Payment Systems and Clearinghouses Partners

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Are you a payment system or clearinghouse interested in partnering with us? Register today to become a PrognoCIS Partner.

Payment Systems

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Transworld Systems

Transworld Systems is an account resolution service providing practices with swift and simple collections. They are the leader provider of outsourced accounts receivable management and loan servicing solutions to minimize risk, improve operational efficiency, and accelerate cash flow. Learn more about this service at our Medical Account Resolution Services page.

Payment Systems

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Integrity Payment Systems

Integrity is a full service payment solutions provider with merchant customers in all 50 states leveraging a suite of products and services including EMV technologies, terminals, POS integrations, and secure payment gateways. Integrity is headquartered in Des Plaines, IL.

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OpenEdge

The world of payment processing can be confusing – especially when you’re trying to run a business. That’s why PrognoCIS selected OpenEdge as a Certified Partner to create a fast, efficient, and affordable payment processing solution for you.

Clearinghouses

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Trizetto

TriZetto provides world-class information technology solutions to make better healthcare happen. TriZetto’s world-class technology products, in combination with Cognizant’s consulting, IT and business process services at scale dramatically simplifies the deployment and adoption of technology and improves operations—helping to reengineer the business of healthcare today, while reimagining it for tomorrow.

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Clinix

Our super-powerful practice management software has the capacity to lighten workload and boost cash flow, no matter the size of your practice or the practices you serve. The ultimate sidekick, we offer a powerful mix of customizable features and dedicated customer service, propelling billing companies and medical practices across the nation to the height of their efficiency and cash flow potential.

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Navicure

Navicure’s cloud-based reimbursement platform helps healthcare organizations increase revenue, accelerate cash flow, and manage insurance claims and patient payments. Navicure’s solutions automate claims management, eligibility verification, remittance and denial processes, business analysis, and patient revenue. Our 3-Ring® Client Service Policy guarantees customer calls are answered in three rings or less.

Stone River P2P

StoneRiver P2P Link

StoneRiver P2P Link provides essential electronic connectivity between workers’ compensation & auto/no-fault payers and medical providers. Our industry-first solutions streamline bill processing by facilitating the electronic attachment of required supporting documentation resulting in clean bills and prompt payments. Since its inception, P2P Link has been at the forefront of advancement in medical bill processing exclusively focused on the workers’ comp & auto/no-fault electronic environment. We facilitate faster, more efficient, more accurate and secure billing while increasing provider-to-payer communication in an entirely paperless environment.

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ZirMed

ZirMed’s comprehensive end-to-end platform of cloud-based revenue cycle management solutions—including patient access, charge integrity, claims management, AR management, patient responsibility, and population health management—empowers healthcare organizations to optimize value-driven and fee-for-service reimbursements while streamlining workflows and increasing operating efficiencies.

Assertus

Assertus is a purely Puerto Rican company with over 26 years of experience providing technology solutions to the medical community in Puerto Rico. Our team consists of professionals recognized for their capacity for innovation, vision and commitment. We integrate technology, experience and knowledge to make it available to the health professional in Puerto Rico, with the main objective of maximizing production and recovery.

Availity 

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge.

Change Healthcare

Change Healthcare, formerly known as Emdeon Inc., is one of the largest, independent healthcare technology companies providing software and analytics, connectivity, communication, payment, consumer engagement and workflow optimization solutions. Our integrated capabilities enable our customers to obtain actionable insights, exchange mission-critical information, optimize revenue opportunities, control costs, increase cash flow and efficiently manage complex healthcare workflows.

Inmediata

Inmediata was founded in 2002 as a value-added intermediary with the goal to serve and provide integrated business solutions to the health industry with the highest quality technology to maximize the management of services. Today, beyond being a clearinghouse, they are a leader in developing a cost-effective process that helps the health information exchange platform company.

MD On-Line

MD On-Line is a proven industry-leading provider of electronic healthcare solutions that leverage data to improve provider workflow and industry connectivity. Endorsed and co-branded by more than 40 major insurance companies, MDOL applies its cloud-based technology to optimize provider offices, improve patient care, and eliminate inefficiencies within our healthcare system.

Office Ally

Office Ally is a full service, HIPAA compliant web-based clearinghouse submitting to over 5,000 payers nationwide free of charge to the provider. Our Online Claim Entry allows you to create CMS1500, UB04, and ADA claims on our website; or use your existing software to create and submit claims electronically.

Optum

Optum is a leading information and technology-enabled health services company dedicated to making the health system work better for everyone. Optum supports the physical, mental and financial health of individuals with solutions offered through employers, health plans, public sector programs and health care providers.

Payer Connection

Payer Connection provides products and services that electronically send, track, and receive medical billing information. Our claims management tool – pcConnect™ – improves account collections and reduces aging of receivables by ensuring accurate and compliant claims; adding tracking of claim status throughout the payment lifecycle notifying the provider of rejections within days instead of months. pcConnect™ can easily be integrated into your existing day-to-day processes.

The SSI Group

The SSI Group is a forward-thinking innovator that is powering the business of healthcare through improved flexibility, connectivity and integration. The company offers a single-vendor, end-to-end RCM solution featuring front-end eligibility, patient estimation and patient access; industry-leading, best-in-class billing and claims transmission; contract management, release of information and attachment processing; and an advanced analytics and business intelligence product suite.

UHIN

The Utah Health Information Network (UHIN) is a nonprofit coalition of healthcare providers, payers, state government and other stakeholders whose mission is to positively impact healthcare through reduced costs, improved quality, and better results by fostering data-driven decisions. UHIN operates a full-service healthcare clearinghouse exchanging medical, institutional and dental claims and related transactions.