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PLEXIS Healthcare Systems è un'azienda leader per la tecnologia dei pagamenti che offre soluzioni affidabili per la gestione di richieste di pagamento e l'amministrazione del nucleo aziendale a coloro che pagano le prestazioni sanitarie e ai sistemi di consegna di tutto il mondo. PLEXIS stimola la crescita, l'innovazione e l'efficienza per organizzazioni pagatrici in diverse linee aziendali, quali piani assicurativi sanitari, dentali e ottici, TPA, aziende di contenimento dei costi, gruppi speciali, sanità pubblica e assicuratori internazionali. Ulteriori informazioni su PLEXIS Payer Platforms PLEXIS offre software per la gestione delle richieste di pagamento e amministrazione del nucleo aziendale affidabili alle principali organizzazioni pagatrici di tutto il mondo. Ulteriori informazioni su PLEXIS Payer Platforms
Applicazione di database preconfigurata, basata su web, che consente l'archiviazione e la gestione di informazioni sulle richieste di risarcimento, i pazienti, il personale (ad es. responsabile dei reclami, manager), la gestione delle richieste di risarcimento e gli ambiti delle controversie Il sistema è completamente personalizzabile: puoi gestire i tuoi dati come desideri e modificare l'applicazione ogni volta che è necessario per riflettere tutti i dettagli importanti nella tua attività. TeamDesk offre record, spazio di archiviazione e supporto illimitati, tariffe stabili e versione di prova gratuita. Ulteriori informazioni su TeamDesk Questa app online, completamente personalizzabile, consente l'archiviazione e la gestione delle informazioni su richieste di risarcimento, pazienti, personale e fasi della gestione delle richieste di risarcimento. Ulteriori informazioni su TeamDesk
HEALTHsuite è un sistema completo di amministrazione dei benefit e una soluzione software di gestione delle richieste di risarcimento, progettata per i piani sanitari che amministrano i benefit con il sistema sanitario nazionale. HEALTHsuite è una soluzione software, basata su regole di assegnazione automatica, progettata per automatizzare tutti gli aspetti di iscrizione/idoneità, amministrazione dei benefit, contratti/rimborsi dei fornitori, fatturazione premium, gestione medica, gestione delle cure, liquidazione dei sinistri, servizio clienti, creazione di report e di altro ancora. Ulteriori informazioni su HEALTHsuite Sistema completo di amministrazione dei benefit e soluzione software di gestione delle richieste di risarcimento, progettata per i piani sanitari che amministrano benefit con il sistema sanitario nazionale. Ulteriori informazioni su HEALTHsuite
QuickCap è una piattaforma avanzata, progettata per IPA, PHO, MSO, TPA e organizzazioni basate sul rischio che gestiscono line of business di assicurazioni sanitarie e commerciali. È conforme con EDI 5010 in materia di richieste di risarcimenti, capitazione, idoneità, rinvii, autorizzazioni, fatturazione premium, gestione dei casi e relativi processi di auto-instradamento e del flusso di lavoro. QuickCap è oggi un set di prodotti coerente, efficiente, economico e completo. Per ulteriori informazioni, chiama o contatta attraverso il suo sito web. Ulteriori informazioni su QuickCap Software avanzato per la gestione delle richieste di risarcimento, capitazione, idoneità, rinvii, autorizzazioni, gestione dei casi e comunicazioni. Ulteriori informazioni su QuickCap
AdInsure is a powerful insurance platform that makes running your business easy. Designed for Life and P&C insurers, it gives you the functionality and capability to streamline business processes, improve user experience and manage change effectively. Built around industry best practices, AdInsure combines comprehensive features in a single, unified platform. It delivers an innovative environment that connects your organisation with emerging technologies, service providers and partners. Ulteriori informazioni su AdInsure AdInsure is a standard insurance platform designed for Life and Non-Life insurers. Ulteriori informazioni su AdInsure
Scelto da oltre 60.000 professionisti che operano nel campo della salute mentale, TherapyNotes aiuta i terapisti della salute comportamentale a gestire i propri studi con maggiore efficienza grazie a una piattaforma sicura e facile da utilizzare per appunti, fatturazione, programmazione e altro. TherapyNotes semplifica il lavoro amministrativo, offrendo ai professionisti più tempo ed energie per concentrarsi sulla fornitura di cure efficaci per i loro clienti. Scelto da oltre 60.000 professionisti che operano nel campo della salute mentale, il software EHR di TherapyNotes aiuta i terapisti della salute comportamentale a gestire i propri studi con maggiore efficienza.
