Software de Processamento de Reclamações
Software de processamento de reclamações: os produtos desta categoria automatizam o gerenciamento de sinistros de seguros, o envio eletrônico e as cobranças. Esses softwares oferecem um conjunto completo de ferramentas eficientes de gerenciamento de processamento de reclamações, além de soluções integradas de contabilidade e gerenciamento de relacionamento com clientes (CRM). O software de processamento de reclamações oferece processamento e geração de relatórios em tempo real das atividades administrativas e de geração de receita p/ empresas do setor de seguros, planos de saúde de funcionários e gerentes de benefícios. Eles atendem a uma variedade de setores de produtos, incluindo vida, saúde, automóvel, COBRA, remuneração de trabalhadores, responsabilidade do empregador, entre outros. O software de processamento de reclamações relaciona-se ao software de apólice de seguro e ao software para faturação médica.
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Classificação do produto
- Celular - Android nativo (17)
- Celular - iOS nativo (20)
- Instalado - Mac (5)
- Instalado - Windows (35)
- Nuvem, SaaS, web (104)
- Gestão de casos (65)
- Gestão de clientes (73)
- Gestão de conformidade (59)
- Gestão de especialistas (58)
- Gestão de formulários (78)
- Gestão do contribuinte (59)
- Rastreamento de co-pagamentos e deduzíveis (56)
- Rastreamento de solução de reclamações (88)
- Reclamações eletrônicas (87)
- Reclamações em papel (59)
A PLEXIS Healthcare Systems é uma empresa líder em tecnologia que fornece soluções confiáveis de gestão de benefícios e administração de benefícios corporativos para grupos de empregadores e pagadores auto segurados em todo o mundo. A PLEXIS estimula o crescimento, a inovação e a eficiência em diversas linhas de negócios para organizações pagadoras, como planos de saúde, planos odontológicos, planos de visão, TPAs, empresas de contenção de custos, grupos de especialidades, assistência médica e seguradoras internacionais. Saiba mais sobre o PLEXIS Payer Platforms O PLEXIS fornece software confiável de administração central e gestão de sinistros para as principais organizações pagadoras em todo o mundo. Saiba mais sobre o PLEXIS Payer Platforms
O HEALTHsuite é um sistema de administração de benefícios abrangente e uma solução de software de processamento de sinistros projetada para planos de saúde que administram os benefícios do Medicaid e/ou do Medicare Advantage. O HEALTHsuite é uma solução de software de adjudicação automática baseada em regras projetada para automatizar todos os aspectos de inscrição/elegibilidade, administração de benefícios, contratação/reembolso de fornecedores, faturamento premium, gestão de cuidados médicos, gestão de atendimento, adjudicação de reclamações, atendimento ao cliente, geração de relatórios e muito mais. Saiba mais sobre o HEALTHsuite Sistema abrangente de administração de benefícios e solução de software de processamento de sinistros projetada para os planos de saúde Medicaid e Medicare. Saiba mais sobre o HEALTHsuite
O QuickCap é uma plataforma avançada, projetada para IPAs, PHOs, MSOs, TPAs e organizações baseadas em risco, gerenciando Medicare, Medicaid e LOBs comerciais. É compatível com EDI 5010 em reivindicações, captação, elegibilidade, referências, autorizações, faturamento premium, gestão de casos e processos de fluxo de trabalho e roteamento automático relacionados. O QuickCap é um conjunto completo de produtos, altamente eficiente, econômico e abrangente. Para obter mais informações, ligue ou entre em contato através do site. Saiba mais sobre o QuickCap Software avançado para gerenciar reclamações, captação, elegibilidade, referências, autorizações, gestão de casos e comunicação. Saiba mais sobre o QuickCap
Solução de gerenciamento de consultório médico baseada em nuvem, que auxilia as organizações de saúde com estratificação de riscos e coordenação de cuidados. Solução de gerenciamento de consultório médico baseada em nuvem, que auxilia as organizações de saúde com estratificação de riscos e coordenação de cuidados.
