QuikClaims v2.7 is a standalone, enterprise-grade claims clearinghouse with AI-powered scrub engines, real-time eligibility, ERA auto-posting, and a 5-stage processing pipeline built for the post-Change Healthcare era.
Claims arrive via X12 837P from iCare iBiller, QC Client, or third-party EHR. Batch or real-time ingest with format validation.
7 AI engines validate coding, check eligibility, score denial risk, flag prior auth needs, and enforce SNIP 1-7 compliance.
Clean claims route to 22+ connected payers via X12 EDI. Real-time acknowledgment tracking with automatic retry on rejection.
Real-time claim status (X12 276/277). Payer intelligence dashboard tracks response patterns and SLA compliance.
ERA/835 auto-posts payments with line-level reconciliation. Denials route to the appeal engine with AI-optimized templates.
CARC/RARC categorization, appeal builder with success prediction, and $284K YTD recovery analytics dashboard.
12-report library: revenue cycle KPIs, payer performance, denial trends, and custom report builder for any dimension.
UAF integration provides tamper-evident, blockchain-anchored audit trail for every claim, every action, every user.
| Feature | QuikClaims v2.7 | Waystar | Availity | Change HC |
|---|---|---|---|---|
| AI Denial Risk Scoring | ✓ 7 Engines | ~ Basic | ✗ | ✗ |
| SNIP 1-7 Validation | ✓ Full | ✓ | ~ 1-4 Only | ✓ |
| EHR Integration | ✓ iCare Native | ~ API | ~ API | ~ API |
| ERA/835 Auto-Posting | ✓ Line-Level | ✓ | ~ Summary | ✓ |
| Blockchain Audit | ✓ UAF | ✗ | ✗ | ✗ |
| White-Label Multi-Tenant | ✓ Built-in | ✗ | ✗ | ~ Limited |
| FHIR R4 Native | ✓ Full | ~ Partial | ~ Partial | ✗ |
| Disaster Recovery | ✓ Active-Active | ~ RPO 4hr | ✓ | ✗ (Breached) |
| Prior Auth Automation | ✓ CMS-0057-F | ~ Manual | ~ Partial | ✗ |
| Free Trial | ✓ 15-Day | ✗ Demo Only | ✗ Demo Only | ✗ |
7 modules for patient records, transcription, scheduling, billing, and prescriptions. iBiller submits directly to QuikClaims.
36 server modules, 12 client modules, 7 AI engines. The financial backbone of the APMS ecosystem.
10 modules for FHIR-based data sharing. QuikClaims Bridge enables cross-product claim attachment and eligibility routing.
Start your free 15-day trial. No credit card required. Full access to all 12 client modules with synthetic claim data.