Le efficaci funzioni di gestione degli studi medici di DrChrono EHR offerte da questa piattaforma EHR multifunzione, basata sul cloud, per dispositivi mobili, includono modelli/moduli di sintesi vocale e personalizzati per tracciare grafici efficaci. Con il software DrChrono PM otterrai un feed per richieste in tempo reale per l'elaborazione della fatturazione e dei pagamenti, generazione di HCFA/moduli dettagliati e integrazione con fax elettronici. Potrai verificare le informazioni dei pazienti grazie ai controlli di idoneità in tempo reale, quindi inviare promemoria personalizzati degli appuntamenti tramite e-mail, SMS o telefono in qualsiasi ordine. Per gli studenti, visita la DrChrono University. Sistema EHR multifunzione per dispositivi mobili, basato sul cloud con PM di DrChrono, che include feed di richieste e controlli di idoneità in tempo reale, oltre a promemoria personalizzati per gli appuntamenti.
Speedy Claims è un software semplicissimo da utilizzare. Disponibile ovunque, consente di emettere fatture per i pazienti e le compagnie assicurative sia su supporto cartaceo che elettronico. Un'interfaccia punta e clicca di facile utilizzo, che mostra il modulo CMS 1500 effettivo sullo schermo, semplifica la compilazione di un reclamo e, insieme allo strumento di revisione per il controllo degli errori, assicura accuratezza e potenza. Provalo gratuitamente per 30 giorni. Software molto semplice da utilizzare per la fatturazione assicurativa, la compilazione di moduli CMS 1500, il monitoraggio dei pagamenti e la fatturazione dei pazienti.
Waystar offre una tecnologia di prossima generazione basata sul cloud, che semplifica e unifica il ciclo delle entrate in ambito sanitario. Questa piattaforma innovativa consente ai clienti ricevere di più con meno costi e meno stress, in modo che possano concentrarsi sui loro obiettivi, sui loro pazienti e sulla loro comunità. Waystar è stato valutato come migliore ogni anno dal 2010 da KLAS per le richieste di risarcimento e camere di compensazione e si è guadagnato il primo posto in diverse classifiche sia per la gestione delle richieste di risarcimento in ambito medico sia nelle soluzioni di pagamento dei pazienti dai sondaggi di Black Book. Waystar offre una tecnologia di prossima generazione basata sul cloud, che semplifica e unifica il ciclo delle entrate in ambito sanitario.
DuxWare, gestione degli studi basata sul cloud, EHR e RCM. I suoi utenti sono cresciuti da oltre 28 anni e DuxWare è diventato perfetto per i loro studi. Perfetto perché DuxWare gli permette di muoversi in modo efficiente attraverso la loro routine quotidiana in cliniche grandi e piccole. Perfetto perché, alla fine, i fornitori vengono pagati. Perché? DuxWare fa sempre la cosa giusta e il suoi team di supporto si mette nei panni dei clienti. Chiama per entrare a far parte oggi stesso della famiglia DuxWare. Servizi di gestione degli studi e fatturazione RCM, basati sul web che forniscono servizi a livello nazionale da oltre 28 anni. Risultati misurabili.
Società di assistenza, governo e organizzazioni non-profit di tutto il mondo con la necessità di automatizzare i flussi di lavoro, analizzare le dashboard, creare report personalizzati, inviare notifiche e promemoria, gestire documenti e portali di reclami. Permette di monitorare ogni tipo di reclamo, incidente ed evento. Con funzionalità di gestione di surrogazioni, contenziosi, costi, spese, pagamenti e riserve. Supporta più lingue e valute. Disponibile come soluzione completamente ospitata o on-premise. Supporto e formazione di livello professionale. A1 Tracker mette a disposizione report personalizzati, automazione, metriche, portali e notifiche per semplificare i processi di gestione e controllo.
IMS, la soluzione EHR multifunzione per la gestione degli studi e la fatturazione, consente di semplificare i flussi di lavoro e aumentare l'efficienza. Progettato da medici per medici, questo pluripremiato software medico intelligente è ideale per oltre 35 specialità e studi di ogni dimensione Utilizza una tecnologia che si adatta allo studio, non viceversa. Quasi ogni aspetto di questo software può essere personalizzato al 100% e adattato a specifiche precise. Pianifica una dimostrazione gratuita dal vivo sul sito web del produttore. La soluzione EHR multifunzione per la gestione degli studi e la fatturazione che si adatta a ogni studio. Realizzato su misura per oltre 35 specialità.
Virtual Claims Adjuster è un sistema di gestione dei sinistri basato sul web, progettato utilizzando le più recenti tecniche di sviluppo software e metodologie di interfaccia, per garantire un'implementazione senza problemi nella tua impresa. Mentre svolgi la tua attività quotidiana, il programma lavora in background, trovando modi per renderti più efficiente ed efficace. Una serie di specialisti aziendali ti aiuterà ad analizzare le tendenze, mantenere relazioni chiave nel settore e utilizzare tecniche avanzate per evolvere il tuo set di strumenti, in un modo che vada oltre le tue esigenze aziendali. Leader globale nella tecnologia di gestione dei sinistri da quasi vent'anni, offre un software di gestione dei sinistri online sicuro in tutto il mondo.
