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Claims processing and payment software with unlimited plans, on-line repricing and PPO fee schedules capabilities. Claims processing and payment software with unlimited plans, on-line repricing and PPO fee schedules capabilities.
Modulare Software mit Claim Scrubbing, Dashboard, Eignungsprüfung, elektronischen Überweisungsempfehlungen für große Praxisanbieter. Modulare Software mit Claim Scrubbing, Dashboard, Eignungsprüfung, elektronischen Überweisungsempfehlungen für große Praxisanbieter.
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.
Coupling BPM and Case Management tools and expertise, BizFlow has created frameworks supporting rapid application development of insurance core processes requiring structured and dynamic work interactions. Applications combine business rules, forms, data models, content handling, data repositories, system integration, and user interfaces to enable process automation for Sales, New Business, Underwriting, Policy Maintenance, Billing, Collections, Commissions, Customer Service, and Claims. Solutions for Sales, New Business, Underwriting, Policy Maintenance, Billing, Collections, Commissions, Customer Service, and Claims.
Act-isure is a flexible, modular medical and protection insurance system supporting product design/ management, policy sales/servicing (including channel and agency management), claims processing, provider management and financial management and reporting. Act-isure can be deployed either as an integrated whole or as a components in a complex enterprise landscape computing landscape in domestic and international insurance markets around the globe in multiple currencies and languages. Act-isure is a medical and protection insurance system supporting products, policy, enrolment & billing, claims & accounts management.
Deep-function workers' comp claims management software from a software provider with years of experience. Extensive data capture for quick reporting and intelligence. Diary and alerts that mobilize and focus the workforce on claims that need their expertise. Routine claims can be effectively and efficiently managed with rule-based, auto-adjudication facilities. Case management capabilities. Accurate, efficient payment and bill processing. Advanced business intelligence and executive dashboards. P&C claims management software for personal & commercial lines of business
ClaimsVision is PCIS' flagship multi-line claims management solution. This SaaS deployed solution leverages the latest technology to optimize the claims process for clients while giving them the most thorough reporting and tracking metrics available. Rapid Implementations (under 60 days) Architected for seamless interfacing Dashboard and Workflow designed to close claims faster "No Touch" FROI/SROI EDI reporting cuts down on time, costs, errors ClaimsVision PCIS' multi-line claims management solution. SaaS deployed, leveraging latest technology to optimize the claims process.
ClaimPilot is a streamline web-based claims management system that allows you to manage all of your claim files as well as your organization. ClaimPilot offers solutions for Independent Adjusting Agencies, Third Party Administrators, Self-insured Companies, Public Entities, and more! Managing a claim through ClaimPilot is easy & intuitive. ClaimPilot offers custom built step-by-step workflow that is geared for speed and simplicity. Our automated process allows you to manage your claims better. Claims management solution that enables businesses to manage functional security, reporting, claim files, and more.
The Origami Risk RMIS and claims management platform was designed by industry veterans committed to helping clients streamline the collection, analysis and reporting of risk information. Our innovative, web based software is designed with the latest technology and is focused on ease-of use, performance and dependability. Each client is managed by a service team member with years of experience who supports the client from implementation to ongoing maintenance. RMIS and claims management platform helps clients streamline the collection,analysis and reporting of risk and claims data.
BriteCore was built from the ground up using the latest modern technology. Deployed using the Amazon Web Services cloud, our enterprise-level software is continually updated to guarantee maximum security, efficiency, and durability at scale. Over 40 insurance carriers, MGAs, and start-ups rely on BriteCore to increase speed to market, improve competitive position, and support growth. All-in-one policy administration and insurance processing system designed for P&C carrier, MGA, and InsureTech companies.
Intellect Claims is an industry proven solution that spans life, disability health, critical illness, long term care and annuity. Intellect Claims takes all of the elements that make claims processing so complex managing a large amount of information, multiple work streams and intricate calculations and brings them together in a single intuitive environment. Role based user interfaces provide users with the tools, information and functions to easily handle a claim in one place. Intellect Claims provides comprehensive proactive claim management for life, annuity, disability, critical illness and long term care.
Leading claims management system to optimise your claims handling. Exceptional reporting and automation help reduce claims burden. Leading claims management system to optimise your claims handling. Exceptional reporting and automation help reduce claims burden.
FBCS is a powerful software solution that simplifies the administration and tracking of claims. Recent upgrades to the application centralizes data and further automates the adjudication process. FBCS is a powerful software solution that simplifies the administration and tracking of claims.
PDSpectrum is a robust modern policy processing system for P&C Insurance Companies, MGAs, and Program Administrators. PDSpectrum includes: administration, accounting, billing, claims, rating, underwriting, document management, and agent inquiry & quoting. It provides full data connections and integrations to major risk assessment partners. PDSpectrum is hosted, supported and maintained by Priority Data and accessed by company staff, agents and their partners via a secure web-browser connection. PDSpectrum is a cloud-based policy administration system that easily manages your business such sales, accounting, billing, and more.
AI powered customer engagement solution that pushes personalized recommendations to clients and guides them to perform desired actions. AI powered customer engagement solution that pushes personalized recommendations to clients and guides them to perform desired actions.
Platform manages real-time, shared benefit accumulators; ACA cost-sharing reduction subsidies; CDH plan designs (HRA) for payors. Claims processing solution that enables businesses to manage health savings, cost-sharing subsidies, and shared benefits for payors.
Automated process for interrogating payor portals to identify denied, pending or unprocessed claims in real time for fast reimbursement Automated process for interrogating payor portals to identify denied, pending or unprocessed claims in real time for fast reimbursement
For over two decades Conexia has been partnering with clients to create seamless solutions. Our consulting services and customized platforms connect all stakeholders in the healthcare industry effectively. Our specialty is to serve workers compensation companies, private and state owned healthcare services companies with the most advanced tools in the market. Conexia's creative solutions ensure a ROI of 3:1 for claim processing, medical billing, prior authorization and more. Healthcare and workers'comp services & tools that accelerate administrative tasks, decrease RTW rates and reduce medical costs.
ClaimBook is a Revenue Cycle Management (RCM) solution, built to enable effective hospital insurance claims management. ClaimBook integrates with Hospital Information Systems (HIS) and billing systems of healthcare providers and brings in all TPA communications to a single platform with a proprietary intelligent email parsing technology. ClaimBook, thus, comes with the promise of a stress-free insurance desk, improved TPA accountability, reduced revenue leakage, and positive patient experience. ClaimBook helps hospitals by accelerating the overall discharge process of insured patients, enhances Hospital revenue collection.
Mit der Software Mize Warranty können globale Hersteller alle Garantieprozesse rationalisieren, einschließlich Inspektionen, Registrierungen, Serviceplänen, Reklamationen, Rücksendungen, Lieferantenrückgewinnung und Garantieanalysen. Mize Warranty hilft Unternehmen, die Kundenzufriedenheit zu verbessern, die Garantiekosten zu senken und die Produktqualität zu verbessern. Die Software Mize Warranty ist einfach zu bedienen, zu konfigurieren und zu integrieren. Fordere jetzt deine Demo an, um zu erfahren, wie du das Garantiemanagement optimieren und den Umsatz mit Serviceverträgen maximieren kannst. Mit der Software Mize Warranty können Hersteller Garantieprozesse rationalisieren, Garantiekosten senken und die Produktqualität verbessern.
The Optiform eobXL processing solution achieves unsurpassed data accuracy and processing speed. As a result, this powerful system has been proven to process EOBs more accurately and more efficiently than manual data entry simplifying the collection of data and reducing the cost. The eobXL software locates data using key value pair structures that allow data to be located and extracted wherever it is positioned on a page, even through multiple pages of a document. Minimize costs associated with processing paper EOB forms using the best components in pattern recognition technology.
