Best Healthcare Payer Care Management Workflow Applications
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Compare the Top Healthcare Payer Care Management Workflow Applications as of April 2025
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What are Healthcare Payer Care Management Workflow Applications?
Healthcare payer care management workflow applications are software solutions that help healthcare organizations manage the complexities of their payer healthcare services. These applications provide a streamlined solution for managing service requests, payment processing, claim adjudication and other processes related to patient care. Payer care management workflow applications typically work across multiple platforms and allow users to create customized workflows to optimize their existing processes. They also offer robust analytics capabilities to support proactive business decisions and improve efficiencies in operations. Healthcare payer care management workflow applications can be integrated with other IT systems, allowing the exchange of data between them for a more seamless environment and higher quality patient care. Compare and read user reviews of the best Healthcare Payer Care Management Workflow Applications currently available using the table below. This list is updated regularly.
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1
Nexus EHR
Nexus Clinical
Nexus EHR is a cloud-based EHR and PM platform for clinical healthcare providers. Our EHR works with your clinical workflow and maximizes the physician-patient encounter. Access anywhere, any time, and with any device (PC, Tablet, Mobile). Breeze through encounters via our intuitive, easy-to-use interface that allows you to practice naturally. Multi-modal data input allows for maximum flexibility. Nexus Practice Management systems help you manage all billing activities, claims, and ERAs to maximize your revenues. Nexus EHR offers telemedicine to connect with your patients remotely. Nexus's Patient portal offers great flexibility to patients to fill all the demographics, insurance information, and histories online at their convenience. -
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Simple Interact
Simple Interact
Simple Interact is a Software as a Service (SaaS) company that serves medical practices, groups, and hospitals. We speed up your patient workflow while reducing your staffing needs. We do this by automating repetitive tasks that staff has to otherwise perform. Intake, Image capture(Insurance card, Driver’s license, Selfie), Medical history, Screenings, Legal, Informed consents, Initials, eSignature, Educational marketing. Automated filling of cancelled appointment slots, Appointment request forms, Referral request forms, and Request management. Patient self-sign-in with address/insurance verification, virtual waiting room, and Telehealth reminders and consent. -
3
dbMotion
Altera Digital Health
Making informed decisions for your patients is critical, but that can be a challenge when those patients seek care from other clinicians outside your organization and that data isn’t showing up in their EHR. Your organization needs the right health interoperability solution to leverage and share data assets, achieve safer high-quality clinical outcomes and get a single, harmonized patient record that reflects actions taken in the community. Meet the dbMotion™ Solution. Get an organized, comprehensive and actionable record with real-time patient data across disparate electronic health record (EHR) systems and the broader care community with dbMotion—an industry leader in EHR interoperability solutions. dbMotion aggregates and harmonizes relevant clinical data, family history and other risk factors for individual patients, and presents that data directly within your native EHR systems. -
4
Lumeon
Lumeon
Lumeon’s Care Pathway Management (CPM) platform allows healthcare providers to create digital pathways that optimize care delivery and fluidly guide patients and care teams throughout the continuum. Using the CPM platform, providers can leverage intelligent automation and orchestration to manage a shared plan of care across multiple teams and settings, automatically adjusting activities and deploying the right resource required for each individual. The platform uses real-time data captured from patients, care teams and bi-directional integration with software such as EHRs, to keep everyone on course, presenting a ‘care-traffic control’ view of patient progress and automating tasks where possible. As the leader in automated care orchestration, it’s easy to get started with Lumeon. The Lumeon platform is designed to be implemented rapidly, so you can realize immediate impact. -
5
MAXIMS Bed Management
IMS Maxims
MAXIMS is a comprehensive, browser-based, modular Patient Administration System (PAS) and electronic patient record system (EPRs) that offers deep and broad clinical functionality that enables healthcare organizations to deliver better, safer patient care and more efficient administration. Our solutions extend from large-scale systems to administer patient services across entire hospitals or trusts to specialized packages for tasks such as bed management or pathology and radiology order communications. MAXIMS solutions are highly functional and scalable, using robust and proven technology, and have been developed with clinical input to guarantee user-friendliness and clinical effectiveness. Developed with input from clinicians, nurses, and other healthcare professionals, our solutions work out of the box but can be quickly and easily tailored to meet the needs of individual clinicians, specialties, and healthcare organizations. -
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Care Logistics
Care Logistics
Because you will generate tangible results across multiple top priorities by focusing on optimizing patient flow, driving efficiency in operations and achieving performance excellence in patient progression. Performance Excellence means continuity of patient safety and care, increased revenue and higher reimbursement, and the reduction of avoidable patient days, while increasing safety and improving patient outcomes. Holy Cross Hospital tells the story of how improved patient flow enhanced both patient and staff experience. Hear how Good Samaritan put patients first to conquer ED backlogs and bring the joy of patient care back to nurses and physicians. In some arrangement of words, the cornerstone of your mission is helping people achieve healing. This mission, your mission, is fundamentally dependent on the experience created through patient care. -
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athenaOne
athenahealth
A powerful tool that lets you practice medicine anywhere, anytime. Get meaningful clinical work done whenever and wherever you are with the athenaOne mobile app. Access patient records to prepare for and document exams, create and sign orders, respond to patient cases and more. The app gives you the flexibility to catch up on or get ahead of work during free moments throughout your day. Easily log into the app using touch or Face ID and access a glanceable view of your day. See your schedule, the patients you've prepped for, and review and manage your inbox. A few moments are all you need to get up-to-speed on a patient's history with customizable patient summaries. Access full charts to review everything that's happened since their last visit. Use the clinical inbox to get critical work anywhere, any time. Create and sign orders, view test results, respond to patient cases and more, all with the speed and security of athenaClinicals. -
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CLARIFIRE HEALTH
Clarifire
Clarifire Health is a sophisticated rounding solution with a robust workflow engine specifically designed to help healthcare organizations have control over the patient experience. Developed by Clarifire, a Florida-based WBENC certified company. Clarifire Health leverages workflow technology to streamline communications. Offered as a SaaS solution, Clarifire Health captures patient’s stories through quick swipes and taps in the mobile app, thereby improving service delivery, enhancing leader rounding in order to improve patient satisfaction.Starting Price: $2000.00/month
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