Snapshot
Continue to About ↓- What it does
- Claim Health is a care-continuity and revenue-operations platform for U.S. home health, hospice, and other home-based care agencies.
More detail
- It works alongside an agency's existing EMR, reading incoming referral packets and checking insurance eligibility, prior authorizations, payment posting, reconciliation, and denial follow-up so problems surface before they delay care.
- Best for
- Mid-size to large, multi-state or multi-location home health and hospice agencies whose intake and revenue-cycle work runs on faxes, payer portals, and spreadsheets.
- Pricing
- Pricing and fee structure are undisclosed.
More detail
- No subscription tiers, implementation fees, per-referral or per-claim rates, or revenue-share terms are published, so the correct position is unknown rather than free.
- Because the platform touches billing, payment posting, and denial appeals, buyers should
- Main limitation
- Hospitals, physician groups, or other non-home-based care settings; agencies looking to replace their EMR rather than layer automation on top of it.
- Record
- Static profile
- Reviewed
- Evidence
- Public web research
- Machine access
- Structured profile ↗
About
- Claim Health is a care-continuity and revenue-operations platform for U.S. home health, hospice, and other home-based care agencies.
- It works alongside an agency's existing EMR, reading incoming referral packets and checking insurance eligibility, prior authorizations, payment posting, reconciliation, and denial follow-up so problems surface before they delay care.
What it helps with
- Referrals arrive through fax, email, and payer portals with no single intake workflow, so packets get lost or delayed.
- Eligibility checks are manual and coverage lapses are discovered only after care is interrupted.
- Clinical criteria are checked by hand and gaps are found after admission rather than before.
- Prior authorizations leak or renewals are missed, delaying start of care.
- Payment posting, reconciliation, and denial follow-up are handled manually, adding admin burden and aging.
Capabilities
A practical view of what is available and where limitations apply.
| Offering | Available | Detail |
|---|---|---|
| Coverage Assurance / Revenue Assurance | Yes | Continuously rechecks eligibility on every active patient inside the EMR and flags lapses; the About page frames it as preventing revenue loss before billing. |
| Smart Intake | Yes | Centralizes referrals from fax, email, and portals, reads each packet against the agency's own clinical criteria, cites findings back to source, and flags gaps before admission. |
| Authorization Autopilot | Yes | Automates prior authorizations from submission to renewal with a dashboard showing authorized hours, usage against limits, and expiration or rejection reasons. |
| Billing Operations | Yes | Automates payment posting, reconciliation, and denial follow-up and can draft appeal letters; the vendor presents it as resolving claims to cash. |
| Platform Intelligence | Yes | Real-time view of every referral, admission, and open task, including volume, bottlenecks, and turnaround times. |
| Automated digital workers | Yes | The site describes automated workers performing payer portal logins and manual steps on the agency's behalf. |
| EMR replacement | No | Claim Health states it does not replace the EMR and operates alongside existing infrastructure. |
| Published pricing or self-service signup | No | No pricing, tiers, or self-service plan is published; access goes through a demo request. |
| Published list of supported EMRs | Unknown | The site says it plugs into existing infrastructure but does not name supported EMRs. |
| SOC II certification (audit details) | Unknown | SOC II certification and HIPAA compliance are first-party claims on the site; the audit certificate or trust center is not published in the pages reviewed. |
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Evidence
Where this record came from, when it was reviewed, and how confidently it can be used.
- Verification
- Scribble researched these facts from the linked public sources.
- The owner has not manually confirmed every field.
- Last reviewed
- Primary source
- claimhealth.com
Technical profile details
Record ID
7d99cad1-489e-45ac-b66a-31e484aa19b8Canonical URLhttps://profiles.scribble.network/listing/claim-health-7d99cad1