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Claims Administration / Processing Directory


Amisys Synertech, Inc.
2400 Thea Dr.
Harrisburg, PA 17110
Email: hirwin@synertechsystems.com
Phone: 717-703-6349
www.synertechsystems.com
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Amisys Synertech Inc. combines the industry leading products and services of AMISYS and Synertech.

AMISYS (www.amisysllc.com) offers comprehensive information management software and Web capabilities to healthcare payers. Its 3000 product provides extensive functionality that meets the information needs of a wide variety of health plans. AMISYS Advance, to be delivered mid-2003, expands on the robust functionality of AMISYS 3000 on the HP-UX operating system. AMISYS is based in Rockville, Md. and has an additional office in Dubuque, Iowa.

Synertech (www.synertechsystems.com), established in 1986, is a leading business process outsourcer and application services provider to the healthcare payer industry. Synertech offers business process outsourcing; consumer-directed solutions; scanning and imaging; claims processing; Web-enabled services; and Medicare Retiree programs. Synertech supports a multimillion-member base, including more than 100,000 members of new consumer-directed health plans.

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APP Design, Inc.
555 Pierce Rd., Ste. 195
Itasca, IL 60143
Email: sales@appdesign.com
Phone: 630-775-1144
www.appdesign.com
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APP Design's extensive healthcare knowledge can help your organization meet its goals. APP's team has worked in the healthcare field for many years, including working on the first community healthcare network the Wisconsin Healthcare Information Network, Western New York HealtheNet , and Healthcare Extranets of New Mexico. In addition to our RHIOnet product for securely linking healthcare information systems, we've also aided organizations with integration projects and HIPAA compliance. APP Design's RHIOnet X12 transaction set helps organizations comply with HIPAA mandated standards. In addition, we can create custom interfaces to existing legacy systems, then use RHIOnet's X12 transaction service to handle incoming X12 transactions, creating "instant" X12 compliance for the organization. Running on top of the APP AnvilT application server, the service supports the following transactions out of the box:

  • 270/271 Health Care Eligibility/Benefit Inquiry and Information Response
  • 276/277 Health Care Claim Status Request and Response
  • 270278 Health Care Services Request for Review and Response
  • 278 Health Care Services Review - Notification
  • 278 Health Care Services Review Inquiry/Response

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Avantec, LLC
16622 N.E. 117th Way
Redmond, WA 98052
Email: sales@avantecsoftware.com
Phone: 425-869-1996
www.avantecsoftware.com
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Avantec's managed care products are an integrated suite of applications designed to support a full range of risk management activities for managed care organizations. We have created one of the most powerful benefit plan and provider/facility contracting utilities in the industry to ensure that your organization can accurately replicate complex benefit/contract terms and conditions and accommodate your various payment reimbursement methodologies.

Our products are designed around a secured client/server network integration using Microsoft Windows 2000 and SQL 2000 database. Our eMCee workstation software provides referral/pre-approved authorizations, HCFA/UB92/Dental claim processing and auto-adjudication, Pool/PMPM auto-capitation, accounts payable processing and data exchange, member and eligibility management, benefit administration, provider contract management, and EDI tools for authorization, claims and eligibility.

Our Connect web-enabled browser-based application is designed to save time, improve efficiency and reduce cost to both you and your contracted providers. It gives physicians the ability to do referral request and pre-approved authorizations; perform benefit checks for coverage, expected payment and copay; inquiries on member demographics, authorizations and claims; and provider and facility directory searches.

It also comes complete with powerful administration software that simplifies the setup and maintenance that is specific to your organization. Investigate further and you will find our suite of products to be user friendly and vary affordable. It comes with the backing of seven years of development, includes source code and the best support imaginable.

