Navicure ClaimFlow Software


 

Navicure ClaimFlow is specially developed for claims management, including billing and payments processes. The software caters to health care organizations of all sizes, and can only be deployed as a Web-based solution.

In addition to claims management, key features include remittance, appeals and denials. The system also provides verification of eligibility, along with diagnosis and procedure coding.

Navicure ClaimFlow caters to all specialities, including cardiology, nephrology, neurology, oncology, ophthalmology, orthopedics, radiology and urology.

All of Navicure solutions are supported by the Navicure 3-Ring® Policy. Navicure guarantees their client’s customer service calls will be answered within three rings by an experienced Client Services team member.

In 2014, Navicure appeared on Healthcare Informatics’ HCI 100 listing for the sixth consecutive year. Navicure also received the Gold Award in the 2013 Stevie Awards for Sales and Customer Service in the Customer Service Department of the Year competition for the health care, pharmaceuticals and related industries. 

 

Navicure ClaimFlow - Claims scorecard
 
  • Navicure ClaimFlow - Claims scorecard
    Claims scorecard
  • Navicure ClaimFlow - Analysis dashboard
    Analysis dashboard
  • Navicure ClaimFlow - Practice management system
    Practice management system
Supported Operating System(s):
Windows 7, Windows Vista, Windows XP, Linux, Unix, Web browser (OS agnostic), Windows 2000, Windows 8

47 Reviews of Navicure ClaimFlow

 

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Software Advice Reviews (4)
More Reviews (43)

Showing 1-4 of 4

Faith from AAD
Specialty: Dermatology
Number of employees: 51-200 employees Employees number: 51-200 employees

November 2017

November 2017

Excellent

Ease-of-use

Functionality

Product Quality

Customer Support
N/A
Pros

I find the product easy to use. The display is user friendly. The charts and reporting are very helpful.

Cons

It's cumbersome to have to enter information in more than one area for database setup and for searching.

Review Source
 
 

Heather from McComb Children's Clinic
Specialty: Pediatrics
Number of employees: 11-50 employees Employees number: 11-50 employees

April 2017

April 2017

Not Satisfied

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

I did not like the set up that Navinet has. We constantly had issues with logging in.

Pros

I really could not give you any pros on this product we had so much trouble.

Cons

Are logins would hardly ever work. Getting someone to fix the issues was horrible. We would get locked out of account. We also could not get a lot of our remittance electronically through them.

 
 

Debbie from DT Medical Billing Service
Specialty: Billing services
Number of employees: 2-10 employees Employees number: 2-10 employees

December 2016

December 2016

Cluttered and Pricey

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

When I was using Navicure, I would find that the denials would be in multiple places for me to correct instead of just one. Also, the claims I had in there, I asked Office Ally and they had the same patient that I had submitted to Navicure. It seems like Navicure charged is a month to send them to Office Ally a monthly at the most, got the denials, and scattered them around in their system to create multiple work. I switched to Office Ally and love it and their customer service.

Pros

None

Cons

Read my review.

Advice to Others

Use Office Ally.

 
 

Dean from Alabama Orthopaedic Clinic
Specialty: Orthopedics / sports medicine

May 2015

May 2015

Navicure Claim Flow

Ease-of-use

Functionality

Product Quality

Customer Support

Likes Best

Ease of use oof the software. The reports help with Revenue Cycle Management; especially on denied claims.

Likes Least

We like all aspects of Navicure and their customoer support.

Recommendations

Analyze the reporting features as compared to competitive products

 
 
 
Showing 1-20 of 43

Kenneth from Cornerstone

October 2017

October 2017

Do not sign long term contract w/ Navicure. You will regret it.

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support

They do process your claims. Make sure your contract w/ Navicure is month to month. You will regret it if you do not.

Cons

I find the Gateway tools to be more productive. Do not sign long term contract w/ Navicure.

Review Source: Capterra
 

Kirk from Hematology Oncology Associates of CNY
Number of employees: 201-500 employees Employees number: 201-500 employees

September 2017

September 2017

Navicure helped us streamline our EDI process and saved us hours of work every week!

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support

Streamlining Processes and Saving time.

Pros

The ability to track every claim through the entire process and having almost all of our ERAs in 1 place.

Cons

We were not able to directly interface our current software or upcoming software with Navicure and had to download each ERA separately.

