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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
ProPay
ProPay

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Categories

Solutions

Description

Product Description:
ProPay accelerates the use of multiple electronic payment modalities, eliminating paper-based alternatives.
About Jopari Solutions:
Since 2003 Jopari has spearheaded insurance industry efforts to eliminate paper and frictional costs from medical claim transactions. Today, their team offers unrivaled expertise in customer-centric, compliance ready digital solutions for: medical claim submission, delivery and workflow; payment and remittance processing; Attachment exchange; and status communications. All supported by intelligent portal based tracking, search, archive and audit capabilities. Their best-of-breed electronification platform builds ROI quickly by cost-effectively modernizing end-to-end medical claim processing. Lower loss adjustment expense for Payers. Improved revenue cycle performance for Providers. Higher service levels for all.
Product Description:
There’s a wealth of powerful data within your EHR—you just need real-time insights and seamless integration to make it actionable. Our Prior Authorization solution, powered by Waystar’s Hubble: - Automatically verifies, initiates, statuses and retrieves comprehensive authorization details - Enables efficient, intelligent automation by initiating authorizations at twice the speed of manual processes - Integrates directly with all major HIS and PM systems - Provides end-to-end authorization platform, including authorizations submissions for unscheduled admissions, as well as auto-generating ABNs or Notice of Non-coverage forms for Medical Necessity - Adapts to constantly shifting payer rules and requirements - Was built and is maintained by our in-house team of experts
About Waystar:

Waystar delivers innovative technology that simplifies and unifies healthcare payments. The company’s cloud-based platform helps healthcare providers across all care settings streamline workflows, improve financial performance and bring more transparency to the patient financial experience. Waystar solutions have been named Best in KLAS or Category Leader by KLAS Research 16 times (across multiple product categories) and earned multiple #1 rankings from Black Book. The Waystar platform is used by more than half a million providers, 1,000 health systems and hospitals, and 5,000 payers and health plans—and integrates with all major hospital information and practice management systems. On an annual basis, Waystar’s AI-powered solutions process $5B in patient payments, generate $4B in out-of-pocket estimates and process claims representing approximately 40% of the U.S. patient population. For more information, visit www.waystar.com.

Compatibility level

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Clients

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Use Cases

Description:

Jopari ProPay brings to healthcare Payers an industry flexible, full spectrum set of payment methods that work in concert with a Payer’s existing bill review, claim, and financial systems allowing Providers to choose the payment method best suiting their practice or organization’s needs. This suite of multi-tiered payments options leverages advanced disbursement technologies to: (1) reduce costs of payment processing; (2) increase accuracy; and (3) streamline cash and remittance flows for both Providers and Payers.

Pediatric use cases:

None provided

Users:

Patients, Payers, Administrators

Description:

With over 300+ payers and a broad array of deployable service lines and patient types, we provide a full cycle automation solution for prior authorization: from pre-scheduled prior auth submission, status checking and denial prevention worklist alerts, as well as medical necessity verification and notification of admission.

Pediatric use cases:

None provided

Users:

Pre-service financial clearance teams, auth cert teams, any prior authorization staff doing medical necessity as well as authorization for services at acute care facilities or OP areas.

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Other

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:

Healthcare Payers eliminate paper and reduce operational expenses with Jopari ProPay.

Jopari ProPay allows Payers to outsource and streamline their paper-based payment and remittance processing, while migrating over 75% of payments to electronic methods – at a fraction of existing manual processing costs.

This next-generation solution in payment processing offers Providers a multi-tiered choice of payment delivery options, including: EFT\ERA; Virtual Card payments with electronic EOB/R; or Paper Checks & EOB/R.  Jopari ProPay features a self-service Provider portal for EOB/R delivery; and supports compliant 835 delivery to support eBilling transactions.

Differentiators vs Competitors:

Jopari ProPay Trust

Jopari ProPay Trust processes over $9 billion in healthcare benefit payments annually, serving more than 50,000 ERISA health plans and fully insured groups.

The Jopari ProPay Trust is an integral part of the Jopari suite of solutions and functions as a “Payee” Trust. Obligations to payees (providers or members) from adjudicated claims of healthcare benefit plans are deposited in the Jopari ProPay Trust. The beneficiaries of the Trust are, therefore, these payees. The Jopari ProPay Trust holds these funds on behalf of these payees until they accept an electronic transaction or cash a paper check for the funds assigned to them. Trusts are strictly regulated by federal and state laws to ensure that assets held by the Trust are protected, on behalf of the beneficiary, from loss, fraudulent use and the bankruptcy of any parties. Jopari believes that this type of protection is vital to our clients and the people they serve.

The ProPay Trust Guarantees:

  • Asset Safety Funds in the Jopari ProPay Trust are stable, liquid and cannot be lost.
  • Control Only the beneficiaries of adjudicated claims approved by health plans receive payments.
  • Conveyance Efficiency Benefit payments are made to the payee quickly and easily.
  • Protection Assets are protected from bankruptcy claims.
  • Security Trust assets are protected from fraudulent use.
  • Confidentiality All information is kept private and secure.
Differentiators vs EHR Functionality:
Many hospitals, health systems, and IDNs have invested in billion dollar EMR/EMRs which are an extraordinary vehicle for clinical and billing functions -- but lack the ability to elevate automation in key business areas such as prior authorization. This is due to their lack of payer connections and the absence of advanced intelligent software. Together, Waystar brings the intelligence that powers today's EMR/EHR platforms and automation efforts.
Differentiators vs Competitors:
With nearly a decade in the business of automating prior authorizations, we are known for our internal expertise when it comes to payers, process change, and technology. We believe pushing the envelope in know-how across all 3 is what gives our clients the edge on automation. With more payer connections, more relationships with payers, and greater flexibility in accessing payer data we can access the best and most timely data. We not only seamlessly integrate with EPIC but offer full-stack integration capabilities or a powerful stand-alone application -- all because each patient access team is different. And powered across our Hubble platform (a blend of RPA, machine learning, NLP, and advanced auth rules) we are well positioned to power your automated enterprise.

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Company Details

Founded in 2004

Founded in 2000

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