EHR Extraction & Write-backPull and push clinical data

EHR Extraction & Write-back

Clinical note push Patient data extraction + sync-back Chart prep + documentation entry Data extraction EHR automation Patient creation + document filing

SchedulingAppointments across EHRs

Scheduling

Appointment scheduling Provider profile sync + appointment cancellation Appointment read / write Schedule retrieval

Referral IntakeInbound referrals from portals

Referral Intake

Online-triage referral submission Inbound referral capture Referral network intake

Prior AuthorizationSubmit, track, upload attachments

Prior Authorization

PA submission + status PA submission + attachment upload + clinical Q&A PA submission / status Radiology PA Drug PA High-volume PA submission

Member EnrollmentACA / ICHRA across marketplaces

Member Enrollment

End-to-end marketplace enrollment Individual ACA application submission Binder payments Lead-queue administration

Credentialing & VerificationNPI, exclusions, licenses, DEA

Credentialing & Verification

NPI lookup Exclusion check Exclusion check (federal)State adverse-actions check License verification License / registration verification (name + profession)

Provider EnrollmentPayer web-form enrollment

Provider Enrollment

Payer web-form enrollment Multi-state web-form enrollment Enrollment routing Regional payer enrollment Behavioral provider enrollment Medicaid MCO enrollment

Eligibility & BenefitsCoverage, copay, deductible, OOP

Eligibility & Benefits

Coverage check + benefit parsing Eligibility verification Eligibility / benefits check State Medicaid eligibility + plan assignment

Claims & DenialsStatus, denial detail, appeals

Claims & Denials

Claim status, denial retrieval, appeals Denial management State Medicaid claim status + denial codes Medicare denial retrieval + appeal submission

Medicare EnrollmentMA, PDP, Medigap, SOA

Medicare Enrollment

Medicare plan enrollment submission Medigap / supplement enrollment submission Scope of Appointment capture Multi-carrier quote generation Plan / formulary / provider-directory / Rx-cost lookup Commission reconciliation

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Portals100+ payer portals, EHRs, and registries

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Pricing Security

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EHR Extraction & Write-back Scheduling Referral Intake Prior Authorization Member Enrollment Credentialing & Verification Provider Enrollment Eligibility & Benefits Claims & Denials Medicare Enrollment

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