Gentem
Last Updated
Overview
Gentem provides private practices with a faster, more automated way to manage medical billing and revenue cycle management operations. While users can no longer access it as a standalone tool, its billing automation is available through SimplePractice's broader platform. This helps users reduce claim denials and speed up reimbursements.
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Starting Price
Custom
Gentem Specifications
- Billing And Invoicing
- Claims Management
- Patient Demographics
- Appointment Management/Scheduling
What Is Gentem?
Gentem, now acquired by SimplePractice, is an AI-powered medical billing and revenue cycle management (RCM) platform that automates claim submissions, claim scrubbing, and payment recovery for healthcare practices. It acts as an intelligent middleman between medical practices and insurance companies. The company can keep private, independent medical practices financially stable by completely automating the painful administrative burden of the US insurance reimbursement process.
What Is Gentem Best Known For?
Gentem is best known for insurance payment advances. Rather than waiting weeks or months for a payer to process a claim, practices receive a portion of the expected reimbursement upfront. For example, on a $100 claim, Gentem will pay 85% upfront, then recover that advance plus a fee once the real payment comes through. This specific model benefits solo practitioners, newly opened medical practices, and low-margin outpatient clinics the most because they usually don't have a large cash reserve to draw on if a claim payment is late.
How Much Does Gentem Cost?
Gentem charges a percentage of your total revenue collection along with a small platform fee. The percentage of total collections varies depending on the size and specialty of your practice.
Disclaimer: The pricing is subject to change.
Gentem Integrations
The software vendor supports integration with several major EHR and practice management systems, including the following:
How Does Gentem Work?
Follow the steps outlined below to navigate the software:
- Log in to the software using your credentials
- Enter patient information and details about visits or services rendered
- Input the patient's insurance details into the appropriate fields
- Submit claims to payers and track payment status
- Utilize the software's AI-powered technology for automatic claim scrubbing
- Access dashboards to gain real-time analytics on revenue cycle metrics
- Use online payment tools to enhance patient financial experience
- Send patient statements via email or text
Who Is Gentem For?
The vendor serves private medical practices and specialty healthcare providers managing billing and revenue cycle operations, including:
- Surgical specialties
- Pain management practices
- Behavioral health providers
- Vein clinics
- Telemedicine and telehealth providers
- Outpatient facilities
Gentem Use Cases
Based on our analysis of Gentem features and RCM model, we have identified key scenarios where this platform proves to be a strong fit:
Independent Practices Facing Severe Cash Flow Constraints
Independent medical practices work on tight budgets each month. Health claim payments from commercial insurance companies usually take around 60-90 days to be processed. This leads to a significant cash flow gap where the medical practice has trouble making the payroll or paying the monthly rent on time. By using the software, the medical office can avoid the waiting period for receiving insurance cash. Gentem’s automated clearinghouse receives the uploaded claim files, analyzes its historical chances of getting an approval for the claim right away, and deposits the payment into the bank account of the medical office.
High-Volume Practices Overwhelmed By Admin Data Entry
Busy multi-provider specialist groups (such as dermatology or orthopedic practices) treat dozens of patients daily. Their front-desk staff faces severe data bottlenecks as they are trying to manually type complex medical code parameters, which leads to typos and expensive insurance rejections later. The software automatically initiates background insurance eligibility checks before patients arrive and uses a live machine-learning rules engine to scrub medical codes on the screen, forcing clerks to fix typos instantly before submission.
Outpatient Clinics Operating Without Dedicated Billing Specialists
Solo healthcare providers (such as private counselors, therapists, or psychologists) act as both the physician and the administrator. They do not have the budget to hire a dedicated medical biller. That means any time spent tracking down unpaid insurance claims bills directly cut into the time they could spend seeing paying patients. Using this software, practitioners can set up the software to run automatically. The system tracks what patients owe and automatically texts a secure link directly to the patients' smartphones, and then patients pay that amount with their credit cards.
Multi-Location Corporate Healthcare Groups Auditing Systemic Revenue Leaks
Corporate healthcare enterprises operating across multiple geographic locations struggle with financial fragmentation. Their managers and their associates need to know which doctor or which insurance company corresponds to a high rate of claim denial so that they can fix their documentation processes and save their profits. The system gathers information from different locations and presents it in a single dashboard. It changes the raw insurance rejection codes into graphics that allow the managers to see which clinic is losing money.
