SmarterPrebill

JSON twin: https://www.healthaidb.com/software/smarterprebill.json

Company Name

SmarterDx

Product URL

https://www.smarterdx.com/smarterprebill

Company URL

https://www.smarterdx.com

Categories

• ai Clinical Documentation Integrity
• revenue Cycle
• clinical Decision Support
• Clinical Documentation Integrity
• Revenue Cycle Management
• Healthcare Ai Solutions

Summary

SmarterPrebill is an AI-driven solution by SmarterDx that analyzes hospital patient records to identify coding and documentation improvements, enhancing revenue and quality scores.

Description

SmarterPrebill utilizes over 800 proprietary clinical algorithms to review comprehensive patient data, including provider notes, lab results, medications, orders, vitals, and radiology/pathology studies, ensuring accurate billing and quality reporting. It provides actionable recommendations with supporting clinical evidence, allowing Clinical Documentation Integrity (CDI) teams to validate findings before submission. The solution integrates seamlessly with existing Electronic Health Records (EHR) systems, offering a user-friendly interface for healthcare professionals. SmarterPrebill has demonstrated a 5:1 return on investment, generating an average of $2.5 million in net new revenue per 10,000 patient discharges. It is trusted by over 50 health systems and 200+ hospital sites across the U.S., contributing to improved revenue integrity and care quality. The product is SOC 2 Type 2 and HIPAA compliant, ensuring data security and privacy. SmarterDx, the company behind SmarterPrebill, was founded in 2020 and has offices in the United States.

Api Available

unknown

Certifications

• SOC 2 Type II

Company Founding

2020

Company Offices

• United States

Compliance

• HIPAA
• SOC 2 Type II

Customers

• 12 hospitals and health systems

Data Residency

United States

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS

Features

• AI-driven analysis of complete patient records
• Automated extraction from denial documents (including faxes/scans)
• Generative appeal letter creation in minutes
• Identification of clinical evidence in context
• Support for complex cases (DRG downgrades, level of service denials)
• Editable web-based appeal letter viewer/editor
• Chart scanning: notes, labs, meds, orders, vitals
• Coding references included in appeal
• Workflow for review/refine/send appeals
• Searchable evidence snippets for appeals

Id

SW2253

Integration Partners

• Epic
• MEDITECH Expanse
• Oracle Cerner

Integrations

• Epic
• MEDITECH Expanse
• Oracle Cerner

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Form generator
• Template builder
• Data exchange
• Rich push notification

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• Business Associate Agreement (BAA) available
• Data minimization (claims-focused extraction)

Product Code

SW2253

Product Name

SmarterPrebill

Ratings

• 4.5/5 on G2

Regions Available

• United States

Related Urls

• https://elion.health/products/smarterdx-smarterprebill

Release Year

2020

Security Features

• Encryption (in transit and at rest)
• Role-based access control (RBAC)
• Audit logging
• SSO/SAML (likely supported)

Specialties

• General Medicine
• Surgery
• Pediatrics
• Cardiology
• Orthopedics
• Neurology
• Oncology
• Pulmonology
• Gastroenterology
• Dermatology
• Psychiatry
• Obstetrics And Gynecology
• Emergency Medicine
• Radiology
• Pathology
• Anesthesiology
• Urology
• Endocrinology
• Rheumatology
• Infectious Disease

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• clinicians
• nurses
• administrators
• healthcare providers

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Helping us for tracking and knowing our visitors.
• Simple yet Effective Audience Engagement Tracking
• Very useful software to help your brand to grow their customer loyalty

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "SmarterPrebill",
  "company_name": "SmarterDx",
  "product_url": "https://www.smarterdx.com/smarterprebill",
  "company_url": "https://www.smarterdx.com",
  "related_urls": [
    "https://elion.health/products/smarterdx-smarterprebill"
  ],
  "product_code": "SW2253",
  "summary": "SmarterPrebill is an AI-driven solution by SmarterDx that analyzes hospital patient records to identify coding and documentation improvements, enhancing revenue and quality scores.",
  "description": "SmarterPrebill utilizes over 800 proprietary clinical algorithms to review comprehensive patient data, including provider notes, lab results, medications, orders, vitals, and radiology/pathology studies, ensuring accurate billing and quality reporting. It provides actionable recommendations with supporting clinical evidence, allowing Clinical Documentation Integrity (CDI) teams to validate findings before submission. The solution integrates seamlessly with existing Electronic Health Records (EHR) systems, offering a user-friendly interface for healthcare professionals. SmarterPrebill has demonstrated a 5:1 return on investment, generating an average of $2.5 million in net new revenue per 10,000 patient discharges. It is trusted by over 50 health systems and 200+ hospital sites across the U.S., contributing to improved revenue integrity and care quality. The product is SOC 2 Type 2 and HIPAA compliant, ensuring data security and privacy. SmarterDx, the company behind SmarterPrebill, was founded in 2020 and has offices in the United States.",
  "categories": [
    "ai Clinical Documentation Integrity",
    "revenue Cycle",
    "clinical Decision Support",
    "Clinical Documentation Integrity",
    "Revenue Cycle Management",
    "Healthcare Ai Solutions"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "administrators",
    "healthcare providers"
  ],
  "specialties": [
    "General Medicine",
    "Surgery",
    "Pediatrics",
    "Cardiology",
    "Orthopedics",
    "Neurology",
    "Oncology",
    "Pulmonology",
    "Gastroenterology",
    "Dermatology",
    "Psychiatry",
    "Obstetrics And Gynecology",
    "Emergency Medicine",
    "Radiology",
    "Pathology",
    "Anesthesiology",
    "Urology",
    "Endocrinology",
    "Rheumatology",
    "Infectious Disease"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2020",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "AI-driven analysis of complete patient records",
    "Automated extraction from denial documents (including faxes/scans)",
    "Generative appeal letter creation in minutes",
    "Identification of clinical evidence in context",
    "Support for complex cases (DRG downgrades, level of service denials)",
    "Editable web-based appeal letter viewer/editor",
    "Chart scanning: notes, labs, meds, orders, vitals",
    "Coding references included in appeal",
    "Workflow for review/refine/send appeals",
    "Searchable evidence snippets for appeals"
  ],
  "optional_modules": [
    "Form generator",
    "Template builder",
    "Data exchange",
    "Rich push notification"
  ],
  "integrations": [
    "Epic",
    "MEDITECH Expanse",
    "Oracle Cerner"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2 Type II"
  ],
  "certifications": [
    "SOC 2 Type II"
  ],
  "security_features": [
    "Encryption (in transit and at rest)",
    "Role-based access control (RBAC)",
    "Audit logging",
    "SSO/SAML (likely supported)"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) available",
    "Data minimization (claims-focused extraction)"
  ],
  "data_residency": "United States",
  "customers": [
    "12 hospitals and health systems"
  ],
  "user_reviews": [
    "Helping us for tracking and knowing our visitors.",
    "Simple yet Effective Audience Engagement Tracking",
    "Very useful software to help your brand to grow their customer loyalty"
  ],
  "ratings": [
    "4.5/5 on G2"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2020",
  "integration_partners": [
    "Epic",
    "MEDITECH Expanse",
    "Oracle Cerner"
  ],
  "id": "SW2253",
  "slug": "smarterprebill",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/smarterprebill.json"
  }
}