Com a confiança de mais de 60.000 profissionais de saúde mental, o TherapyNotes ajuda os terapeutas de saúde comportamental a gerenciar o consultório com mais eficiência por meio de uma plataforma segura e fácil de usar para anotações, cobranças, agendamentos e muito mais. O TherapyNotes simplifica o trabalho administrativo, dando aos profissionais mais tempo e energia para se concentrarem na prestação de cuidados eficazes aos clientes. Com a confiança de mais de 60.000 profissionais de saúde mental, o software TherapyNotes EHR ajuda os terapeutas a gerenciar o consultório com mais eficiência.
KidKare by Minute Menu is a childcare management software that allows you to save time and money while caring for your children. We have spent the last 25 years building a robust CACFP application to streamline the claim process while ensuring compliance with USDA requirements. In addition to the food program, KidKare offers accounting software to help home childcare providers manage their business. KidKare is a childcare management software that saves you time & money while caring for children. It ensures compliance with the USDA.
Speedy Claims is possibly the easiest to use software available anywhere for billing your patients and insurance companies whether by paper or electronically. An easy to use point and click interface showing the actual CMS 1500 form on the screen makes filling out a claim simple and coupled with our error checking scrubber makes it accurate and powerful. Try us free for 30 days! Very easy to use software for insurance billing, CMS 1500 forms filling, payment tracking and patient billing.
O lado robusto da gestão de consultórios do EHR do DrChrono móvel tudo-em-um baseado na nuvem vem com recurso de conversão de fala em texto e modelos/formulários personalizados para criar prontuários de maneira eficaz. Com o software DrChrono PM, você recebe um feed de reivindicações ao vivo para processamento de cobrança e pagamento, geração de HCFA/Superbill e integração com e-fax. As verificações de elegibilidade em tempo real ajudam a verificar informações de pacientes e lembretes de compromisso personalizados que podem ser enviados por e-mail, SMS ou telefone em qualquer ordem. Para estudantes, acesse o DrChrono University. O EHR móvel tudo-em-um baseado na nuvem DrChrono com PM inclui feed de reivindicações ao vivo, verificações de elegibilidade em tempo real, lembretes de agendamento personalizados.
A Waystar fornece tecnologia na nuvem de última geração que simplifica e unifica o ciclo de receita da assistência médica. Essa inovadora plataforma permite que os clientes cobrem mais com menos custo e menos estresse, para que possam se concentrar em seus objetivos, pacientes e comunidades. A Waystar obtém uma das melhores classificações da agência de análise de performance KLAS todos os anos desde 2010 e conquistou várias classificações em soluções de processamento de reclamações de reembolso médico e pagamento de pacientes nas pesquisas da Black Book. A Waystar fornece tecnologia na nuvem de última geração que simplifica e unifica o ciclo de receita da assistência médica.
DuxWare, Cloud Based Practice Management, EHR and RCM. Our users have grown with us for over 28 years enabling us to make DuxWare perfect for their practices. Perfect because DuxWare allows them to move efficiently through their daily routine in clinics large and small. Perfect because, at the end of the day, the PROVIDERS GET PAID. Why? DuxWare gets it right and our support team has been in your shoes. Call us to become part of the DuxWare family today! Web Based Practice Management and RCM billing services servicing providers nationwide for over 28 years. We get results!
Powerful & flexible claims & Incident management software with automation, dashboard analytics, custom reports, workflow, letters, notifications, reminders, documents, & web portal. Tracks all claim types, near misses, hazards, incidents, and events. Subrogation, litigation, costs, expenses, payments, and reserves. Supports multiple languages and currencies. Offered fully hosted or on-premise. Professional support & training. A1 Tracker features custom reporting, automation, metrics, portals, & notifications to streamline management & control processes.
Streamline your workflow and boost efficiency with our fully-integrated EHR, Practice Management, and Billing solution. Designed by physicians for physicians, our award-winning Intelligent Medical Software caters to over 25 different specialties and practices of any size! Utilize technology that adapts to your practice, not the other way around. Almost every aspect of our software is 100% customizable and tailor-fit to your precise specifications. Schedule a Free Live Demo on our website! The All-in-One EHR, Practice Management, and Billing Solution that Adapts to Your Practice. Custom built for over 25 specialties!