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CareMedic Systems, Inc.
800 Carillon Parkway, Ste. 250
St. Petersburg, FL 33716
Email: aralls@caremedic.com
Phone: 800-508-8494
www.caremedic.com
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Easy is done. You've conquered the revenue cycle basics, and now it's time to dig deeper to improve your financial results. With the recent focus on RAC audits, CareMedic offers its RAC Management solution to help you identify and prevent potential recovery problems, manage the audits and monitor their outcomes, CareMedic's innovative blend of technology-enabled services and configurable solutions will help you reach the next level of value in your revenue cycle. Our eFR® Network addresses opportunities for improvement that require deep domain knowledge and sophisticated technologies to attain. Our newest innovations in the eFR Network go beyond the traditional solutions to set a new market standard.

The electronic Financial Recordr (eFR ®) connects information from disparate systems into a single patient view, automates routine processes and provides comprehensive workflow to manage the life of the account-not just the claim.

SecondaryGold combines the power of AccelerateAR Claims Management and MedicareRT with our best-in-class services to help you manage primary claims while we collect your secondary claim payments, so you recover significantly more of your secondary claim dollars.

Consolidated Payment Management uses the most advanced OCR solution available to enable quick and accurate interpretation of paper EOBs into clean electronic 835s, virtually eliminating manual remittance advice posting.

CareMedic understands the challenges of managing the revenue cycle, the complexity of information transfer and the need to efficiently access accurate information. Find out today how we can help you conquer the hard challenges and uncover the hard cash. For more information, call (800) 508-8494 or visit www.caremedic.com

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Claricode
716 Main St., 2nd Floor
Waltham, MA 02451
Email: info@claricode.com
Phone: 800-635-5284
www.claricode.com
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Claricode provides medical software development for healthcare providers, medical device manufacturers, and medical software companies. Claricode works exclusively on medical software development. Medical software is a very complex area with its own set of terminology, laws, and data integration standards. By focusing on medical software development, Claricode believes that it is able to provide more effective solutions their clients in less time than would otherwise be possible.

Here are some recent examples of Claricode's medical software consulting projects:

  • Creating an e-prescribing web service for over 2000 physicians that sends eprescriptions at a rate of 1.1 million transactions per year. To put that in perspective, in 2007, all of California sent 1.9 million e-prescription attempts.
  • Enabling self-monitoring and self care of chronic conditions, such as diabetes and CHF, using consumer medical devices and a web application.
  • Providing an interactive speech application to search for specialists.
  • Creating web applications that simplify complex medical workflows.
  • Simplifying routine appointment scheduling through web scheduling.

The company works with a variety of premier medical organizations on novel applications that improve quality of life and lower the overall cost of patient care, creating e-health solutions for medication management, e-prescribing, home care, Electronic Medical Records (EMRs) telemedicine, payment reconciliation and more. For more information, visit the company's web site at www.claricode.com.

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Computer Service & Support, Inc. LIS Systems
2106 New Rd., Bldg. E
Linwood, NJ 08221
Email: sales@csslis.com
Phone: 800-336-4277
www.csslis.com
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jan 2011 ad came in unsolicited email for seth snorris@sitewire.com

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DREAM EMR by Visionary Medical Systems
5600 Mariner St., Ste. 227
Tampa, FL 33609
Email: sales@visionarymed.com
Phone: 888-895-2466
www.visionarymed.com/?vid=650
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Since 1995, Visionary Medical Systems, Inc. has provided affordable information technology solutions to maximize healthcare productivity and improve patient care while reducing provider's costs.

Visionary's base medical management system includes VisionaryTM OFFICE featuring:

  • Scheduling
  • Reporting
  • Billing
  • Full Practice Management
  • Much More

Our VisionaryTM DREAM EMR interfaces with our practice management software for a complete solution.

  • Easy navigation menu is designed to increase usage speed while streamlining the data recording process
  • Interfaces with a number of external programs, including practice management, transcription, imaging and lab information
  • Intuitive sentence builder allows doctors to personalize chart notes and significantly reduce - or even eliminate - the need for transcriptions
  • Order tests, physician consultations or surgical procedures directly from the patient's chart
  • Produce error-checking reports identifying missing, unsigned or unsaved progress notes
  • Customize your questions and phrasing of your notes

All our software features easy installation, operation, support, training and modular pricing.

Visit our website www.visionarymed.com and preview VisionaryTM DREAM EMR today. When it comes to Heath care IT we're the visionaries of the industry. Your Practice Made Simple.