Un ottimo sistema di gestione delle richieste di risarcimento per i liquidatori indipendenti, gli amministratori per conto terzi (Third-Party Administrators, TPA), le MGA (Managing General Agency) e le società di mutua assicurazione. Il sistema non si applica ai liquidatori pubblici. L'intero sistema si basa sull'input di migliaia di utenti. Si integra con Outlook, Quick Books, Xactimate, Xactanalysis, Symbility, NFIP/NFS, LEDES e Google Maps. FileTrac offre anche un modulo con un database dei liquidatori, che consente di tenere traccia di licenze, certificati e molti altri criteri. Ideale per aziende con oltre 85 richieste di risarcimento al mese. Un ottimo sistema di gestione delle richieste di risarcimento per liquidatori indipendenti. Si integra con QuickBooks, Outlook e tutti i software di stima.
ABILITY Network provides leading applications and analytics that are integral to revenue cycle management, including pre-authorization, eligibility, claims processing and tracking, and ERAs. These web-based applications are built on a powerful, integrated platform that offers connectivity between and among payers and providers. ABILITY serves thousands of providers and processes more than a billion transactions every year. It was named to the Forbes 100 Best Cloud Companies List in 2016. ABILITY Network helps providers and payers simplify the administrative and clinical complexities of healthcare with workflow tools.
Urbest simplifies group communication, jobs tracking, rating and payment for facility management and project works. The interface is intuitive which reduces the time spent to onboard new users. Urbest can adjust to any type of building or organisation. Choose to work in standalone with Urbest or link it with your ERP or Asset Management system. Last point, after few months, you get access to analytics of behaviors with suggested action plans. Collaborative software for facilities, maintenance and services
Claim Leader is a cloud-based workflow software solution for auto and property inspection & appraisal companies. System enables users to auto-import new assignments, and dispatch to field inspectors in seconds. Rapidly monitor assignments, pin-point delayed inspections, access files, manage billing and inspector payroll. This all in one integrated platform allows flexible delivery methods of final files, and keeps open communication throughout the cycle of the inspection. Claim Leader is a cloud-based workflow software solution for auto and property inspection & appraisal companies.
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
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
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.
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.
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.
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.
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.
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
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
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.
Cloud-based solution that assists with claims processing through customer engagement, business intelligence, data management and more. Cloud-based solution that assists with claims processing through customer engagement, business intelligence, data management and more.
PCMI Corporation offers a modular package of software solutions for the administration of F&I Products, Service Contracts, and Extended Warranties. Our modular platform, Policy Claim and Reporting Solutions (PCRS), supports and automates the full lifecycle of all aftermarket products. PCMI offers a modular package of software solutions for the administration of F&I Products, Service Contracts, and Extended Warranties.
HealthAxis 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.
Questa soluzione software per la gestione dei reclami è progettata per elaborare richieste di rimborsi per assicurazioni sulla vita e sanitarie, individuali e di gruppo, su un'unica piattaforma digitale. Supportando un'ampia gamma di vantaggi normativi, il software sfrutta un approccio incentrato sul richiedente, per offrire un'esperienza del cliente superiore con efficienza e precisione. Ospitato sulla sicura piattaforma Salesforce Lightning, questo software ha un'interfaccia moderna e intuitiva, con funzionalità profonde create da esperti del settore. Questa soluzione software per la gestione dei rimborsi fornisce una gestione completa del ciclo di vita dei rimborsi, nei rami assicurativi Vita e Sanità.
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.
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.
An all-in-one claims management & benchmarking system that streamlines claims-related operations & makes adjusters lives easier. TerraClaim offers 2 tools that simplify claims-related operations. They're powerful alone, but even better when used together.
AquariumClaims is an on-demand web-based, claims management solution. Unlike traditional offerings, it offers lower cost of ownership coupled with high configurability and flexibility: numerous customers have been able to grow their business to new levels of profitability through increased claims processing efficiency, improved customer service levels & higher claim volumes. More business without more people - new levels of performance without higher costs. For further details visit our website. Processes claims and takes cases through from information capture to invoicing.
United Systems and Software, Inc. ("USSI") offers a full line of integrated professional insurance administration systems tailored to meet your specific industries requirements and niche demands. Our software offerings cover a wide variety of industries and lines of business. Since 1979, USSI has been a pioneer in leading edge Insurance Administration Software Systems and Professional Services. Robust software for underwriting, new business processing, policy services, billing, agent commissions, and claims adjudication.