DocuPhase provides software and services for Enterprise Automation. Our platform includes everything an organization needs to execute on their Digital Transformation, Process Improvement, and Growth strategies. We are the automation experts. Partner with the DocuPhase team to transform the way you work. Lets get started. For more information, visit docuphase.com. DocuPhase is a complete browser-based platform that delivers unmatched efficiency and performance to companies around the world.
Virtual Claims Adjuster is a web based claims management system designed using the latest software development techniques and interface methodologies to ensure a smooth implementation into your business. As you conduct your day to day business, we work in the background, finding ways to make you more efficient and effective. Our business specialists analyze trends, maintain key industry relationships, & employ advanced techniques to evolve your toolset in a way that exceeds your business needs. As Global Leaders in Claims Management Technology for nearly 2 decades, we provide secure online claims management software worldwide.
The # 1 ranked Claim management system for independent adjusters, TPA's, MGA's, & Mutual Ins. Co.'s. System does not apply to Public Adjusters. Entire system is based on the input from our 1000's of Users. Integrates with Outlook, Quick Books, Xactimate, Xactanalysis, Symbility, NFIP/NFS, LEDES and Google Maps. FileTrac also offers an Adjuster Database module that allows you to track licenses, certificates and so many other criterias. Best suited for companies with 85+ claims per month. The # 1 ranked Claim management system for independent adjusters. Integrates with QuickBooks, Outlook and all estimating software.
Claim Leader is a cloud-based workflow software solution for auto and property inspection & appraisal companies. System enables users to auto-import new assignments, and dispatch to field inspectors in seconds. Rapidly monitor assignments, pin-point delayed inspections, access files, manage billing and inspector payroll. This all in one integrated platform allows flexible delivery methods of final files, and keeps open communication throughout the cycle of the inspection. Claim Leader is a cloud-based workflow software solution for auto and property inspection & appraisal companies.
NAVRISK VISION is a comprehensive administration tool for General Liability, Medical Practice Liability, and Workers Compensation Claims with additional solutions for Analytics, RMIS, Policy Issuance, Safety and Property Appraisal. We serve clients in the alternative risk market including Self-Insureds, Public Risk Pools, Insurance Brokers, and TPAs. DAVID Corporation is the developer of NAVRISK VISION the alternative risk markets most powerful management automation solution.
Patch is an online insurance assistant that helps healthcare providers and patients understand out-of-network benefits in minutes and submit claims online. No more dealing with insurance companies by phone or submitting claims by paper. Using Patch, healthcare providers can let patients know the exact reimbursement amount to expect and automatically submit an optimized claim on their behalf. Healthcare professionals can now leverage insurance benefits while avoiding the constraints of being in-network
Improve the efficiency of your claim lifecycle from start to finish with ClaimRemedi. This solution offers powerful claim processing, cutting-edge scrubbing technology, real-time claim editing, tracking and management. ClaimRemedi offers powerful claim processing, cutting-edge scrubbing technology, real-time claim editing, tracking and management.
IMS is an industry-leading claims/risk management system, covering all commercial lines including P&C, workers' compensation, auto, and general liability. IMS accurately and easily manages the entire claims lifecycle, from first report of incident through issuing payments and collections. IMS's rich features allow for document management, reserves, payments, notes, diary, subrogation, EDI, and bill review. Claims & risk management system for P&C, workers comp, auto and general liability. In- house enterprise systems and cloud services.
We pride ourselves on making simple, affordable claims management software. We've had enough of the insurance industry lagging behind in the technology front, with often expensive, complicated and bloated software. At Claimable, we believe that details matter, and our software has been carefully crafted to provide the tools necessary for timely and efficient claims management. Customer-first claims management software for your business. Streamline your workflow, go paperless and settle more claims!
Mercury One is a Medical Practice Management solution that puts the fundamentals of Revenue Cycle Management at your fingertips; it acts as a stepping stone from intermediate billing to advance billing. Mercury One is offered exclusively on the cloud, with the highest level of security. A small product with big functionality, Mercury One includes: patient demographics input, charge input, full history of patient activity, ERA posting, credit card acceptance, and much more. Designed with growth in mind, Mercury One is a concise application which puts the fundamentals of RCM into the medical billing process.