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DrFirst.com
3206 Tower Oaks Blvd., Ste. 310
Rockville, MD 20852
Email: ichen@drfirst.com
Phone: 301-231-9510
www.drfirst.com
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DST Health Solutions
2500 Corporate Dr.
Birmingham, AL 35242
Email: inforequests@dsthealthsolutions.com
Phone: 800-272-4799
www.dsthealthsolutions.com
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DST Health Solutions has delivered business applications and process outsourcing services to health plans, third-party administrators and physician practices for more than 25 years. Our solutions drive client success in speed to market, customer responsiveness, care management, administrative efficiency, productivity, and operational cost reduction. Our applications, ASP and BPO services support more than 300 healthcare clients, representing 30 million covered lives that generate an administrative transaction volume in excess of 230 million claims each year. DST Health Solutions is a wholly-owned subsidiary of DST Systems, Inc., which provides sophisticated information processing and computer software services to more than 3,500 clients worldwide. DST operates one of the world's most advanced data centers.

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Easy Business Software
3632 Land O' Lakes Blvd., Ste. 101
Land O' Lakes, FL 34639
Email: sales@x-link.info
Phone: 800-645-2962
www.ezbizware.com

Easy Business Software was formed in March of 1988, and is now celebrating "17 Years of Excellence." Easy Business Software takes its roots from computer hardware, computer software and consulting businesses. Our founders have been actively involved in the software business for over 40 years and brought this experience together to make Easy Business Software a highly successful business. The staff and management of Easy Business Software look forward to a future of continued success, providing customers with stable, workable software products and the highest level of customer support for these products.

Easy Business Software is a consultative technology integrator and software developer focused on delivering solutions to the physician market for improving patient care. Easy Business Software manufactures X-Link, the industry standard for integrating disparate clinical and practice management systems and services. This industry standard integration product provides seamless integration for over two thirds of the practice management systems used in the one to three physician market.

Easy Business Software has attained the distinguished level of NDC Health Platinum Certified Reseller consistently since 1996 and has also consistently been awarded NDC Health's President's Achievement Club since the club's inception in 1997.

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Eldorado Computing, Inc.
5353 North 16th St., Ste. 400
Phoenix, AZ 85016
Email: abell@eldocomp.com
Phone: 602-604-3100
www.eldocomp.com
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Eldorado Computing Inc. is a leading supplier of IT administration solutions for healthcare organizations, self-funded employers, third party administrators, insurance carriers, independent physician associations, and unions. Eldorado's software is available on an ASP hosted or licensed basis. Eldorado provides a leading edge proven solution for automatic claims processing of medical, dental, vision, prescription drug, long-term and short-term disability claims.

Eldorado's HEALTHpac is the foundation for claims repricing, managed care functionality, billing and administrative functions, case management, utilization review, PPO management, COBRA management, Section 125 administration, batch laser printing, electronic claims transmissions, ad hoc reporting and claims edit processing. Other products include: Imaging, Workflow, X12 Manager (HIPAA), Customer Service Interface, and real-time employee self service web applications.

Founded in 1981, the privately held company is based in Phoenix, Arizona, and has affiliate offices in Barberton, Ohio. For more information about Eldorado, visit the company's Web site at www.eldocomp.com or call (602) 604-3100.

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EMCsoft
200 Federal St., Ste.235
Waterfront Technology Center
Camden, NJ 08103
Email: mail@emcsoft.com
Phone: 888-EMC-SOFT (888-362-7638)
www.emcsoft.com

Claim AgentTM is claims management software for all types of healthcare providers. Features:

  • Submits Institutional (UB92) and Professional (1500) HIPAA-compliant claims to payers.
  • Extensive validation checks to assure error-free claims.
  • Unlimited claims storage allows for claim review and rebilling.
  • Posts payer acknowledgments (ANSI 277) of claim receipt to the claim database.
  • Creates claim status requests (ANSI 276) to obtain current claim information from payers.
  • Posts electronic Remittances (ANSI 835) to claim database to automatically bill secondary payers.
  • Accommodates multiple users at the same time.

