Empowering Innovation Across Industries At Zsoftica, we deliver tailored digital solutions that drive growth, enhance efficiency, and accelerate innovation. From transforming legacy systems to building intelligent platforms, our services are designed to meet the unique needs of businesses across all sectors.
Centralize payer data, automate rate checks, and streamline billing with integrated insurance provider database solutions.
Zsoftica’s Health Insurance Provider Rates & Database Integration solutions help healthcare organizations and platforms connect directly with payer systems to automate eligibility checks, rate lookups, and claims management. We build secure, scalable modules that unify multiple insurance provider databases — improving accuracy and reducing reimbursement delays.
Our systems integrate with clearinghouses, EHRs, billing platforms, and payer APIs to retrieve and manage contracted rates, allowed amounts, copay data, and real-time eligibility verification (EDI 270/271). Whether you’re a provider group, health-tech company, or billing service, we make complex insurance data accessible and actionable.
With Zsoftica, you gain real-time visibility into patient coverage and payer rules — helping reduce denials, optimize collections, and ensure compliance.
Team certified on various UI & UX platforms
Over 1000+ deliverables in last 20 years
Hands-on experience of over 20 UI & UX tools
Authored books on UI& UX best practices
Connect with insurance APIs, payer portals, or bulk data repositories to retrieve in-network negotiated rates, allowed amounts, and fee schedules. Our systems normalize data across payers for easy lookup and billing logic.
Automate patient eligibility checks in real time using HIPAA-standard EDI transactions. Verify deductible balances, plan details, coverage status, and co-insurance before visits or claims submission.
Map patients to valid in-network providers and plans using insurance ID, zip code, and NPI filters. We help reduce out-of-network issues and optimize patient routing at the point of scheduling.
Maintain a secure, query-ready rate database with role-based access, full audit trails, and change history. Our systems support compliance with HIPAA, CMS transparency mandates, and health plan rate disclosure rules.
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