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

33 Reviews of Navicure ClaimFlow

 

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Software Advice Reviews (3)
More Reviews (30)

Showing 1-3 of 3

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 30

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.

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
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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.

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
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Quality
Value for Money
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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

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
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Quality
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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.

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
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Value for Money
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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.

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.

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
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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.

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 .

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
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Quality
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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.

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
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support
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.

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
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support
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.

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
Usability
Functionality
Functionality
Product Quality
Quality
Value for Money
Value
Support
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.

Source: Capterra
 

Sandra from Colorado Springs Pulmonary Consultants
Number of employees: 11-50 employees Employees number: 11-50 employees

September 2017

September 2017

Navicure is excellent. The education programs they offer are excellent with top national speakers.

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

Works well

Pros

Navicure has seen our practice through thick-n-thin with billing companies, in-house and we have always required Navicure not to change clearing houses.

Cons

I think the dashboard is a bit complication. Will want to see what the merger looks like and hopefully it will not affect the physician practices.

Source: Capterra
 

Jenny from Children & Teens Medical Center
Number of employees: 11-50 employees Employees number: 11-50 employees

September 2017

September 2017

From sales to accounting to support, all the employees have honored the 3 ring rule. Everyone is he

Ease-of-use

Functionality

Product Quality

Customer Support

Value for Money

Ease-of-use
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Expense! Although I do experience the value of your product and services as positive. I really think Symphony should be the standard application for users. There is so much more to help a biller get their work done and information available at their finder tips!

Pros

I especially like Perform Reporting for the fee schedules and payments. The graphs and drill down gives us many options to choose from. Claims appeal process is swift and the pre-written appeal letters really help a lot. It is a time saver to correct the claims in Navicure. I only have to change my claim status in ECW. Now that we are on Symphony I have more choices to look over and use. We are able to look at the ERA denials as well which has been very helpful. More information and drill downs.

Source: Capterra
 

Portia from Hawaii Ear Clinic, Inc.
Number of employees: 2-10 employees Employees number: 2-10 employees

September 2017

September 2017

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

Navicure sends all of our practice's electronic and paper claims quickly which gets us our payments faster.

Pros

The software is very user friendly. I like how it catches edits that I've missed and alerts me prior to sending the claim. Customer service reps are always friendly, helpful and quick.

Cons

The only thing I can think of right now is that you're not able to transfer incorrectly scanned items in the Patient Documents Administrative area. We would have to delete it and rescan it. Other than that everything's great.

Source: Capterra
 

William from Scanlon Physical Therapy, Inc.
Number of employees: 2-10 employees Employees number: 2-10 employees

September 2017

September 2017

We love Naavicure

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 efficient for sending claims and receiving payments. We can easily upload filed from out PT program.

Cons

Its difficult to loop up ERA reports by patient name. Finding the file number is not as simple as looking for a patient by name. Our computer also doesnt save the file number/associate it with a claim so sometimes it takes a few minutes to pull up a file.

Source: Capterra
 

Tanya from Center for Spine Interventions, PC
Number of employees: 11-50 employees Employees number: 11-50 employees

September 2017

September 2017

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

Easy to use and fix claim issues

Pros

easy to use and understand. Easy to navigate and find what you need easily. Easy to fix mistakes that may have been made on sending claims

Cons

Some times it can be really hard to see if a claim issue was due to EMR system or on the clearninghouse end.

Source: Capterra
 

geraldine from planned parenthood south atlantic

September 2017

September 2017

easy to handle

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

what i like most is that this software tells you if the ins. will pay right then and there which makes it perfect because then we go ahead and enter that allowed amount in our system.

Cons

I don't like when they change interface since it take a bit to get use to the new one. It really isn't a big deal but if I had to choose somethingthat I like least it would be that.

Source: Capterra
 

Lisa from Gastroenterology LTD

September 2017

September 2017

User Friendly

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
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Support
Pros

I use the eligibility tool daily. I like that they have different options on how you can look up a patients insurance. Easy to locate claims.

Cons

I would like for the Tricare option for the deductible and out of pocket accumulations to be on the eligibility information.

Source: Capterra
 

Amanda from Samaritan Counseling Center of the Southern Tier
Number of employees: 2-10 employees Employees number: 2-10 employees

September 2017

September 2017

I have always had outstanding customer support and the ease of use is very helpful.

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
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Support

It has made the ease of electronic billing very simple and helpful. We went from paper billing and this software could not be anymore user friendly.

Pros

It is extremely easy to navigate and the statistical information is important to us as a practice. We report to a board that requests this information monthly and it is as simple as pulling up Navicure.

Cons

Sometimes the insurance denials are hard to decipher what is actually wrong with the claim and i usually have to call in.

Source: Capterra
 
 
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