Amera

Process and route healthcare claims across paper, PDF, and EDI formats automatically

Pricing model

Demo

Rating

★ People love it

Time to value

Long Setup (> 1 day)

You can use Amera to automate healthcare claim workflows for third-party administrators, health plans, and self-insured employers. The system ingests medical claims from EDI files, paper bills, PDFs, and faxes, converting them into standard data formats. It verifies member eligibility, validates provider details, detects duplicate submissions, and routes claims using custom business rules to achieve high auto-adjudication rates. Additionally, it automates stop-loss reporting for carriers and tracks claim status across operations in real time to catch billing errors and prevent revenue leakage.

What Amera does

Normalize medical claim files from paper, fax, and EDIVerify patient coverage eligibility automaticallyValidate provider details against national registriesDetect and eliminate duplicate claim submissionsGenerate and submit stop-loss carrier reporting packagesTrack claim statuses and processing times in real timeIngests and normalizes EDI, paper bills, PDFs, and faxesAutomates claims adjudication with custom business rulesVerifies patient eligibility and provider details in real timeDetects duplicate claim submissions automaticallyGenerates compliant stop-loss reports for carriersTracks claim status and identifies revenue leakage in live dashboards

Pricing breakdown

Pricing model: Book a demo

Tutorials & Demos

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