We provide unlimited technical support. Installation, training, troubleshooting, and system updates are accomplished over the Internet by secure remote-access tools.

We specialize in customizing our software to meet customer needs. We're small enough to give you personal service and large enough to give you reliable service.

Visit our website www.emcsoft.com for more information or call us at 888-362-7638.

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ExaMedIT, Inc.
1675 Larimer St., Ste. 410
Denver, CO 80202
Email: stephen.hammond@examedit.com
Phone: 800-824-1233 Ext. 340
www.examedit.com

ExaMedIT is an Internet based service company that offers to multi-specialty group practices, billing services, claims clearinghouses, and the insurance industry electronic claims editing and on-line billing while concurrently maintaining quality control and efficiency between the providers and payers.

Providers and payers are looking for methods to reduce costs while maintaining a system of quality control checks. ClaimCorrect is a dynamic web based application that uses a sophisticated and extensive database to analyze claims relative to the rules established by third party payers. Upon review, ClaimCorrect will pass any errors detected to the provider for examination and correction, which will help generate "clean" claims for accurate submission and subsequent reimbursement.

Although there are many available tools to help practices code correctly and comply with the National Correct Coding Initiative, ClaimCorrect is unique in its ability to thoroughly review the data contained within the claims submission process. This review is in accordance with the individual payer's "rules" and performed entirely in the background.

MedBillCorrect is an online medical billing application that provides medical practices with cost effective access to a state of the art relational database practice management solution suite that includes billing/claims and compliance monitoring.

ClaimCorrect and BillCorrect products are based on the ASP model and are both HIPAA compliant applications. Service operations take place at a secure, central center. Users access the system through standard Internet browser software. Unlike other so-called ASP systems, no other software is required to operate the system.

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IntraNexus Inc.
PO Box 2777
Virginia Beach, VA 23452
Email: lshoaf@intranexus.com
Phone: 757-437-9125
www.intranexus.com
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For more than 16 years, IntraNexus® and our strategic partners have provided customized, integrated HIS solutions for more than 1,000 hospitals, behavioral health and long term care facilities, ambulatory care centers, and physicians' offices across the United States. IntraNexus is dedicated to providing customized healthcare IT solutions and personalized service.

Recognizing the need for flexible and comprehensive HIS solutions, IntraNexus has developed Sapphire, a true web-based HIS. Sapphire's usage of Internet technologies and open standards means clinical functions can happen from the physician's home or office as easily as from within the medical institution---all while using a variety of input devices such as hand-helds, laptops, tablet PCs, and smart phones.

The IntraNexus Sapphire HIS solution includes the areas of Clinical Care, Patient Accounting, Pharmacy, Laboratory, Comprehensive Radiology Management Systems, Medical Records, Respiratory Care, Networking, Operations, and Systems Engineering.

Experience the difference using flexible web-based solutions that link healthcare with technology...here.there.anywhere.

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Mardon International Healthcare Services
4111 E. Valley Auto Dr., Ste. 210
Mesa, AZ 85206
Email: info@mardonihs.com
Phone: 800-877-9257
www.mardonihs.com
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A leading software vendor in the health care informatics industry for 27 years, Mardon IHS provides integrated software solutions that meet the information needs of health care organizations worldwide. The organizations we serve include hospitals, ambulatory care centers, long term care and behavioral health facilities, home health organizations and physician practices.

We accomplish results and efficiencies other vendors don't, at a value they can't match, because of the functionality and the integration designed into our systems. Our systems cover all facets of the health care spectrum, from primary care to continuing care management. Information is integrated both horizontally across care facilities and vertically among the physicians orchestrating care, the nurses delivering care, and the clinical departments supporting this care. Clinical and financial information is fully integrated tightly coupled so health care organizations operate efficiently.

Our platform is designed and engineered with an understanding of the reliability critical to Health Care Information Systems, and the flexibility essential for information systems to continually evolve to meet changing health care dynamics.