Review Source: Capterra
 

Michelle from Colorado Springs Internal Medicine
Number of employees: 11-50 employees Employees number: 11-50 employees

September 2017

September 2017

EASY TO USE AND NAVIGATE

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support

all listed on the previous page

Pros

The appeal letters that I have yet to use. The multiple ways to look up EOB's and claims. Ease of Navigation & use.

Cons

Some of the errors are a pain, but I've learned to work through them with help the help from the message center. I do not like the fact that when I print an EOB with more than 50 claims. It will not print the whole EOB.

Review Source: Capterra
 

Megan from Fairfax Obgyn Assoicates

September 2017

September 2017

The support staff is great and they answer right away and open/handle tickets promptly.

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
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Quality
Value for Money
Value
Support
Pros

Easy to correct and resend claims. Easy to navigate the site. Interface with our PM for easier work flow.

Cons

Sometimes it is hard to search an old claim that you want to correct or resubmit back to insurance.

Review Source: Capterra
 

Malik from Hope Internal Medicine of Pueblo PLLC
Number of employees: 2-10 employees Employees number: 2-10 employees

September 2017

September 2017

Excellent

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support
Pros

Ease of use. I am able to track easily all claims sent and also it helps in knowing the denial reason and assists to a great extent in knowing how to correct a denied claim.

Cons

Sometimes not satisfied with the response from the customer support. But Customer support still get a 4 star.

Review Source: Capterra
 

Kathy from Neurosurgical Associates, Ltd.
Number of employees: 11-50 employees Employees number: 11-50 employees

September 2017

September 2017

I have had great support from credentialing to claim submission.

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support

Clean claim submissions. The transitions to 5010 and ICD10 went very smooth.

Pros

The ease of uploading claims and downloading ERA's. The ability to drill into claim rejections to find out where in the process the claim was denied and why.

Cons

Trying to determine if I'm choosing the correct payer from the drop down list. It would help to have a claims address attached to help reduce questions. Payer list sorting is a bit slow. It would help to be able to choose the beginning name letter to go to a group more quickly.

Review Source: Capterra
 

kandi from RUSHMORE OB/GYN

September 2017

September 2017

Very satisfied!!

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support
Pros

Ease of navigating through program I like how I can fix rejected claims and resubmit right online. I like how I can view claims and the remittance advice.

Cons

I do not like how when rejected claims or fixed claims take awhile to remove from the rejected list. I would like them removed quicker.

Review Source: Capterra
 

Angela from Winston-Salem State University
Number of employees: 11-50 employees Employees number: 11-50 employees

September 2017

September 2017

excellent customer service and knowledgeable reps

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support

We are a start up business, and when I got hired the system was already in use, this is a new system so I am stilling learning it , but use it mostly for see checks, and submit claims, and work rejections

Pros

One stop shop, can submit claims, see checks, see claim errors, resubmit claims, still learning system, but customer service is always available to assist with any issues or questions which is greatly appreciated

Cons

going back and forth to different applications within the systems screens without having to log off, or timing out too soon, also if claims are worked, you should be able to color code so that you will know those claims have been worked and will know which ones need to be worked

Review Source: Capterra
 

Ashley from DOURRON OB/GYN
Number of employees: 11-50 employees Employees number: 11-50 employees

September 2017

September 2017

Navicure is a great program

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support
Pros

its very easy to learn, its self explanatory, i rarely have to call for help, even when i do the minor issue is always handled in a timely manner. I always get a updated call or email.

Cons

I just wish the website looked more updated and user friendly, it looks a little old or out dated. but i do not have anything bad to say.

Review Source: Capterra
 

Carla from Pinnacle Ortho and Sports Medicine
Number of employees: 51-200 employees Employees number: 51-200 employees

September 2017

September 2017

We are a large ortho practice with several providers, have been using Navicure for several years.

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support
Pros

Software is very easy to use and navigate within. We can very easily see our rejections from both insurance companies and those that do not pass Navicure edits. We can also easily view ERAs as well as EOBs.

Cons

I feel the scoreboard could be revamped a little. As far as cons go though our practice is very happy with Navicure.

