Clinware

Clinware automates post-acute care referral and admission processes, reimbursement, and patient care insights to help support end-to-end healthcare operations, reduce manual documentation bottlenecks, and empower care teams to make faster, data-driven clinical and financial decisions.

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Partner's Customer Authorization form to Marketplace

Please read before completing this form

My company currently uses this partner’s solution or works with a party that uses the this partner’s solution and I would like to integrate it with our MatrixCare EHR(Required)

Yes

Is your EHR Implementation in progress?

Yes

Consent to Share Data, including Patient Information between MatrixCare and the Partner Company is the company proposing this Authorization. Company has built an Integration to be able to populate data from your database(s) and/or from a static copy of your database(s) (including all facilities in an enterprise account) in the MatrixCare, Inc. ("MC") Solution that is updated from time to time, and, if applicable, bidirectionally. It is our policy to obtain consent from each of our customers before we allow their data to be shared with another company or party. We have a Business Associate Agreement in place with you, and we have been informed by MC that they also have a Business Associate Agreement in place with you for the protection of that information.

Please complete all the fields below and submit this Authorization form authorizing us to exchange data between MC and Company.

By submitting this Authorization, I, as a duly authorized representative of the Client/Customer, hereby grant my consent to the passage of data between the MC Solution and the Company Solution and represent and warrant that Customer is legally free to enter into this Authorization.

About you:(Required)

First Last

MatrixCare EHR URL(Required)

Your company information:(Required)

Company Requesting This Integration Your Job Title

Your Company email Address(Required)

Your Phone(Required)

Facility information for Integrations:

Click here for Customer Authorization Form FAQs to help with completing this form.

PLEASE NOTE: You can individually add in the Facility information in the form below [Click the (+) to add multiple locations or care settings]

OR Upload a document with the facilities information. Please refer to this document for the specific formatting.

List all facilities requesting Integration

Facility Name

Facility Address

MC ID

Care Setting

ALTERNATIVELY : Upload File or list below

Upload file containing all facilities requesting Integration

Accepted file types: pdf, xls, xlsx, doc, Max. file size: 50 MB.

Comments

Details

Clinware offers an innovative AI-powered enterprise software platform specifically engineered to help optimize post-acute care operations with the following products and services:

Clinware Connect: Helps keep API integrations secure with leading EMR and EHR systems. (Supports HIPAA and SOC2 certification and compliance.)

Clinware Admissions: Features 16 AI agents that help analyze referrals for patient fit and PDPM reimbursement.

Clinware Verify: Allows for instant insurance eligibility and sexual offender checks without the guesswork.

Clinware Clinical: Offers real-time patient care insights direct from your EHR system.