Skip to Store Area:

CAP TODAY Product Guides

Computer Service and Support, Avalon Business Intelligence

Computer Service and Support, Avalon Business Intelligence

Billing/Accounts receivable/RCM systems, May 2017

Contact Information

Computer Service and Support
Melanie Burdhimo
2106 New Rd., E6
Linwood, NJ 08221

Name of billing/accounts receivable/revenue cycle management system Avalon Business Intelligence†
Configuration of billing/AR/RCM system available as a standalone product that can interface with other companies’ central LISs and as a dedicated Computer Service and Support module
• Percentage of billing/AR/RCM system clients that use another company’s LIS 10%
Year company began selling billing/AR/RCM systems 1980
Most recent billing/AR/RCM system installation (based on March 2017 survey deadline) November 2016
Last major release or update of featured billing/AR/RCM system January 2017 (Avalon BI 1.0)
No. of contracts for sites operating billing/AR/RCM system 85
• No. of sales of billing/AR/RCM system between March 2016-March 2017 3
• No. of installations of billing/AR/RCM system between March 2016-March 2017 2
No. of sites operating billing/AR/RCM system (HL/IL/PP/PO/OL/FI)* 85 (0/85/0/0/0/0)
Market billing/AR/RCM system outside the U.S. no
Human languages (other than English) supported by system
No. of inpatient invoices handled by installed sites annually 250,000–3,000,000 (average, 900,000)
No. of outpatient requisitions handled by installed sites annually 250,000–3,000,000 (average, 900,000)
No. of user workstations in sites operating billing/AR/RCM system 2–50 (average, 12)
No. of employees in company 15
• No. of employees dedicated to billing/AR/RCM system development, install, support 10
Provide list of client sites to potential customers on request yes (a list of comparable sites)
Clients restricted from sharing with others their experience with company or software no
• Patient demographics transferred via interface from LIS to billing/AR/RCM system installed
• 1500 claim form generation (paper version) installed
• UB-04 claim form generation (paper version) installed
• Client invoice generation installed
• Patient or family invoice generation installed
• Generate reprints of claim forms and invoices on demand installed
• Key indicator tracking (online view of site-assigned key indicators) installed
• Billing by test profile installed
• Component billing installed
• Medical-necessity screening for Medicare installed
• Professional component billing installed
• Auto delete of nonbillable procedures installed
• Billing for technical component only installed
• Retain demographic data for repeating patients installed
• Account and patient payment posting installed
• Accounts receivable system installed
• Management and/or marketing report generation installed
• Automatic balance billing to patients installed
• Capitation billing plus billable tests installed
• Generate utilization reports for managed care installed
• Generate global charges for lab tests installed
• Unlimited user-defined fee schedules installed
• Track financial classes installed
• Allow open-item accounting (each line item on bill can be handled separately) installed
• User report writer
• User-defined collection system installed
• Client services or call tracking module installed
• Credit card processing installed
• Business analytics installed
• Patient Web portal under development
• Benefit eligibility checking installed
• Guarantor billing installed
Means by which billing/AR/RCM system tracks profitability test, payer, client (user’s choice)
Advanced system capabilities rules-based processing, claims scrubbing, bundling/unbundling
Standards and coding systems supported HIPAA transaction sets, X12 5010A1, IAIABC EDI guidelines, ICD-9-CM, ICD-10, CPT, HCPCS level II
System supports electronic data interchange with third-party payers and claims clearinghouses yes
• Electronic functions offered claims, payments, eligibility
Third-party rules and coding updates supported by system CodeMap
Billing/AR/RCM system provides indexed field in each test definition for LOINC code yes
• Provides LOINC dictionary for each new installation no
Client receives copy of source code placed in escrow
Methods by which users can tailor billing/AR/RCM system in their own setting wraparound programming, ad hoc query tools, user-defined interfaces, dictionary settings, others
Billing/AR/RCM system received ONC-ATCB certification no
Billing/AR/RCM functionality available via ASP or cloud-based data center no
Total cost for smallest standalone billing/AR/RCM system install** $25,000 (annual fees, $2,000)
Total cost for largest standalone billing/AR/RCM system install** $120,000 (annual fees, $20,000)
Total incremental cost for smallest install using billing/AR/RCM** as a dedicated LIS module $20,000
Total incremental cost for largest install using billing/AR/RCM** as a dedicated LIS module $100,000
Distinguishing product features (supplied by company) • ease of use • access to database by customers • company support
* HL=hospital labs, IL=independent labs, PP=pathology practices (only surgical pathology/ cytology services), PO=physician offices, OL=other U.S. locations, FI=foreign installations † formerly AR-2000 Lab & Billing System
** total cost includes hardware, software, installation, and training
Note: A dash in lieu of an answer means company did not answer question or question is not applicable.
All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP.