Software para Tratamiento de reclamaciones

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Virtual Benefits Administrator

Virtual Benefits Administrator

Por Virtual Benefits Administrator

(2 reseñas)

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. Learn more about Virtual Benefits Administrator

Claimable

Claimable

Por Claimable

(0 reseñas)

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. Learn more about Claimable

ZirMed

ZirMed

Por ZirMed

(2 reseñas)

ZirMed and Navicure empower healthcare organizations to optimize their revenue cycle with end-to-end, cloud-based RCM solutions, including hospital & healthcare systems, physician groups, DMEs, billing services, clinics, labs & more! You'll get the best technology and cloud-based software solutions available, combined with fast, flexible architecture and award-winning client support. And as legislative and industry developments occur, we'll be here helping you stay ahead. Learn more about ZirMed

A1 Tracker

A1 Tracker

Por A1 Enterprise

(28 reseñas)

Contract management software web-based with modules for claims, accident tracking, insurance renewals, contract renewal, risk management, cost of risk, and document management. Features in each module include email notifications, contact management, notes, date and time stamps, document version control. Fully hosted or self hosted options available. Private labeling available with integration to web site and company intranets. Scalable to unlimited, world-wide users and multiple languages. Learn more about A1 Tracker

Incident Management System

Incident Management System

Por APP Technologies

(8 reseñas)

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. Learn more about Incident Management System

FileHandler

FileHandler

Por JW Software

(6 reseñas)

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. Learn more about FileHandler

TherapyNotes.com

TherapyNotes.com

Por TherapyNotes

(306 reseñas)

Online mental health practice management software for appointment scheduling, therapy progress notes, electronic billing and EHR. TherapyNotes saves you time by managing the entire workflow of a mental health professional from scheduling appointments to submitting a claim. It's so easy to use you can start using it in your practice today. Extensive security measures are in place to give you peace of mind, so you can focus on what's most important: your clients. Try TherapyNotes Free for 30 Days! Learn more about TherapyNotes.com

Us4U

Us4U

Por Us4U

(0 reseñas)

Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs. Learn more about Us4U

CaseworksPro

CaseworksPro

Por Insurance Technology Solutions

(0 reseñas)

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. Learn more about CaseworksPro

Navicure

Navicure

Por Navicure

(51 reseñas)

Cloud-based healthcare billing and payment solutions help healthcare organizations of all sizes increase revenue, accelerate cash flow, and reduce costs associated with managing insurance claims and patient payments. Navicures technology solutions automate account receivables processes, including claims management; patient eligibility verification; remittance and denial management, appeals, and posting; reporting and analysis; and patient payment collections at and near the time of service. Learn more about Navicure

QuickCap

QuickCap

Por MedVision

(0 reseñas)

QuickCap is an advanced healthcare claim processing system built for IPAs, PHOs, MSOs and other management organizations. It is designed to process EDI and manual claims, capitation, eligibility, referrals, authorizations, premium billing, case management and other healthcare related items. The system is considered one of the most efficient and affordable on the market, and can drastically reduce costs for any group. For more information, please call or contact us through our website. Learn more about QuickCap

Origami Risk

Origami Risk

Por Origami Risk

(0 reseñas)

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. Learn more about Origami Risk

FileTrac

FileTrac

Por Online Reporting

(15 reseñas)

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. Learn more about FileTrac

Orchestra One

Orchestra One

Por Orchestra One

(14 reseñas)

Today's independent providers run on Orchestra One. With Orchestra One, you get one unified platform to run your practice with ease. Grow your business with automated scheduling, billing and communications. We arent old healthcare industry titans, we are a team of doctors just like you looking for something super simple: one place to manage our practice that's ridiculously easy and doesn't cost an arm and a leg. Learn more about Orchestra One

HEALTHsuite

HEALTHsuite

Por RAM Technologies

(0 reseñas)

HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans administering Medicaid and / or Medicare Advantage benefits. HEALTHsuite is a rules-based auto adjudication software solution designed to automate all aspects of enrollment / eligibility, benefit administration, provider contracting / reimbursement, premium billing, medical management, care management, claims adjudication, customer service, reporting and more. Learn more about HEALTHsuite

Ahshay

Ahshay

Por DataCare

(2 reseñas)

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. Learn more about Ahshay

bestPT

bestPT

Por Billing Dynamix

(5 reseñas)

bestPT: A complete, cloud-based revenue cycle management and billing technology solution that provides unlimited support for your entire practice. bestPT streamlines the entire office workflow, integrating scheduling, documentation, billing, and task management into one system. It can also be integrated with most popular EHR systems, including webPT and Cedaron. bestPT users average 95% of all insurance payments received in under 120 days. Full service and in-house billing available Learn more about bestPT

SpyGlass

SpyGlass

Por Beacon Technologies

(0 reseñas)

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.

