EnableComp
The experts in complex claims.
Overview
EnableComp specializes in managing and appealing complex claims, such as Workers' Compensation, Motor Vehicle Accident, and Veterans Affairs claims. While not a direct chargemaster management tool, their ability to accurately price, bill, and appeal these claims is fundamentally dependent on a correct and complete chargemaster from their client hospitals. Their proprietary platform, Enforcer, uses analytics and workflow automation to manage these claims, ensuring that charges are billed correctly according to complex state-specific and federal fee schedules, which requires accurate mapping from the hospital's CDM.
✨ Key Features
- Specialized in complex claims (Workers' Comp, MVA, VA)
- Proprietary workflow and analytics platform (Enforcer)
- Tech-enabled services model
- Ensures billing compliance with complex fee schedules
- Underpayment and denial management
🎯 Key Differentiators
- Deep specialization in a few highly complex claim types
- Proprietary technology platform (Enforcer) designed specifically for these claims
- Contingency-based pricing model
Unique Value: Maximizes revenue from the most challenging and time-consuming claim types through a combination of specialized expertise and purpose-built technology, which relies on the client's chargemaster for accurate billing.
🎯 Use Cases (3)
✅ Best For
- Significantly increasing collections from workers' compensation payers
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Hospitals looking for a tool to manage their entire commercial and government chargemaster
🏆 Alternatives
Offers deeper domain expertise and more effective technology for complex claims than a general-purpose RCM vendor or an in-house team.
💻 Platforms
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (Standard tier)
🔒 Compliance & Security
💰 Pricing
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