OptraHEALTH

How HealthFAX™ Benefits RCM Teams

HealthFAX™ revolutionizes revenue cycle management (RCM) by automating critical processes, reducing manual tasks, and improving accuracy at every stage of the cycle. From eligibility verification to claims submission, our AI-powered platform ensures faster processing, fewer errors, and better financial outcomes for your team.

Verify Eligibility & Benefits in Real-time

Reduces claim rejections and delays
Extensive connectivity to payors
Allows for quick notification of front desk and billing teams

Generate Accurate Test Cost Estimates

Provides patients with a clear breakdown of expected costs
Helps avoid billing surprises by outlining covered vs. uncovered costs
Ensures transparency and trust

Check & Validate Prior-Authorization

Identifies whether PA is required for a service
Automatically queries policy documents to verify PA criteria
Speeds up the approval process by ensuring necessary criteria are met

Automate Prior Authorization

Prepares necessary forms and gathers supporting documentation for submission
Submits PA requests via payer APIs or portals for quick approval
Notifies the care team once PA is approved, reducing delays

Automatically Codifies Medical Notes

Improves claim accuracy by automating code assignment
Reduces human error and discrepancies in coding
Accelerates claim submission for faster reimbursements

Automated Document Generation

Generates documents like Risk Assessment, LMN, Medical History.
Reduces human error and discrepancies in documentation
Accelerates prior authorization submission for faster approvals

Revenue Cycle Management with Intelligent Automation