W5

W5

Por Burkitt Computer

(0 reseñas)

Features for: claim recording, time and expense recording, billing, reserve and payment control, and more.

CyberSource

CyberSource

Por ComCom Systems

(0 reseñas)

Medical claims forms scanning solution that provides data recognizing, validating and formatting.

MediClaims

MediClaims

Por WLT Software

(0 reseñas)

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.

INGENIUM

INGENIUM

Por Hewlett Packard Enterprise

(0 reseñas)

A fully integrated insurance processing solution that provides comprehensive client-focused support.

INSIS

INSIS

Por Fadata

(1 reseña)

Information system for all fields of insurance; policy administration and claims settlement.

AutoMatch

AutoMatch

Por Unicomp Corp. of America

(0 reseñas)

Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs.

Alyce

Alyce

Por Brightwork

(0 reseñas)

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.

SEcureCard

SEcureCard

Por StoneEagle

(0 reseñas)

Provides vehicle service contract administrators a real-time approach to handle claim payments.

PBM Express

PBM Express

Por Laker Software

(0 reseñas)

Modular adjudication software designed to achieve accurate processing results.

TrackAbility

TrackAbility

Por Recordables

(0 reseñas)

Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability.

RL6

RL6

Por RL Solutions

(0 reseñas)

Healthcare claims management solution that designed to track financial transactions, capture and analyze detailed insurance coverage.

Record360

Record360

Por Record360

(7 reseñas)

Record360 offers industry leading software for digital asset condition documentation, asset condition management, claims management, and analytics for vehicles rentals, fleet management, equipment rentals, truck rentals, property management, towing, movers, dealerships, body shops, auto transportation, car sharing, freight forwarders, and any other industry that benefits from documenting the condition of an asset.

BriteCore

BriteCore

Por Intuitive Web Solutions

(0 reseñas)

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.

Mitchell WorkCenter

Mitchell WorkCenter

Por Mitchell International

(2 reseñas)

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.

mobile claims

mobile claims

Por Symbility Solutions

(0 reseñas)

Symbility Mobile Claims, accessible from any personal computer and available as a free Android, iPad and iPhone application, simplifies the complex process of property claim estimating. It enables adjusters and third-party contractors to create estimates complete with detailed diagrams, photos, voice notations, handwritten notes and measurements of the damaged property.

Speedy Claims

Speedy Claims

Por SpeedySoft USA

(177 reseñas)

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. Speedy Ledger makes it easy to track insurance payments and create patient statements. Try us free for 30 days!

Virtual Claims Adjuster

Virtual Claims Adjuster

Por Code Evolution

(21 reseñas)

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, and employ advanced techniques to evolve your toolset in a way that exceeds your business needs

ClickClaims

ClickClaims

Por E-Claim.com

(1 reseña)

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.

Series 3000

Series 3000

Por Hi-Tech Health

(0 reseñas)

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.

CLAIMExpert

CLAIMExpert

Por Acrometis

(0 reseñas)

Cutting-edge technology platform, proprietary workflows, and unique rules-driven engine completely automates the claim handling process

SIGMA

SIGMA

Por Medical Administrators International

(0 reseñas)

Online multicurrency multilingual claims adjudication.

PowerClaim

PowerClaim

Por Hawkins Research

(0 reseñas)

Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more.

CaseBlocks

CaseBlocks

Por EmergeAdapt

(1 reseña)

CaseBlocks is an award winning, Adaptive Case Management Platform based in the cloud which helps organizations of all sizes manage business processes. It brings operational and technical users together to create custom solutions which can be adapted over time with ease, as the needs of the business change. Its high degree of flexibility allows CaseBlocks to be configured to support a vast range of business processes using case templates.

