mp4

No videos provided

Downloads

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66329_EB RPA Case Study REVISED.pdf

No content provided

Alternatives

Company Details

Founded in 2015

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