Ukuqinisekiswa kwemigangatho emithathu kuqhuba ngokuzenzekelayo ngeeyure ezingama-48 phambi kwedinga ngalinye. Ukufaneleka kwe-elektroniki kuqala, i-arhente yezwi ye-AI yesibini, ukuxazulula iingxaki okukrelekrele okwesithathu. Ibhala kwi-PMS yakho.
Adjust the numbers to match your practice. The math runs live.
Read-only view of the insurance hub on a demo office. Open a payer, view a verified plan, see how breakdowns surface.
Spinning up your demo…
Read-only demo on a sandbox practice. Nothing you click writes to a real chart. Open the demo in a new tab.
Ukuba i-elektroniki iyasilela, i-AI iyafowuna. Ukuba umnxeba uyasilela, ukuxazulula iingxaki kuthatha indawo. Nina nihlala nifumana impendulo.
Ukujonga ukufaneleka kwe-elektroniki ngoko nangoko kugubungela bonke abahlinzeki abaphambili be-inshurensi yamazinyo — PPO, HMO, Medicaid. Ibuyisa i-max yonyaka, okuseleyo, i-deductible, i-%, imida yokuphindaphinda, kunye namaxesha okulinda.
Xa i-elektroniki iyasilela, i-AI icofa i-hotline yomhlawuli, ihamba kumthi wefowuni, iphendule imibuzo yommeli, ize ifumane iingenelo ezilahlekileyo. Isebenza ebusuku nasempelavekini.
Nina nivuka nijongene ne-dashboard yengqungquthela yangentsasa ebonisa iingenelo eziqinisekisiweyo zesigulane ngasinye kwishedyuli yanamhlanje. Akukho misebenzi yomlilo kwi-front desk. Akukho kumangazwa kwesigulane ekuthengisweni.
Ukuqinisekisa kusaqala nje. Ukuzenzekelayo kwe-inshorensi okupheleleyo kubandakanyiwe kwi-$149/inyanga.
Ukuhlolwa kokufaneleka okungenasithethe kuzo zonke izicwangciso ezihlawulelwayo — akukho mithetho ephezulu, akukho imirhumo yokugqitha. Iqinisekisiwe ngokuzenzekelayo kwiiyure ezingama-48 ngaphambi kwedinga ngalinye.
Ngenisa amabango ngokuthe ngqo kwi-PMS yakho ngaphandle kwentlawulo ye-clearinghouse yomntu wesithathu.
I-Tier 1 iqhuba ukuhlolwa kokufaneleka kwe-elektroniki ngexesha langempela ngokuchasene nabo bonke abahlawuli abaziwaziwa bamazinyo. Ukuba umhlawuli akaphenduli kakuhle okanye idatha ayipheleli, i-Tier 2 ithumela i-ejenti yelizwi ye-AI efowuna umgca oshushu womhlawuli, ihamba kwimenyu yefowuni, iphendule imibuzo yommeli, kwaye ifumane iinzuzo ezilahlekileyo. Ukuba into ethile engaqhelekanga ithintela ifowuni, i-Tier 3 ngumlungisi weengxaki okrekretha osebenzisa iimeko ngokuzenzekelayo — iishedyuli zokuphinda uzame, iindlela zokusebenza ezithile zomhlawuli, kunye neemeko ezimbalwa ezifuna umntu ziphawulwe ukuze zihlolwe.
Ngokuzenzekelayo kwiiyure ezingama-48 phambi kwedinga ngalinye kwishedyuli yakho. Uvuka uye kwi-dashboard ye-morning huddle ebonisa iinzuzo eziqinisekisiweyo zesigulana ngasinye ngalo mhla. Akukho ziqalisi ezizenziwa ngesandla, akukho fire drills kwi-desk yangaphambili.
Ubuncinci bonyaka, iinzuzo eziseleyo, ubume be-deductible, iipesenti zokugqunywa zalo lonke udidi lwekhowudi ye-CDT, izithintelo zokuphindaphinda, amaxesha okulinda, kunye nazo naziphi na iinqaku ezithile zomhlawuli. Ibhalwa kwakhona kwi-PMS yakho kwaye ivela kwitshathi yesigulana.
Ukubhalwa kwakhona ngokuthe ngqo okubini-directional kwiiplatfom ezingaphezu kwama-30 zokulawula ipraktisi — Dentrix, Dentrix Ascend, Eaglesoft, Open Dental, CareStack, Curve Dental, tab32, kunye nezinye. Iinzuzo zivela kwithebhu ye-inshorensi yesigulana phambi kwedinga laso. Zonke ezinye ii-PMS zisafumana izishwankathelo zeenzuzo njengee-PDF ezilungisiweyo nge-imeyile.
Ewe. I-Insurance Suite ibandakanya ukungeniswa kwe-837D kwe-elektroniki, ukulandelwa kobume be-277CA ngexesha langempela, ukulungiswa kokugatywa okunamandla e-AI kunye nokuphinda ungenise, kunye ne-EOB yokupowusta ngokuzenzekelayo kwi-ledger yesigulana. Ukuzenzekelayo kwe-inshorensi okupheleleyo, kungekhona ukufaneleka kuphela.
Iimeko ezikumda ziphathelwa ngokuzenzekelayo — ishedyuli yokuphinda uzame, izisombululo ezithile zomhlawuli, kwaye iimeko ezimbalwa ezifuna umntu ziphawulwa ukuze zihlolwe kunokuba zisilele ngokuthuleyo.
Bona ubume bebango njengoko lihamba kwinkqubo yomhlawuli. Akusafuneki ukufowunela ukuze ujonge.
Xa ibango ligatyiwe, i-AI ihlalutya ikhowudi yokugatywa kwaye ingenise ngokutsha ngokuzenzekelayo ngemilungiso.
I-Explanation of benefits ihlaziyiwe kwaye ipowustwe kwi-ledger yesigulana ngokuzenzekelayo.
Yonke inzuzo eqinisekisiweyo ibhalwa kwakhona kwi-Dentrix, Eaglesoft, Open Dental, kunye neepletfom ezingaphezu kwama-50 ze-PMS.
Misela ifomu yakho yokuqala ngaphantsi komzuzu. Azikho zivumelwano ziyimfuneko, akukho xinezelelo.
