Medical necessity validation Software
5 solutions in Denials Management & Appeals
ALL MEDICAL NECESSITY VALIDATION SOFTWARE

1. AdmissionCare
by EvidenceCare
EHR-integrated clinical documentation solution that provides real-time bed status guidance and medical necessity documentation to prevent claim denials.
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2. HealthEdge Source
by HealthEdge
A cloud-based prospective payment integrity solution for health plans, combining claim payment automation with proactive business intelligence.
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3. MediQuant
by HealthEdge
Enterprise active archiving platform for healthcare, enabling the secure retirement of legacy EMR, ERP, and Patient Accounting systems.
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4. Solventum Medical Necessity
by Solventum
An embedded content dictionary providing payer-specific medical necessity validation to health information systems (HIS) and EHRs to reduce claim denials.
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5. Wolters Kluwer MediRegs
by Wolters Kluwer
Comprehensive, web-based suite for healthcare compliance, coding, and reimbursement, providing real-time regulatory content, expert tools, and analytics.
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5 medical necessity validation solutions