Integration Capabilities

 Authenticate users and bypass additional Quadax logins via Single Sign-On (SSO) within your system.

 Provides access to Quadax’s eligibility verification suite of capabilities including Demographic Repair, Insurance Discovery, and MBI Assist.

Submit just one eligibility request and allow Quadax's workflow to conditionally execute the necessary capabilities to find active coverage.

 Automates the selection of a patient’s precise plan.

 Enables accurate coding and reporting of services with rapid updates when policies change.

 Returns all associated policy, article, and transmittal documentation associated with a Medical Necessity policy for a specific procedure code or surgery code.

 Find the latest NCD/LCD policies and their associated documentation.

 Avoids denials by helping providers identify proper coding and billing combinations.

 Provides real-time data integration to create the Patient Encounter in the RCM system.

 Create order and patient repositories to automatically validate data for errors and manage exceptions before loading into accounts receivable.

 Search for a patient account to receive demographic data, patient balance, and transaction history (charges, adjustments, insurance payments, patient payments).

 Provides visibility into patient payments, refunds and adjustments.

 Automatically receive updates made by patients via self-service portal for demographic and insurance information to ensure your system stays in sync.

 Enhance the flow of order-related documents and medical records using multiple methods designed to make retrieval easier.

 Index documents to support claims, appeals, and audit requests.

 Synchronize case status and missing or invalid information across systems.

 Use webhook (i.e. push notification) updates from the Quadax workflow management to a client-defined end point for consumption in an LIS, CRM, etc.

 Configure triggers based on case attributes, insurance, and other customizable fields.

 Leverage our Data Intelligence Solution (powered by Snowflake's advanced cloud architecture) to provide a secure and scalable environment that enables data sharing, integration, and direct analysis.

 Obtain a comprehensive snapshot of various financial, registration, operational, and audit related data.

 Enable custom revenue recognition data reporting based on your specific needs and reporting requirements.

 Real-time querying of large language models allowing for status prediction and preventive maintenance on claims aimed to reduce Denial Rate and increase Reimbursement Rates.

 Integrate predictions into Order Management or LIS work queues to avoid denials and/or prioritize workflow.