Review Source: Capterra
 

Judith from NEG

September 2017

September 2017

Find it very user friendly

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support
Pros

Can find a check easy if I need to look it up. If I need to check on a claim I can put the claim number in and I am able to find it quickly . Customer service department is always friendly and very helpful

Review Source: Capterra
 

Victoria from Western Infectious Disease Consultants
Number of employees: 11-50 employees Employees number: 11-50 employees

September 2017

September 2017

Best product I have used in 25 years of Healthcare Admin

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support

Easy to track and send claims. Easy to stay current on rejected claims. Easy to fix and resubmit corrected claims. Easy to review remits.

Pros

Intuitive functionality. Great customer service. Claim history that is readable & accessible. Claims correction on site.

Cons

I wish that there was a "Print" function for printing claims history that was easier than the current set up. We often need to appeal timely filing denials. I know HOW to make the data print, but it would be easier if I could just hit a print button.

Review Source: Capterra
 

Layli from Arctic Skye Family Medicine
Number of employees: 2-10 employees Employees number: 2-10 employees

September 2017

September 2017

Great customer support - They always answer the phone and I am not put on hold forever

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support

It works and I don't have 'issues' every day.

Pros

Very easy to use and very few rejections for stupid reasons. Claims don't mysteriously get lost in transmission and I seem to get paid a lot faster than with previous clearing house.

Review Source: Capterra
 

Sherry from Tanana Valley Clinic
Number of employees: 201-500 employees Employees number: 201-500 employees

September 2017

September 2017

Navicure has great customer service.

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support
Pros

It's easy to upload my files. It is also very easy to track once I have uploaded. I don't have anything to compare it to though.

Cons

The interface is not very user friendly. It is in need of some major upgrades. I wish there was a way I could add my providers and remove them myself. I also feel that it is very expensive for what it does.

Review Source: Capterra
 

chandra from Montesano Internal Medicine

September 2017

September 2017

I never have any problems with Navicure. They are always very helpful when help is needed.

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
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Quality
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Support

ease of use for filing electronic claims. makes billing faster and easier to track.

Pros

It really makes electronic billing easy and fast. Filing claims, finding ERA's, getting details when working on open unpaid claims.

Review Source: Capterra
 

brandy from Tioga Opportunities, Inc
Number of employees: 11-50 employees Employees number: 11-50 employees

September 2017

September 2017

customer service has always been quick and helpful

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support
Pros

its easy to use and find what i am looking for quickly. the error messages are typically user friendly and understandable but as we only have the basic service this is the feature i use most. i would be great if i could pick the things i want to buy

Cons

i wish you did not need to pay extra for some of the features i feel should be standard. i liked the use of all the functions for the short time but our office cannot afford to .

Review Source: Capterra
 

Michelle from Graham Medical Associates
Number of employees: 11-50 employees Employees number: 11-50 employees

September 2017

September 2017

Very happy with overall quality of software, definitely a vital part of our claims being paid ontime

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support

Expertise with claims filing and excellent communication between carriers and clearing house.

Pros

Communication between other carriers and Navicure. They always know or will find out any denial or rejection from a carrier and are up to date with knowledge of what each carrier wants.

Review Source: Capterra
 

Brice from Anchorage Pediatric Group

September 2017

September 2017

Navicure has always been pretty easy to use

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
Usability
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Functionality
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Quality
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Pros

Navicure's System is simple and highlights denials so they're easy to find and correct for resubmisison.

Cons

Navicure isn't integrated with our EHR Greenway Primesuite regarding remittance advice nor posting of payments - that's still a manual job.

Review Source: Capterra
 

Steve from Brown Clinic, PLLP
Number of employees: 51-200 employees Employees number: 51-200 employees

September 2017

September 2017

Smooth transition and very helpful implementation and support staff!

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
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Functionality
Product Quality
Quality
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Pros

I like the functionality that you bring to the table. The software is user friendly and the information you make available at my fingertips is valuable

Cons

Multiple logins and security...would love to see this land in one dashboard that one could venture into the product modules from.

Review Source: Capterra
 

Lisa from Brackett Rheumatology
Number of employees: 2-10 employees Employees number: 2-10 employees

September 2017

September 2017

Navicure is very easy to use and there are many features that assist day to day work flow.

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
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Pros

I like the electronic billing and insurance verification system. With the electronic billing I like how you immediately get a report the rejected claims so that I can correct them in order to go out the entire batch for the day.

Cons

Some of the reports are hard to understand. I have a hard time sorting through some of the accounts receivable reports that I think would be helpful if I could figure them out.

Review Source: Capterra
 
 
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