Create your free account, register and share the claims with your partners - insurers, brokers, loss adjusters, and others. Create your free account, register and share the claims with your partners - insurers, brokers, loss adjusters, and others.
Tavant's warranty software offers end-to-end warranty lifecycle management and helps organizations reduce warranty costs, increase supplier recovery, and improve aftermarket excellence. Tavant warranty is a combination of our warranty expertise, industry best practices, and technology innovation. The solution leverages the power of the Salesforce ® platform and enables closed-loop warranty management. Warranty lifecycle management solution that streamlines claims management, parts management, supplier contract management, and more.
Correspondence enables insurers to create, approve and deliver regulatory compliant, accurate and personalized claims correspondence. Correspondence enables insurers to create, approve and deliver regulatory compliant, accurate and personalized claims correspondence.
Automated claim editing and direct EDI. The best standard and compliance edits are combined with custom automated edits with IMMEDIATE APPLICATION. Powerful batch editing retroactively re-edits claims to ELIMINATE BACKLOG of un-billed claims. Control to RAPIDLY RESPOND to separate payer rule changes. Direct EDI to all payers AVOIDS CLEARINGHOUSES whenever possible. Increase cash flow while reducing A/R days, denials, rejections, workload, and cost per claim. The Cirius Group has transformed healthcare revenue cycle business operations for over 35 years.
WeProov secures exchanges, simplifies inspections and reduces conflicts by allowing to create certified inspection photo report WeProov secures exchanges, simplifies inspections and reduces conflicts by allowing to create certified inspection photo report
BQUADRO allows companies to digitalize main after sales activities (RMA & Spare Parts) to maintain a great relationship with customer. Main features: RMA Management (removal of bureaucratic steps, printing of the label used to return of the package, monitor of the RMA status); (un)Scheduled Maintenance Management, Warranties Renewal, Dealer Management, Spare Parts Management. BQUADRO allows companies to digitalize main After Sales activities (RMA & Spare Parts) to maintain a great relationship with customer
Cloud based Medical Billing, Denial and Accounts Receivable Management software automates analytics and workflow management activities. Cloud based Medical Billing, Denial and Accounts Receivable Management software automates analytics and workflow management activities.
Claims processing payor software for pharmaceutical manufacturers. NCPDP approved, pharmacy claims adjudication. Claims processing payor software for pharmaceutical manufacturers. NCPDP approved, pharmacy claims adjudication.
Software platform that supports the overall processes and outcomes you experience within the health industry. Software platform that supports the overall processes and outcomes you experience within the health industry.
Claims AI Cloud an AI platform for P&C insurers. The platform helps insurers achieve highly impactful business outcomes in claims; like faster processing, lower loss adjustment expenses, minimized losses, and superior customer experience through data-driven predictive insights. Insights like Fraud Propensity, Payout, Subrogation, Fast Tracking, etc. are delivered via an API interface. These insights are offered as a SaaS business model for faster time-to-market and exponential ROI. InsurAnalytics.ai offers an AI platform for P&C insurers to accelerate claims adjudication and fraud detection.
InsureEdge has comprehensive digital claims processing module streamlined & automated for critical claims handling. It has predefined rights management for Claims Reps, Managers & Adjusters based on their roles and responsibilities. InsureEdge works with an end to end claims tracking along with 3 tier notifications center that is easy to integrate with any PAS through ready APIs. It excels in managing claim reserves and setting claim status accordingly after giving payment to various claimants. InsureEdge provides claims management system for easy integration in managing claim reserves with automated critical claims handling.
It is an online software that allows you to manage requirements of any kind. In order to be able to give answers to the client much faster, thanks to its automated decision workflow. It also allows managing a high-performance team, controlling response times, deriving requirements, and maintaining control and monitoring of results according to the SLAs defined for each business. Quick management of customer requests