Impact

Impact

Por Managed Care Systems

(0 reseñas)

Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality.

FINEOS Claims

FINEOS Claims

Por FINEOS

(1 reseña)

Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management.

OASIS

OASIS

Por Delphi Technology

(0 reseñas)

Component based, fully integrated, insurance processing system.

ClaimSuite

ClaimSuite

Por Whitespace Software

(0 reseñas)

Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies.

Complete Claims

Complete Claims

Por Complete Health Systems

(0 reseñas)

Claims processing and payment software with unlimited plans, on-line repricing and PPO fee schedules capabilities.

SIMS Claims

SIMS Claims

Por Systema Software

(0 reseñas)

Web-based modular claims management system that integrates with Bing Maps and MS Office, offers notepad templates, mobile access.

ClaimPilot

ClaimPilot

Por Quick Internet

(0 reseñas)

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.

Emdeon Office Suite

Emdeon Office Suite

Por Change Healthcare

(1 reseña)

Integrated, flexible software solution for creating claims with intuitive data entry and support for compliance with state mandates.

Pyramid

Pyramid

Por Clear Data Strategies

(0 reseñas)

An online claims processing and policy administration solution for P & C / workers compensation policies.

ClaimScape

ClaimScape

Por ClaimScape

(0 reseñas)

Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution.

Simsol Software

Simsol Software

Por Simultaneous Solutions

(0 reseñas)

Simsol Software provides insurance carriers, adjusters, and restoration contractors with a complete end-to-end solution for the electronic assignment, estimating, claim documentation and data management for property claims.

Fee Basis Claims System

Fee Basis Claims System

Por DSS

(0 reseñas)

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.

AquariumClaims

AquariumClaims

Por Aquarium Software

(0 reseñas)

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.

Sapiens INSIGHT

Sapiens INSIGHT

Por Sapiens International

(0 reseñas)

Sapiens offers innovative, rules-based insurance solutions for Policy Administration, Billing, Claims, Reinsurance and Commissions that modernize business processes enabling organizations to be adaptive and flexible while leveraging out-of-the-box functionality.

LMS Suite

LMS Suite

Por Street Solutions

(0 reseñas)

Loan management platform for secondary markets. A true end-to-end platform for managing all loan processes from acquisition to exit.

HealthRules Payor

HealthRules Payor

Por HealthEdge Software

(0 reseñas)

Claims and benefits administration solution for health plans managing & processing. Provides the patented configuration feature.

EDI Smart Reader

EDI Smart Reader

Por EDI Smart Reader

(0 reseñas)

Simple yet powerful Electronic Response File Reader that translates Medicare HIPAA 5010 277CA and 999 responses into a readable format.

PLEXIS Payer Platforms

PLEXIS Payer Platforms

Por PLEXIS Healthcare Systems

(0 reseñas)

PLEXIS Healthcare Systems is a leading payer technology company that delivers trusted enterprise core administration and claims management solutions to healthcare payers and delivery systems around the globe. PLEXIS ignites growth, innovation, and efficiencies across diverse business lines for payer organizations such as health plans, dental plans, vision plans, TPAs, cost containment companies, specialty groups, government healthcare, and international insurers.

expEDIum Claims Portal

expEDIum Claims Portal

Por iTech Workshop

(2 reseñas)

This is a secure Cloud-based medical claims & authorizations management solution which is ideal for claims processing TPAs/ASOs, IPAs. BPOs etc. Features include automated claims processing, claims validation & scrubbing, direct online authorizations & claims submission by providers, direct payers connectivity, denials & rejections management, claims adjudication, generate ERAs & EOBs, aggregated data access, analytic & more. The solution ICD-10 ready & available in monthly subscription.

ClaimAdept

ClaimAdept

Por Isoft

(1 reseña)

System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven.

Merimen IFE

Merimen IFE

Por Merimen

(1 reseña)

Claims management with document imaging, communication management and risk management.

ClaimFirst

ClaimFirst

Por ClaimVantage

(1 reseña)

The ClaimFirst Solution focuses on Life & Health claims management and encompasses a variety of modules designed to meet your specific needs. The ClaimFirst Solution provides full life cycle claims management, supporting both group and individual products. This automated solution is designed to completely or partially replace your manual business processes, allowing for quick and accurate claims processing that reduces reserves and improves customer and employee satisfaction.