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MedicalBillingSoftware.com
23263 Harborview Rd.
Port Charlotte, FL 33980
Email: info@medicalbillingsoftware.com
Phone: 888-691-8058
www.medicalbillingsoftware.com

Medical Billing Software.com specializes in helping single practice and small practice doctors maximize their cash flow, decrease A\R, decrease billing denials, and improve collected revenue thru innovative software solutions.

Tired of being "taken hostage" by other medical billing software programs that charge you an arm and a leg for updates or upgrades or new features? Tired of not getting all the reports you need out of your system? Fed up with claim denials? Call us at 888-691-8058 or 941-743-6666 and lets talk.

Our software is used by thousands of medical offices around the country. We provide your office with both software, and, if requested, training. Our Medisoft software is highly sought after for use in billing services because we don't charge per practice and because the software is easy to use and understand.

Medisoft medical billing support and training:

After you purchase your software from us, we are here to provide support to you on how to use the software, answer questions, and provide troubleshooting in the event you have problems. Our charges for support are reasonable and geared specifically to your needs and questions. Unlike other companies, we do not "Cram" a prepackaged training program at you; instead, we assess your needs and knowledge and customize training to suit your individual needs (no "HMO" type of support, strictly Fee for Service). We also use the internet to remotely connect to your office so that we can see a problem on your system or to walk you through a situation. Our customers LOVE this personalized level of support!

Check out our medisoft medical billing blog at medisoft-dealer.blogspot.com.

Electronic Medical Records and Charting:

Our popular Medisoft medical billing software interfaces with two of the industry leading EMR or EHR software programs. We also provide interfaces to other practice management and billing software programs. Please feel free to contact us with your questions.

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MedInformatix
5777 W. Century Blvd., Ste. 1700
Los Angeles, CA 90045
Email: sales@medinformatix.com
Phone: 310-348-7367
www.medinformatix.com

MedInformatix is a leader in integrated EMR and practice management systems. We have 900 installations throughout North America and seek distribution partners in all specialties.

MedInformatix Radiology Information System is the one-stop, turn key solution for today's radiology practices. Its ability to interface to your choice of PACS and its fully integrated billing/collection modules with the state of the art web-referring module truly sets MedInformatix RIS apart from all its competitors.

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RAM Technologies, Inc.
275 Commerce Dr., Ste. 100
Fort Washington, PA 19034
Email: mwullert@ramtechinc.com
Phone: 215-654-8810 Ext. 255
www.ramtechnologiesinc.com

RAM Technologies is a leading provider of advanced managed care software. Solutions include HEALTHsuite® and eHealthsuite™. HEALTHsuite is a fully integrated, enterprise-wide application that automates all aspects of benefit administration and claims processing. eHealthsuite is a web portal that reduces demands on customer service personnel by providing real-time access to information for providers, members, brokers and employers.

RAM Technologies has been serving the payer segment of the healthcare industry for over 26 years. RAM's solutions serve the complex needs of Medicare, Medicaid, Commercial, Consumer-Directed and Federal Health Programs.

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Sajix, Inc.
990 Laguna Creek Lane
Pleasanton, CA 94566
Email: bizdev@sajix.com
Phone: 925-218-7370
www.sajix.com

Sajix is a leading supplier of healthcare information technology solutions to address the clinical, financial and administrative operation of healthcare organizations. Based out of Silicon valley California today Sajix operates in many countries. Sajix offers next generation healthcare platform (iHelix), which can be configured to single doctor practitioner to large hospital.

Sajix's goal is to become the industry's enterprise healthcare cloud computing company to offer the best healthcare solution at lower cost.

Sajix offers both on demand and in premises software business model to cater to the customer business need.

iHelix platform has five major solutions iHelix MD (an integrated solution for physician practice), iHelix Hospital(an integrated solution for hospital), iHelix Telecare (Remote consultation for patients), iHelix lite (solution for mobile clinician) and iHelix platform (custom solution for healthcare organizations).

To provide complete ownership, Sajix offers various IT and business process services like coding, billing and helps customer to focus their core business which is clinical care.