Urbest simplifies group communication, jobs tracking, rating and payment for facility management and project works. The interface is intuitive which reduces the time spent to onboard new users. Urbest can adjust to any type of building or organisation. Choose to work in standalone with Urbest or link it with your ERP or Asset Management system. Last point, after few months, you get access to analytics of behaviors with suggested action plans. Group communication, jobs tracking, rating, payment, analytics of behaviors with suggested action plans.
FileHandler Enterprise is an intuitive claims administration system designed to help streamline and automate workflows for the claims and risk management market. Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software. FileHandler Enterprise will transform your companys data into rich visuals built and defined by you.
Billing Dynamix has invested the past decade improving and automating the "Straight Through Process" to reduce billing delays, remove the potential causes of denials, and monitor for underpayments. This leads to reduced collection times, greater compliance and higher reimbursements. It provides you complete transparency and control over your billing processes. Reduce the risk of errors and delays by integrating with your EHR. In-house or Full Service programs available. The most powerful and customizable billing and RCM system available. Integrates with your EHR. Inhouse of Full Service options.
Improve company's reimbursement plan with analytics system that includes specific network analysis and budget planning capabilities. Improve company's reimbursement plan with analytics system that includes specific network analysis and budget planning capabilities.
Our software is tailored for all areas of electronic healthcare transactions and developed with the user in mind. Work smarter, not harder to gain efficiency. Claim Master - is an advanced application that manages all aspects of healthcare claims and processes your 837 transactions. Enrollment Master - seamlessly transmits 834 files to plan sponsors, insurance companies, or TPAs. EDI Exchange - securely transports EDI files, manages trading partners, and performs HIPAA compliance checks. HIPAAsuite, a market leader in HIPAA EDI transactions. We have products for every HIPAA transaction including CORE Certified solutions.
Healthcare claims management solution that designed to track financial transactions, capture and analyze detailed insurance coverage. Healthcare claims management solution that designed to track financial transactions, capture and analyze detailed insurance coverage.
This is a secure, standards based, cloud-based electronic claims processing and low volume adjudication Software. This Software is suitable for TPAs, ASOs, IPAs & BPOs. Features include claims validation, claims adjudication, aggregated data access and handling of denials & rejections. The software provides both Provider access and TPA administrator access to process claims. The Software is available for monthly subscription. This is a secure, standards based, cloud-based electronic claims processing and low volume adjudication Software.
Simsol Software provides software solutions to create construction estimates and claims documentation for the property insurance and construction industry. It was one of the original pioneers of computer estimating for property adjusters and was the first software vendor to automate all of the most frequently used functions of the professional property adjuster into a single software application. Simsol Software provides software solutions to create construction estimates and claims documentation for the property insurance and co
For businesses that need a more flexible and friendly payments partner, Payline offers products for however you need to accept payments. We offer emcommerce integrations, hardware, invoicing, ACH, and a virtual terminal. Payline is headquartered in Chicago, IL and built on a foundation of providing opportunities for employees and customers to achieve their greatest potential, and giving to those in need. Web-based e-commerce platform that enables businesses to automate payment processing, manage chargebacks and verify billing address.
One solution for all benefits administration. Any benefits plan can be built and managed: medical, dental, vision, life and disability, Medicaid, Medicare, Medicare Supplement, care management and long-term care health benefits, flexible spending accounts (FSAs), health savings accounts (HSAs), health reimbursement accounts (HRAs) and COBRA. All transactions are real time, including integrated online payments, cost containment, fraud and abuse edits, provider matching and pricing. Manage all Health Care benefits including Medical, Dental, Life, Disability, Vision, FLEX, COBRA, Medicaid/Medicare/MedSupp on 1 system
Mitchell WorkCenter is a truly universal platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently through a powerful interconnected workspace that incorporates performance modules to create a simplified workflow for claims settlement staff and trading partners. Web-based platform that allows auto-insurers to manage physical damage claims with collaboration, database administration and more.
Payapps is a simple yet powerful mobile collaboration tool suitable for all contractors that saves needless time and money wasted on payment submission and approval. Built specificially for the construction industry it is designed to eliminate errors associated with manual processing. Its cloud based, can be accessed anywhere on any device, and is super simple to use. Progressclaim.com reduces risk, saves time & money, improves cash flow and is Security Of Payments Act compliant. A mobile collaboration tool suitable for all contractors designed to streamline the claims processing procedure.
CaseBlocks for Claims Management provides a platform for managing your end-to-end claims process. CaseBlocks enables you to rapidly adapt your claims process in order to keep up with new regulations, changes in working practices of 3rd parties and as process efficiencies are identified. CaseBlocks for Claims Management provides a platform for managing the end-to-end claims process.
DataCare provides software solutions for the workers' compensation industry to better manage medical treatment and billing. Our Medical Process Manager and UR platforms help integrate a medical aspect to the claims workflow and expedite the communication process between the URO and requesting physician. While our Care++ mobile application was created for patients to communicate with their nurses, adjusters and claims staff can also send/receive messages to/from the application. Web-based SaaS medical case management, utilization review, and claims enhancement software.
Claims management software for Captives, RRG's and Self-Insured Organizations. This solution offers customized industry pages and other custom features to optimize claims and litigation management. The solution is heavily oriented toward claim workflow including investigation, coverage analysis and liability analysis. It facilitates thinking and analysis of simple and complex claims. Contact us for a free demo. Claims management software for Captives, RRG's, Self-Insured Organizations and Risk Pools.
Web Based Modular end to end P&C Policy and Claims Administration System. Designed from the ground up for P&C Insurance lines. Modular systems allows implementation of end-to-end solution or integration into or with existing 3rd party modules as needed. Full API allows bi-directional communication with the core system and various modules. Full customization is available utilizing the INCLUDED web based drag and drop screen designer and the forms/report designers. Web Based Modular end to end P&C Policy and Claims Administration System. includes everything an insurance carrier, MGA, or TPA needs.
Claims Manager. A comprehensive insurance software product developed for small to mid tier Claims Departments, Risk Managers and TPAs administering P&C, GL, Commercial Auto, Public Entity, Med Mal, Excess Coverage, WC. Capture relevant claim information, record all file activity. Comprehensive diary and alarm system with full document depository. Claims management system for insurance company claims departments and TPAs with emphasis on complex litigation.
Cloud-based solution that assists with claims processing through customer engagement, business intelligence, data management and more. Cloud-based solution that assists with claims processing through customer engagement, business intelligence, data management and more.
PCMI Corporation offers a modular package of software solutions for the administration of F&I Products, Service Contracts, and Extended Warranties. Our modular platform, Policy Claim and Reporting Solutions (PCRS), supports and automates the full lifecycle of all aftermarket products. PCMI offers a modular package of software solutions for the administration of F&I Products, Service Contracts, and Extended Warranties.
Healthaxis is the premiere healthcare payer solutions company that offers customized solutions for commercial and governmental health benefit administrators. Our mission is to enable our customers to pay claims better, faster, & less expensively, reduce administrative costs, & provide better plan value. Our approach is cost-effective and client-focused, making sure that we are listening to their needs of our customers and developing customized solutions for them. Claims processing, benefits administration, and self-service portals for health care benefits administration.
Web-based modular claims management system that integrates with Bing Maps and MS Office, offers notepad templates, mobile access. Web-based modular claims management system that integrates with Bing Maps and MS Office, offers notepad templates, mobile access.
ClickClaims is ideally suited for small to mid-size property and casualty insurance carriers, independent claims adjusting firms, and third party administrators who need the advanced technologies that drive a competitive market. ClickClaims SaaS model allows for rapid deployment, unlimited scalability, performance, security and versatility that legacy systems cannot match, at a fraction of the cost. Built to evolve as technologies emerge, your investment appreciates over time. Carriers, TPAs and IA Firms choose ClickClaims over the competition because it fits every user's expectation and business requirement.
SmartSimple CMS360 is a platform for designing and deploying solutions that help insurers, health care providers and independent medical examiners gather the right content, make more accurate decisions, and take action to advance business outcomes. Some of the world's largest accident benefit claims and referral management firms look to CMS360 to automate their structured, repeatable processes and centralize case content - giving a complete picture of file history. Accident benefit claims and referral management solution used by insurers, health care providers and independent medical examiners.
Our claim management software solution is designed to process both group and individual life and health claims on one digital platform. Supporting a broad range of policy benefits, the software leverages a claimant-centric approach to deliver a superior customer experience with efficiency and accuracy. Hosted on the secure Salesforce Lightning Platform, our software has a modern, user-friendly interface, with deep functionality built by industry experts. Our claim management software solution provides full life cycle claims management, for Life and Health claims.
A mobile and web documentation tool that allows for the efficient gathering of visual and textual info and automation of processes. A mobile and web documentation tool that allows for the efficient gathering of visual and textual info and automation of processes.
Web-based claims processing solution that helps with managing revenue cycle and scheduling patient appointments online. Web-based claims processing solution that helps with managing revenue cycle and scheduling patient appointments online.
AquariumClaims is an on-demand web-based, claims management solution. Unlike traditional offerings, it offers lower cost of ownership coupled with high configurability and flexibility: numerous customers have been able to grow their business to new levels of profitability through increased claims processing efficiency, improved customer service levels & higher claim volumes. More business without more people - new levels of performance without higher costs. For further details visit our website. Processes claims and takes cases through from information capture to invoicing.
United Systems and Software, Inc. ("USSI") offers a full line of integrated professional insurance administration systems tailored to meet your specific industries requirements and niche demands. Our software offerings cover a wide variety of industries and lines of business. Since 1979, USSI has been a pioneer in leading edge Insurance Administration Software Systems and Professional Services. Robust software for underwriting, new business processing, policy services, billing, agent commissions, and claims adjudication.
FACTS Services is an integrated technology and services provider focused on providing cost effective healthcare payor solutions across the entire claim continuum. The result is a dramatic reduction in cost and improved turnaround time for all facets of the healthcare delivery cycle. FACTS delivers technology within the ASP and turnkey settings and a full administrative services solution that lowers the overall cost of doing business while increasing the value and quality of customer service. Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims.
Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems. Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems.
WLT Software is a leader in advanced benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs & Self Administered Groups. Whether administering multiple plans covering millions of lives or one plan covering a small group, our scalable solutions can be tailored to fit your needs. Our systems have two deployment options available; either on site installation or as a hosted solution, making them the most flexible systems available for your organization. Benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs and Self Administered Groups.
Quoting, rating, policy administration, billing, claims management and reinsurance software solutions for property and casualty companies of all sizes. This modular system can interface across platforms or operate as a complete end-to-end solution. Advanced Insurance System is a perfect solution for personal, commercial and specialty lines and is available with rates, rules and forms pre-loaded. Integrating AIS into your business is an easy, efficient, and a hassle-free process. Modular policy, quoting, billing and claim administration application.
Risk Manager is an integrated suite of program modules designed for the administration of worker compensation and multi-line liability claims ONLY (not employee benefits). It is suitable for use by any size organization that is self-insured and self-administered, third-party administrators (TPA), governmental agencies, insurance carriers, association of self-insureds, and/or retrospective rating groups. An integrated suite of programs for the administration of worker compensation and property & casualty claims.
Venue is a secure web-based claims processing software that can handle multiple lines of insurance claims (except health and dental). Track time and expenses accurately, invoice your clients from within Venue, eliminate duplication using Venue's comprehensive document management, store audio, video and other file formats. Form templates allow you to complete forms with a click of a button. Venue also allows your clients to view the status of their claims and uses 128-bit encryption. Web based claims management system that handles lines including property, casualty, auto, marine, liability.
The V3 System is a complete investment administration solution that helps organizations achieve administrative excellence, harness significant processing efficiencies and realize the potential of true business intelligence. The V3 System is specifically designed to meet the unique needs of investment administration: Opportunity Management Fund Administration Investor Management Portfolio Management Fund Accounting Performance Analytics Enterprise-class software for hedge fund, private equity and alternative asset administration.
Integrated solution for independent claims adjustment agencies. Handles claims, data collection, notes, history, expenses, fraud analysis of claimants and witnesses. Interface to accounting back office to handle third party billing , payroll, (AR/AP/GL/PR). Multi user system, any number of insurance carriers, remote access available. Simplifies management, record keeping and reporting.
Series 3000 is a complete turnkey claims administration solution designed using unlimited system variables which can be programmed to meet your companies specific needs. You won't have to change the way you do business to utilize our software, because we'll partner with your company to ensure that our software is customized to work for you the way you want it to. Claims processing solution with unlimited system variables that can be programmed to meet your specific needs.
KMR Claims Manager is a fully integrated, customizable state-of-the-art medical claims processing software solution for TPAs, self insured and claims administrators. Features include: comprehensive claims processing-ability to scan, receive via EDI or manual entry; coordination of benefits, co-pays & deductibles; full claims history display; adjuster analysis reporting; actuarial reporting; custom & ad-hoc reports, online portals for members/participants & providers, document imaging integration Fully integrated customized claims processing solution for TPAs, self insured, claims administrators.
The Alyce Claims Management System is designed for TPAs, Insurance Carriers and Agencies. It has a very intuitive design, with pages laid out in a logical fashion, which makes it easier for adjusters to get their jobs done faster and more efficiently. Features include multi-tiered infrastructure, duplicate claim alerts, check printing, forms, letters and reports. Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security.
Quickly and accurately capturing claim information onsite eliminates the need for followup visits and provides a great chance to engage policyholders in the settlement process. Adjusters can document, estimate, and close a claim in a few easy steps leading to a faster, efficient and more accurate claim settlement. Mobile Claims ensures that onsite estimates become onsite settlements. Available for Android & iOS and works with the greater Symbility Property Claims Ecosystem. Symbility Mobile Claims is a multi-platform enabled field estimating solution used to document, estimate, and close a claim quickly.
Stop wasting money! Our Clients are saving over 50% of their claims processing costs! Let Startech Software show you a better way. Our Eclipse software will save you time and money. Claims like Workers Comp,Tort, GL, P&C, Auto, Long and Short Term Disability can be done with ease. Full featured. Check printing. Fee schedules. Extensive reporting. Top rated customer support. Call or visit website for free demonstration. Total environment designed to manage the needs of workers' compensation claims.
Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing. Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing.
Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more. Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more.
Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form. Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form.
ppoONE is a leading information services company providing enterprise business solutions for the health care industry. As an ASP or SaaS company, ppoONE is a leader for automated claims repricing, provider and fee schedule management, credentialing, customer service, EDI and reporting for PPOs, TPAs and insurance carriers. Using the power of the Internet, we deliver a flexible, highly accurate and productive easy-to-use system that streamlines operations and reduces costs. Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing.
Plan Management Policy Generation Renewals Discounts Management User Management Document Management Payment history and management Various Business Report Broker and Agent Management Web-based solution for policy management, claims processing and insurance agency administration.
SpyGlass Health Claims Management System helps claims payers improve accuracy and automation via an easy to use and powerful application. It is entirely web-based and offers reliable, adaptable, flexible, scalable, and open IT architecture, which substantially increases reliability and accuracy through automation, empowering you to maximize the return on your technology investment and includes HIPAA required ICD-10 and 5010 support throughout. Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication.
Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability. Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability.
Loan management platform for secondary markets. A true end-to-end platform for managing all loan processes from acquisition to exit. Loan management platform for secondary markets. A true end-to-end platform for managing all loan processes from acquisition to exit.
Web based P&C Claims Administration System supporting a wide range of claim processing requirements. TPA, SIR Entities, Risk Managers. Client-centric workflow, Email integration, Messaging and Alerts, Shared Calendar, Litigation Support, Document Management - store any format including MP3 and DVD, Form Letters, Stat Reporting, Robust Transaction Processing - Reserving, Payment/Check Issuance and Recoveries. Web based Claims Administration System supporting a wide range of claim processing requirements.
Cutting-edge technology platform, proprietary workflows, and unique rules-driven engine completely automates the claim handling process Cutting-edge technology platform, proprietary workflows, and unique rules-driven engine completely automates the claim handling process
Claims and benefits administration solution for health plans managing & processing. Provides the patented configuration feature. Claims and benefits administration solution for health plans managing & processing. Provides the patented configuration feature.
Modular software with claim scrubbing, dashboard, eligibility verification, electronic remittance advice for large practice providers. Modular software with claim scrubbing, dashboard, eligibility verification, electronic remittance advice for large practice providers.
Claims adjudication and processing system that includes payee accounting, automated correspondence, anesthesia pricing capabilities. Claims adjudication and processing system that includes payee accounting, automated correspondence, anesthesia pricing capabilities.