TIA

TIA

Por TIA Technology

(0 reseñas)

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

InsurancePlus Software Series

InsurancePlus Software Series

Por United Systems and Software

(0 reseñas)

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.

JopariPay

JopariPay

Por Jopari Solutions

(0 reseñas)

Comprehensive claim disbursement automation and interactive Payment Portal services.

FACTS

FACTS

Por Ebix

(0 reseñas)

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.

Claim Processing Engine

Claim Processing Engine

Por Mastek

(0 reseñas)

Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems.

ClaimZone Enterprise Edition

ClaimZone Enterprise Edition

Por MountainView Software

(0 reseñas)

Covers all commercial lines, including workers' compensation, general liability and auto liability.

ClickON Claims Processing Tools

ClickON Claims Processing Tools

Por The SSI Group

(0 reseñas)

Improving efficiencies within the healthcare billing process through automation and seamless integration.

Panoramis

Panoramis

Por ClaimBase

(0 reseñas)

Claims management system specifically for the insurance industry.

Advanced Insurance System

Advanced Insurance System

Por Garvin-Allen Solutions

(0 reseñas)

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.

Patriot

Patriot

Por Patriot Managed Care Solutions

(0 reseñas)

Flexible and cost effective, Patriot's software application streamlines workflow by automating the administrative process, giving clients turnkey functionality, scalability and peace of mind to focus on their core business: ASP model ideal for HMOs PPOs and TPAs. Features include claims adjudication, eligibility management, premium billing, custom report generation and analysis. Patriot drives workplace efficiencies and simplifies the administrative process for managed care organizations.

Venue Claims Management

Venue Claims Management

Por KLJ Computer Solutions

(0 reseñas)

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.

CAMS

CAMS

Por AdvanTec Information Systems

(0 reseñas)

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.

PayorLink

PayorLink

Por PayorLink

(0 reseñas)

Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality.

KMR Medical Claims Manager

KMR Medical Claims Manager

Por KMR Systems

(0 reseñas)

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

Aldera Payer Platform

Aldera Payer Platform

Por Aldera

(0 reseñas)

Aldera empowers our customers to facilitate the business of healthcare through an advanced core administrative system and collaborative, open solutions that allow you to thrive in the post-healthcare reform era.

Eclipse WC

Eclipse WC

Por Startech Software

(0 reseñas)

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.

Advanced Resolution Systems

Advanced Resolution Systems

Por Cost Management Technology

(0 reseñas)

Fully automated healthcare claims negotiation and repricing systems customized to meet any client's needs.

Truck Insurance Form Automation

Truck Insurance Form Automation

Por J&J Technology Consulting

(0 reseñas)

Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form.

Products Framework

Products Framework

Por Tropics Software Technologies

(0 reseñas)

Workers' compensation software system with policy and claims administration, document management and email alerts.

PCRS

PCRS

Por PCMI

(0 reseñas)

Policy claim administration for manufacturer, retailer/dealer and third party administrators.

TrueClaim Payment Integrity

TrueClaim Payment Integrity

Por TC3 Health

(0 reseñas)

Software suite that provides healthcare payers with a total claims management solution to validate payment integrity and maximize savings.

ClaimsPoint

ClaimsPoint

Por Anodas Software

(0 reseñas)

Improving customer service and satisfaction, streamlining business processes, and reducing costs are key drivers for any business within the insurance sector.

Vision for Claim Management

Vision for Claim Management

Por Greenway Health

(0 reseñas)

A free web-based application for viewing and correcting existing claims.

Enkata for Healthcare Claims Processing

Enkata for Healthcare Claims Processing

Por Enkata

(0 reseñas)

Enkata's solution for Healthcare Payers provides visibility into how manual claims processors work & drives improvement through automatic identification & delivery of coaching opportunities. Enkata's unique approach uses powerful data visualizations to help understand exactly how work is being performed from high level overviews to individual process steps. Enkata uses this insight to find patterns of behavior that limit productivity/lower quality in manual claims processing organizations.

MedNeXt+

MedNeXt+

Por MedNet International

(0 reseñas)

Specialized software for the international health insurers business with back-office functionality, BI, and mobile applications.

Teamworks IRO

Teamworks IRO

Por IRO Solutions

(0 reseñas)

Teamworks software for IRO, peer review, and insurance companies.