Independent Billing Agencies Managing Client Portfolios
Outsourced medical billing agencies work with physicians to oversee their cash flows, and their revenue is tied directly to how quickly and successfully they collect money from insurance payers. If the insurance companies constantly issue denials, the billing agency loses money because now they have to manually rewrite and appeal those claims again. But with Gentem, billing companies can route all their clients' claims through the software. The system acts as a digital guard, flagging mistakes on the screen so staff can fix them instantly before hitting submit.
Is Gentem Right For You?
If you are a small to medium private practice that wants to use their instant reimbursement financing model to get a cash advance on your insurance claims, then Gentem software is the right pick for you. Gentem's SOC 2 compliance guarantees your patient data and financial records are legally secure under strict independent audits, protecting your practice from costly data breaches, ransomware, and HIPAA penalties without requiring you to hire your own IT security team.
However, as Gentem has been acquired by SimplePractice, it cannot be used as an isolated platform. So, if you are not looking to switch your workflows to SimplePractice, this software might not fit your current setup.
Ready to explore further about Gentem? Contact us at (661) 384-7070 to discuss how the platform aligns with your practice's billing needs.
Gentem Features
Reporting And Analytics
The software gathers all your unpaid and paid insurance bills into one simple computer dashboard. It turns messy insurance paperwork into clear visual charts that track how fast you are getting paid and where your money is stuck. Instead of paying an accountant to spend days building complex Excel spreadsheets, owners can look at a single chart to see exactly which insurance companies are delaying their payments and where the clinic is losing money.
Patient Billing Automation
The moment an insurance company finishes paying its portion of a bill, the software instantly calculates what the patient still owes. It then automatically schedules digital bills to go out based on the clinic's rules. It completely eliminates the unproductive front-desk tasks of printing out paper bills, stuffing them into envelopes, and mailing them.
Claim Edits And Scrubbing
The system acts like an automatic spell-checker for medical bills. Right before a bill is sent to an insurance company, the AI automatically scans the codes to make sure there are no typos or missing information. If it finds a mistake, human coding experts double-check it. It stops mistakes before the bill leaves the office. This ensures the insurance company accepts and pays the bill on the very first try, saving the staff from spending weeks redoing rejected paperwork.
Patient Pay Solution
Gentem sends a secure, clickable payment link directly to the patient's smartphone via text message or email. The patient clicks the link and can pay their balance instantly using a credit card or Apple Pay. Patients get a simple, modern way to pay on their phones instead of receiving a confusing paper bill weeks later. For the clinic accountant, the moment the patient pays on their phone, the system automatically updates the office books.
Document Generation And Payment Flexibility
This platform does the work of creating superbill and CMS-1500 forms automatically for out-of-network claims, which generally require users to create on their own at their clinics. Patients can now use different means of payment for their dues and can opt for payment using FSA or HSA cards instead of regular credit cards.
Pros And Cons of Gentem
Pros
Tailored billing workflows for businesses across the healthcare industry
AI-powered and data science technology improves claim processing workflows
Offers real-time analytics dashboard to facilitate data-driven decisions
Automated claim editing reduces rejections and denials
Streamlined revenue cycle management improves cash flow
Cons
Potential learning curve for new users
Pricing based on percentage may be costly for some users
Customer support response times may vary, as reported by verified user reviews
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Frequently Asked Questions
What languages does Gentem support?
Gentem offers support in the English language.
Does Gentem offer a free trial?
No, Gentem does not offer a free trial.
How much does Gentem cost?
Gentem pricing is custom based and charges a percentage of your total collections. Get a tailored Gentem price breakdown today.
What are the main features of Gentem?
The main features of Gentem health software include medical billing, claims scrubbing, denial management, patient billing automation, and user-friendly analytics.
What level of support does Gentem offer?
The vendor offers support via live chat and FAQs.
Who are the typical customers of Gentem?
The typical customers of Gentem include both public and private practices.
Does Gentem offer an API?
Gentem has not publicly listed API access on its official website.
Does Gentem have a mobile app?
The software does not offer a dedicated mobile app.
Is Gentem free?
No, Gentem does not offer a free plan.