Electronic Medical Records applications include Patient Portal, Physician Portal, Nurse Portal, Laboratory Management, Radiology Management and E-Prescription.

Hospital Management applications include Registration, Revenue Cycle Management, Pharmacy Management, Laboratory Management, Radiology Management, HR Management and Material Management.

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Spectron Corporation
5416 S. Yale, Ste. 650
Tulsa, OK 74135
Email: charles.young@spectronco.com
Phone: 918-488-8031 Ext. 3117
www.spectronco.com
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Spectron Corporation has been a Healthcare Information System Outsourcing and Consulting company for 34 years. It is engaged in the analysis of hospital information system processes and the sale, implementation and ongoing support of complete hospital information systems. Spectron consulting service professionals' are available to study, report on and improve the hospital's information process flow as it relates to cash flow, quality of patient care delivery, labor utilization and turnover, material costs and community impact. Spectron has been a McKesson reseller of the S2000 HIS software since 1983 and is experienced in the implementation and support of this and other HIS systems.

In addition, Spectron Corporation has developed and supports its own service process optimization software, designated ERSS. ERSS overarches and front ends existing HIS systems and is designed to maximize the use of hospital human and capital resources driving highest revenue out of existing assets. Spectron supports and maintains the associated PC networks, servers, local area networks and wide area telecommunication networks used to run these applications. Many of the hospitals are linked on virtual private networks utilizing servers located in Spectron's data center.

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VersaSuite
10601 Pecan Park Blvd. Ste.401
Austin, TX 78750
Email: sales@versasuite.com
Phone: 512-250-8774
www.versasuite.com
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Since 1994 VersaSuite has been specializing in the development of integrated health care software solutions for both clinical and hospital environments. A comprehensive practice-management ensemble, VersaSuite is a symphony of several vertically-oriented modules: The healthcare modules perform clinical and management tasks for all medical specialties both within in-patient and out-patient care settings. The business modules automate employee scheduling, client tracking & invoicing, payroll processing, human resources management, and employee time-tracking & scheduling. With cutting-edge technology and marketplace insight, VersaSuite offers a complete integrated clinical and management solution designed to help any healthcare organization to provide exceptional patient care and achieve optimal competitive efficiency.

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Z-Code Systems, Inc.
446 N. DIllard St., Ste. 3
Winter Garden, FL 34787
Email: mminor@zcodesystems.com
Phone: 407-656-4990
www.zcodesystems.com

Z-Code Systems, Inc. provides a wide variety of IT services including complete design, implementation and support of custom applications as well as providing support and enhancements of legacy systems. Providing interfaces between various systems is a specialty of our staff.

As part of our development services we have developed a variety of ready to install systems including:

Z-LAB: A PC/Server based laboratory information system with a split personality. One version gives the independent reference laboratory the computing power of national reference labs. The second version is designed for use in a physician's private practice laboratory.

Z-FIN: A fully functional laboratory billing and accounts receivable system.

Z-Poll: Enables the laboratory to form a bond with their clients by providing a unique link for the ordering of tests and the reporting of the laboratory's results.

Z-Pay: Collect patient and client invoice payments via the World Wide Web.

Z-LARC: A PC/Server based Laboratory Information Archive inquiry and reporting system.

Z-Collect: Set up your own in-house collections process and add your current collection agency's profits to your bottom line instead of theirs.

All of our products are HIPAA compliant and are powered by Cach‚, the words fastest database. Visit our website for additional information.

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Who is in this category?

Amisys Synertech, Inc.
APP Design, Inc.
Avantec, LLC
CareMedic Systems, Inc.
Claricode
Computer Service & Support, Inc. LIS Systems
DREAM EMR by Visionary Medical Systems
DrFirst.com
DST Health Solutions
Easy Business Software
Eldorado Computing, Inc.
EMCsoft
ExaMedIT, Inc.
IntraNexus Inc.
Mardon International Healthcare Services
MedicalBillingSoftware.com
MedInformatix
RAM Technologies, Inc.
Sajix, Inc.
Spectron Corporation
VersaSuite
Z-Code Systems, Inc.


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