Accuracy in Action: Smarter Pricing, Scanning, and Payment Workflows
QuickCap 7.25.3.0: Driving Efficiency and Strategic Clarity Through Intelligent Automation

Get Accurate and Compliant Medicare Pricing
Leverage Micro-Dyn’s DRGActive and PRICERActive components to automate Medicare pricing, reduce manual setup, and ensure accurate, audit-ready reimbursement.

Optimize COB Management Across Claims
Streamline header- and line-level coordination of benefits, including dental and front-end claims, to reduce errors, strengthen compliance, and maintain consistent reporting.

Expedite Claims Processing with AI-Powered OCR
Use intelligent OCR to convert CMS scanned claims into structured data, cutting manual corrections and speeding adjudication with greater reliability.

Simplify IPA Capitation Workflows
Centralize IPA payment management with automated rules that ensure timely, accurate reimbursements while reducing administrative effort.

Verify Eligibility Instantly with FinThrive API
Access real-time patient coverage information, minimizing claim denials and keeping workflows moving with fast, reliable insurance verification.
Capitation
Improved Experience
Simplify IPA Capitation for Accurate, Timely Payments

Manage IPA payments in a single, seamless capitation workflow that ensures accuracy and reliability while reducing manual effort. Capture IPA details and linked health plans in one place to boost efficiency and deliver a smoother, more transparent process.
Claims
Precision
Add COB Details Window to Claims Adjudication

Optimize your claims processing with a dedicated COB Details window for header-level reporting. Use adjustment codes and simplified workflows to keep your front-end, dental, and standard claims consistent and accurate.
Introduce Micro-Dyn Pricing Logic for UB Claims

Apply DRG-based pricing with the Micro-Dyn Pricing Info window. Users can review grouper and pricer inputs, outputs, and applied DRG logic to boost adjudication accuracy, simplify troubleshooting, and strengthen audit readiness.
Enable Home Infusion Therapy Pricing for Medicare

Generate accurate Medicare service pricing by leveraging Home Infusion Therapy Rates within the standard workflow. QuickCap factors in national rates and geographical adjustments to deliver compliant reimbursement aligned with updated Medicare policies.
Refine MPPR 5 Pricing with Rank-Based Logic

Calculate precise Medicare payments for MPPR Indicator 5 codes with new rank-aware logic. By distinguishing primary from secondary CPT lines, QuickCap facilitates fairer reimbursements, accurate payments, and consistent compliance.
New Automation
Smarter Claim Scanning with AI-Powered OCR

Use AI-powered OCR to scan CMS claims with greater accuracy, cutting down on errors and manual corrections. This update speeds up claims processing and improves data reliability, so your billing workflows run smoother than ever.
Efficiency
Faster, Smarter UB04 Claim Processing

Submitting UB04 institutional claims is now faster and easier, right alongside your CMS1500 and dental claims in one seamless workflow. With guided fields, smart search tools, and built-in accuracy checks, you save time, reduce errors, and maintain thorough compliance in your billing process.
Contracting
New Automation
Integrate Micro-Dyn for Advanced Medicare-Compliant Pricing

Automate Medicare-compliant claim pricing with Micro-Dyn’s DRAGActive and PRICERActive modules. This integration reduces manual setup, minimizes errors, and ensures accurate reimbursements aligned with CMS standards.
EDI Services
Precision
Enhance COB Details Handling in EDI Services

Strengthen your COB reporting with streamlined payer data capture, improved encounter reporting, and built-in validation. These enhancements help you close reporting gaps, reduce audit risks, and maintain reliable compliance in 837 transactions.
Eligibility
New Automation
Instant Eligibility Checks with FinThrive API Integration

Verify patient coverage in seconds with real-time eligibility powered by FinThrive’s APO integration. Save time, reduce errors, and keep claims moving with faster, more reliable insurance verification.