BizFlow Insurance

BizFlow Insurance

Por BizFlow

(0 reseñas)

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.

PowerSuite Claims

PowerSuite Claims

Por StoneRiver

(0 reseñas)

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.

ClaimsVISION

ClaimsVISION

Por PCIS

(0 reseñas)

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

SmartSimple CMS360

SmartSimple CMS360

Por SmartSimple Software

(0 reseñas)

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.

Intellect Claims

Intellect Claims

Por intellectSEEC

(0 reseñas)

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.

EvoClaim

EvoClaim

Por 3Sixty Systems

(0 reseñas)

Leading claims management system to optimise your claims handling. Exceptional reporting and automation help reduce claims burden.

PDSpectrum

PDSpectrum

Por Priority Data

(0 reseñas)

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.

NAVRISK VISION

NAVRISK VISION

Por DAVID

(13 reseñas)

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.

HIPAAsuite

HIPAAsuite

Por HIPAAsuite

(4 reseñas)

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.

Claims Manager

Claims Manager

Por JDi Data

(1 reseña)

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.

BrightOffice | ClaimsCRM

BrightOffice | ClaimsCRM

Por BrightOffice

(1 reseña)

Case Management Software with Workflow-Processing for many different Case Types.

Insur-Claim

Insur-Claim

Por HealthAxis

(1 reseña)

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.

Risk Manager

Risk Manager

Por ERIC Systems

(0 reseñas)

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.

V3 for Investment

V3 for Investment

Por Vitech Systems Group

(0 reseñas)

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

Risk Management Systems

Risk Management Systems

Por American Technical Services

(0 reseñas)

Web-based claims management system; worker's comp, multi-line liability, FROI, EDI, bill review, group health.

Polygonal

Polygonal

Por City Computers

(0 reseñas)

Insurance software system with underwriting, claims, accounting and reporting functions.

Copernicus SS/G

Copernicus SS/G

Por TCP LifeSystems

(0 reseñas)

Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing.

Insurance Management System

Insurance Management System

Por Concord Information Systems

(0 reseñas)

Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable.

WebDM/WebCR

WebDM/WebCR

Por ppoONE

(0 reseñas)

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.

Insurance Policy Administration

Insurance Policy Administration

Por Radix

(0 reseñas)

Plan Management Policy Generation Renewals Discounts Management User Management Document Management Payment history and management Various Business Report Broker and Agent Management

IDP::Claims

IDP::Claims

Por IDP

(0 reseñas)

Manage everyday claims requirements, including salvage, subrogation and litigation processing, coverage limits editing and more.

Claims Processing

Claims Processing

Por Atrient

(0 reseñas)

Modular software with claim scrubbing, dashboard, eligibility verification, electronic remittance advice for large practice providers.

I-CAPS

I-CAPS

Por W.O. Comstock & Associates

(0 reseñas)

Claims adjudication and processing system that includes payee accounting, automated correspondence, anesthesia pricing capabilities.

Claims Administration

Claims Administration

Por CS STARS

(0 reseñas)

Claims administration software that includes online portal, EDI forms, incident and claim reporting functionality.

Progressclaim.com

Progressclaim.com

Por Progressclaim.com

(0 reseñas)

Progressclaim.com 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.

Act-isure

Act-isure

Por Activus

(0 reseñas)

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.

Claims Software

Claims Software

Por Claim Ruler

(0 reseñas)

A complete claims management software solution for insurance Claims, Property Claims, Workers Compensation Claims.

All Payer Exchange

All Payer Exchange

Por All Payer Exchange

(0 reseñas)

Web-based claims processing solution that helps with managing revenue cycle and scheduling patient appointments online.

ScanNStore

ScanNStore

Por DocuStream

(0 reseñas)

Claim scanning and document storage solution for healthcare industry. Works with a variety of scanners and databases.

PlanXpand

PlanXpand

Por Acero Health Technologies

(0 reseñas)

Platform manages real-time, shared benefit accumulators; ACA cost-sharing reduction subsidies; CDH plan designs (HRA) for payors.

MyClaimStatus

MyClaimStatus

Por Medical Payment Exchange

(0 reseñas)

Automated process for interrogating payor portals to identify denied, pending or unprocessed claims in real time for fast reimbursement