Provider Advantage offers a full suite of innovative medical information services for Providers to access real-time healthcare data.

If you’re a looking for a hospital, medical office, pharmacy or a health care provider solution to help manage your revenue cycle, we have a solution for you. Our services include revenue cycle management and transaction processing platforms, automated posting software, pharmacy claims and services, network management and high-speed information delivery. Over 1,800 hospital and medical provider sites and 800 pharmacies use our services. We specialize in fast, real-time, accurate data that’s easy to read – so you save time and become more productive:

Hospital & Medical Services:

  • Revenue360 – Revenue Cycle Management Platform
    Modules Include:
    Insurance Code Selection & Coordination of Benefits
    Address & Demographic Validation
    Eligibility Verification
    Authorization & Precertification
    Notification of Admission
    Medical Necessity Checking
    Pricing Estimation
    Payment Assessment
    Payment Processing
    Medicaid & Charitycare Assesment & Enrollment
    Claim Status Checking
  • Automated Remittance Posting
  • Self-Pay Account Analysis
  • Credit Card Processing

Pharmacy:

Network: