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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
Aplicativo de banco de dados pré-configurado na Internet que permite armazenar e gerenciar informações sobre reclamações, pacientes, funcionários (por exemplo, processador de reclamações, gerente), estágios de processamento de reclamações e áreas de disputa. O sistema é totalmente personalizável: você pode gerenciar os dados da maneira que desejar e modificar o aplicativo sempre que precisar refletir todos os detalhes importantes nos negócios. O TeamDesk fornece registros ilimitados, armazenamento ilimitado, suporte ilimitado, taxas estáveis e avaliação gratuita. Saiba mais sobre o TeamDesk Esse aplicativo online personalizável permite armazenar e gerenciar informações sobre reclamações, pacientes, funcionários e etapas do processamento de reclamações. Saiba mais sobre o TeamDesk
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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
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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
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O AdInsure é uma plataforma de seguros que facilita a administração de seus negócios. Projetado para seguradoras de vida, patrimônio e acidentes, ele oferece a funcionalidade e a capacidade de otimizar processos de negócios, melhorar a experiência do usuário e gerenciar as mudanças. Construído com base nas práticas recomendadas do setor, o AdInsure combina recursos abrangentes em uma plataforma unificada. Ele oferece um ambiente que conecta sua organização a tecnologias emergentes, prestadores de serviços e parceiros. Saiba mais sobre o AdInsure O AdInsure é uma plataforma de seguro padrão projetada para seguradoras. Saiba mais sobre o AdInsure
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.
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.
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! Medical practice management solution that helps businesses with insurance billing, CMS 1500 forms filling, payment tracking, and more.
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!
Atende a empresas, governo e ONGs em todo o mundo com automação de fluxo de trabalho de reivindicação, análise de painel, relatórios personalizados, notificações, lembretes, portais de gestão de documentos e de reivindicações. Rastreia todos os tipos de reivindicações, incidentes e eventos. Com sub-rogação, litígio, custos, despesas, pagamentos e reservas. Compatível com vários idiomas e moedas. Oferecido totalmente hospedado ou no local. Suporte e treinamento profissional. O A1 Tracker possui geração de relatórios personalizados, automação, métricas, portais e notificações para agilizar os processos de controle e gestão.
Simplifique seu fluxo de trabalho e aumente a eficiência com o IMS, a solução completa de prontuário eletrônico (EHR na sigla em inglês), gerenciamento de consultórios e cobrança. Projetado por médicos para médicos, o premiado software Intelligent Medical atende a mais de 35 especialidades e consultórios de qualquer tamanho. Utilize a tecnologia que se adapta ao seu consultório, e não o contrário. Quase todos os aspectos do software são 100% personalizáveis e adaptados às suas especificações precisas. Agende uma demonstração ao vivo grátis no site. A solução tudo-em-um de EHR, gerenciamento de consultórios e cobrança que se adapta ao seu consultório. Feito sob encomenda para mais de 35 especialidades.
O Virtual Claims Adjuster é um sistema de gestão de sinistros baseado na internet, criado usando as mais recentes técnicas de desenvolvimento de software e metodologias de interface para garantir uma implementação tranquila em seus negócios. À medida que você conduz seus negócios do dia a dia, a empresa trabalha em segundo plano, encontrando maneiras de torná-lo mais eficiente e eficaz. Os especialistas em negócios analisam tendências, mantêm relacionamentos importantes com o setor e empregam técnicas avançadas para desenvolver seu conjunto de ferramentas de uma maneira que atenda as necessidades de seus negócios. Como líderes globais em tecnologia de gestão de sinistros por quase duas décadas, a empresa fornece um software de gestão de sinistros on-line seguro em todo o mundo.
Sistema de gestão de sinistros para avaliadores independentes, administradores terceirizados (TPA na sigla em inglês), agentes administrativos (MGA na sigla em inglês) e companhias de seguros mútuos. O sistema não se aplica a avaliadores públicos. Todo o sistema se baseia em entradas de dados de milhares de usuários. Ele se integra com o Outlook, Quick Books, Xactimate, Xactanalysis, Symbility, NFIP/NFS, LEDES e Google Maps. O FileTrac também oferece um módulo Adjuster Database que permite rastrear licenças, certificados e muitos outros critérios. Mais adequado para empresas com mais de 85 reclamações por mês. Sistema de gestão de reivindicações para avaliadores independentes. Integra-se ao QuickBooks, Outlook e todos os softwares de estimativas.
A empresa ABILITY Network oferece aplicativos e análises líderes que são essenciais para a gestão do ciclo de receita, inclusive pré-autorização, elegibilidade, rastreamento e processamento de reclamações e ERAs. Esses aplicativos baseados na internet são criados em uma plataforma eficaz e integrada que oferece conectividade entre pagadores e fornecedores. O software ABILITY atende milhares de fornecedores e processa mais de um bilhão de operações todos os anos. A empresa foi nomeada para a lista das 100 melhores empresas na nuvem da Forbes, em 2016. O ABILITY Network ajuda provedores e pagadores a simplificar as complexidades administrativas e clínicas da assistência médica com ferramentas de fluxo de trabalho.
O Claim Leader é uma solução de software de fluxo de trabalho baseada na nuvem, para empresas de inspeção e avaliação de automóveis e propriedades. O sistema permite que os usuários importem automaticamente novas atribuições e as enviem para os inspetores de campo em segundos. Monitore rapidamente atribuições, insira inspeções com atrasos, acesse arquivos, gerencie o faturamento e a folha de pagamento do inspetor. Essa plataforma completa e integrada permite métodos flexíveis de entrega dos arquivos finais e mantém a comunicação aberta durante todo o ciclo da inspeção. O Claim Leader é uma solução de software de fluxo de trabalho baseada na nuvem, para empresas de inspeção e avaliação de automóveis e propriedades.
Anagram, formerly 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
O Urbest simplifica a comunicação em grupo, rastreamento de trabalhos, classificação e pagamento para gerenciamento de instalações e trabalhos de projeto. A interface é intuitiva, o que reduz o tempo gasto para integrar novos usuários. O Urbest pode se ajustar a qualquer tipo de edifício ou organização. Escolha trabalhar de forma independente com o Urbest ou vinculá-lo ao seu sistema de planejamento de recursos empresariais (ERP na sigla em inglês) ou de gestão de ativos. Por fim, depois de alguns meses, você obtém acesso a análise de comportamentos com planos de ação sugeridos. Comunicação em grupo, rastreamento de trabalhos, classificação, pagamento, análise de comportamentos com planos de ação sugeridos.
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.
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.
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.
Claims Management for manufacturers for product service and repair work. With warranty checking, serial number checking, claims submission, tickets, knowledge base and customer portal. Dealers and customers can submit claims through the online customer portal, add parts and labor codes to their claim, and see the status of their claims. Claims managers can review claims for approval. RenewityRMA is a complete online portal for claims management and product service for manufacturers. Claims Submission, Claims Review and Approval, Parts and Labor submit, Tickets, RMAs - easily configures to your processes and data
Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs. Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs.
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!
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.
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 new product with big functionality, Mercury One includes: patient portal, payment portal, demographics input, charge input, full history of patient activity, ERA posting, reporting and so much more. Designed for growth. Mercury One is a concise application which puts the fundamentals of RCM into the medical billing process.
Mutual Expert is the insurance management ecosystem created for mutual insurance companies to drive growth by elegantly integrating all aspects of business between the carrier, the agent and the insured. SYSTEM FEATURES Quoting; Claims; Financials; Reports; Third Party Interfaces; Agency Access; Insured Access; Mobile Access; Responsive Web Design Mutual Expert: an insurance ecosystem created for mutual insurance companies; designed to drive growth for you and the next generation.
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.
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.
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.
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.
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.
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
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 collaboration tool suitable for all contractors that saves needless time and money wasted on payment submission and approval. Built specifically 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 simple to use. Payapps reduces risk, saves time & money, improves cash flow and is Security Of Payments Act compliant. Payapps makes progress claims made easy for builders and subcontractors.
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 is a comprehensive, integrated RIMS system built to streamline your process from FNOL to settlement. A unique, configurable business rules engine that automates workflow, reduces manual & duplicate work, saves time, and improves outcomes for all stakeholders. Core Functions: Reserves, Check Processing, Document Management, Policy Tracking, Notes & Diaries, Role-Based Security, Dashboards, BI & Configurable Reporting. Enhanced Options: Claims Scoring, Touchless Claims Processing Claims Manager®'s 25 years P & C experience with risk managers, TPAs, and insurers provides a comprehensive RIMS solution.
System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven. System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven.
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.
Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management. Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management.
Claims processing solution that provides progress updates, reports, transaction tracking, and more. Claims processing solution that provides progress updates, reports, transaction tracking, 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.
Cloud-based case management solution which allows the users to manage their cases from start to finish. Cloud-based case management solution which allows the users to manage their cases from start to finish.
HealthAxis Group equips payers, providers and health organizations with integrated solutions from an advanced claims system and TPA services to actionable analytics. We streamline operations and improve client and patient outcomes. Our approach is cost-effective and client-focused, by listening to the needs of our customers and developing customized solutions to meet their requirements. Claims processing, benefits administration, TPA Services, and actionable analytics for payors and risk-bearing health organizations.
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.
Billing tool that offers solutions for management of patient access, claims, reimbursement, audits, etc. for medical practices. Billing tool that offers solutions for management of patient access, claims, reimbursement, audits, etc. for medical practices.
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.
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.
Web-based claims estimation program for residential, commercial, and agricultural structures. Web-based claims estimation program for residential, commercial, and agricultural structures.
Healthcare revenue cycle management. Healthcare revenue cycle management.
Award winning end-to-end full service billing and claims processing company with an array of real-time claim tracking and intelligent financial reporting tools backed by around the clock concierge-level support from a robust team of billing experts with decades of experience streamlining and processing claims to generate the highest A/R and billing metrics in the industry from clean claim rate to net collection rate to the lowest number of days in A/R. We have the tools and technology you need. Full service end-to-end claims processing and management that blends AI-enhanced technology with a robust hands-on team of experts.
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Provides vehicle service contract administrators a real-time approach to handle claim payments. Provides vehicle service contract administrators a real-time approach to handle claim payments.
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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.

TIA

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Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance. Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance.

W5

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Features for: claim recording, time and expense recording, billing, reserve and payment control, and more. Features for: claim recording, time and expense recording, billing, reserve and payment control, and more.
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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.
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Comprehensive claim disbursement automation and interactive Payment Portal services. Comprehensive claim disbursement automation and interactive Payment Portal services.
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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.
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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.
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Covers all commercial lines, including workers' compensation, general liability and auto liability. Covers all commercial lines, including workers' compensation, general liability and auto liability.
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Improving efficiencies within the healthcare billing process through automation and seamless integration. Improving efficiencies within the healthcare billing process through automation and seamless integration.
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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.
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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.
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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.
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Reduce losses via integrated claims tracking system that offers data capture capability for FNOL, NOL, and FROI. Reduce losses via integrated claims tracking system that offers data capture capability for FNOL, NOL, and FROI.
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Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs. Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs.
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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.

V3

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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.
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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.
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Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution. Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution.
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Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality. Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality.
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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.
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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.
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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.
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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.
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Insurance software system with underwriting, claims, accounting and reporting functions. Insurance software system with underwriting, claims, accounting and reporting functions.
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Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies. Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies.
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Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality. Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality.
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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.
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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.
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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.
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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.
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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. Web-based platform that enables healthcare providers to manage fee schedules, contracts, credentialing and customer service processes.
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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.
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Web-based medical claims administration system that helps with multicurrency multilingual claims adjudication. Web-based medical claims administration system that helps with multicurrency multilingual claims adjudication.
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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.
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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.
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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.
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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.
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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
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An online claims processing and policy administration solution for P & C / workers compensation policies. An online claims processing and policy administration solution for P & C / workers compensation policies.
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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.