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

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Categories

Solutions

Description

Product Description:
HIP One harnesses advanced AI and GenAI capabilities, enhancing the productivity of clinical and business operations teams by an impressive 30-50%. The platform’s built-in security, privacy, and compliance ensures that innovation is delivered responsibly and in full adherence to industry standards. By delivering comprehensive, integrated solutions, HIP One eliminates the need for building point-specific tools. That’s because each module within HIP One is purpose-built to address multiple use cases, including: Prior Authorization (PA) Utilization Management (UM) Case management (CM) Medical Reviews
About Genzeon:

We are Genzeon—your trusted partner in healthcare transformation, delivering AI-powered solutions, seamless data integration, and technology that drives better outcomes.

Product Description:

Clearwave's Multi-Factor Eligibility™ drives cleaner data, reduced claim rejections and instant co-pay determination — meaning more money in your pocket. Don't just keep up, accelerate your cash flow while reducing the hours it takes for staff to verify insurance — you can even reallocate those FTE resources to other areas of the practice. Present the most accurate co-pay at every patient check-in, increasing collections by 112%, while reducing claim rejections by 94% and workloads by 2x. 

About Clearwave:

Clearwave is the Patient Revenue Platform™ for High-Growth Practices.

Specialty practices, hospitals and health systems use Clearwave to enhance patient self-scheduling, streamline patient registration and intake, automate patient communications and create true financial transparency for both the patient and practice alike through real-time, automated insurance verification. Clearwave provides our customers with a purpose-built platform to grow revenue, increase point-of-service collections, accelerate patient acquisition and retention — all while reducing staff workloads and churn. Clearwave Core solutions are fully configurable and automated, so you can align each patient touchpoint with critical practice and provider requirements.

Unlock your growth potential with Clearwave today! https://www.clearwaveinc.com/

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

HIP One is Genzeon’s AI-powered healthcare platform, designed to seamlessly integrate core business processes and clinical workflows on a single, intelligent platform. By eliminating manual workarounds and disjointed point solutions, HIP One delivers enterprise-wide efficiency, accuracy, and enhanced decision support for payers, providers, and healthcare organizations.

The platform’s built-in security, privacy, and compliance ensures that innovation is delivered responsibly and in full adherence to industry standards.

HIP One delivers enterprise-wide efficiency, accuracy, and enhanced decision support for payers, providers, and healthcare organizations.

Use Cases

Description:

Medical reviewers, nursing staff, and clinicians are required to examine medical records for claims and verify patient data related to prior authorizations and claims, also respond to specific questionnaires associated with each claim. Currently, this process is conducted manually, where they meticulously scrutinize each document to verify its accuracy and provide responses to the questionnaire. To assist in their assessments, they refer to both the provided claim document and the CMS document. Subsequently, based on their findings and responses to the questionnaire, they make recommendations regarding the claim as approval, denial or requesting further information. The duration of this entire process varies from a few hours to several days, depending on the number of pages in each document. 

Our medical review solution, developed with the assistance of GenAI, streamlines this process by employing an LLM to automatically respond to questionnaires. This solution helps the nursing staff to improve their productivity by 30-50% by automating the review of medical records. 

Pediatric use cases:

None provided

Users:

Anonymous nationwide payer client

Government payer entity

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, ERP system, Pop health platform, Access +/or revenue cycle, Credentialing

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Allscripts

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:

Built by domain experts in specific claim and prior authorization types

Differentiators vs Competitors:

Flexible commerical structure

Platform capability vs point solution

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Keywords

Images

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Videos

1 of 2

HIP One - Short Demo

No videos provided

Downloads

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HIP One Sales Sheet

No content provided

Alternatives

Company Details

Founded in 2003

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