FACTS Services is an integrated technology and services provider focused on providing cost effective healthcare payor solutions across the entire claim continuum. The result is a dramatic reduction in cost and improved turnaround time for all facets of the healthcare delivery cycle. FACTS delivers technology within the ASP and turnkey settings and a full administrative services solution that lowers the overall cost of doing business while increasing the value and quality of customer service. Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims.
Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems. Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems.
WLT Software is a leader in advanced benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs & Self Administered Groups. Whether administering multiple plans covering millions of lives or one plan covering a small group, our scalable solutions can be tailored to fit your needs. Our systems have two deployment options available; either on site installation or as a hosted solution, making them the most flexible systems available for your organization. Benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs and Self Administered Groups.
Quoting, rating, policy administration, billing, claims management and reinsurance software solutions for property and casualty companies of all sizes. This modular system can interface across platforms or operate as a complete end-to-end solution. Advanced Insurance System is a perfect solution for personal, commercial and specialty lines and is available with rates, rules and forms pre-loaded. Integrating AIS into your business is an easy, efficient, and a hassle-free process. Modular policy, quoting, billing and claim administration application.
Risk Manager is an integrated suite of program modules designed for the administration of worker compensation and multi-line liability claims ONLY (not employee benefits). It is suitable for use by any size organization that is self-insured and self-administered, third-party administrators (TPA), governmental agencies, insurance carriers, association of self-insureds, and/or retrospective rating groups. An integrated suite of programs for the administration of worker compensation and property & casualty claims.
Venue is a secure web-based claims processing software that can handle multiple lines of insurance claims (except health and dental). Track time and expenses accurately, invoice your clients from within Venue, eliminate duplication using Venue's comprehensive document management, store audio, video and other file formats. Form templates allow you to complete forms with a click of a button. Venue also allows your clients to view the status of their claims and uses 128-bit encryption. Web based claims management system that handles lines including property, casualty, auto, marine, liability.
The V3 System is a complete investment administration solution that helps organizations achieve administrative excellence, harness significant processing efficiencies and realize the potential of true business intelligence. The V3 System is specifically designed to meet the unique needs of investment administration: Opportunity Management Fund Administration Investor Management Portfolio Management Fund Accounting Performance Analytics Enterprise-class software for hedge fund, private equity and alternative asset administration.
Integrated solution for independent claims adjustment agencies. Handles claims, data collection, notes, history, expenses, fraud analysis of claimants and witnesses. Interface to accounting back office to handle third party billing , payroll, (AR/AP/GL/PR). Multi user system, any number of insurance carriers, remote access available. Simplifies management, record keeping and reporting.
Series 3000 is a complete turnkey claims administration solution designed using unlimited system variables which can be programmed to meet your companies specific needs. You won't have to change the way you do business to utilize our software, because we'll partner with your company to ensure that our software is customized to work for you the way you want it to. Claims processing solution with unlimited system variables that can be programmed to meet your specific needs.
KMR Claims Manager is a fully integrated, customizable state-of-the-art medical claims processing software solution for TPAs, self insured and claims administrators. Features include: comprehensive claims processing-ability to scan, receive via EDI or manual entry; coordination of benefits, co-pays & deductibles; full claims history display; adjuster analysis reporting; actuarial reporting; custom & ad-hoc reports, online portals for members/participants & providers, document imaging integration Fully integrated customized claims processing solution for TPAs, self insured, claims administrators.
The Alyce Claims Management System is designed for TPAs, Insurance Carriers and Agencies. It has a very intuitive design, with pages laid out in a logical fashion, which makes it easier for adjusters to get their jobs done faster and more efficiently. Features include multi-tiered infrastructure, duplicate claim alerts, check printing, forms, letters and reports. Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security.
Quickly and accurately capturing claim information onsite eliminates the need for followup visits and provides a great chance to engage policyholders in the settlement process. Adjusters can document, estimate, and close a claim in a few easy steps leading to a faster, efficient and more accurate claim settlement. Mobile Claims ensures that onsite estimates become onsite settlements. Available for Android & iOS and works with the greater Symbility Property Claims Ecosystem. Symbility Mobile Claims is a multi-platform enabled field estimating solution used to document, estimate, and close a claim quickly.
Stop wasting money! Our Clients are saving over 50% of their claims processing costs! Let Startech Software show you a better way. Our Eclipse software will save you time and money. Claims like Workers Comp,Tort, GL, P&C, Auto, Long and Short Term Disability can be done with ease. Full featured. Check printing. Fee schedules. Extensive reporting. Top rated customer support. Call or visit website for free demonstration. Total environment designed to manage the needs of workers' compensation claims.
Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing. Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing.
Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more. Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more.
Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form. Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form.
ppoONE is a leading information services company providing enterprise business solutions for the health care industry. As an ASP or SaaS company, ppoONE is a leader for automated claims repricing, provider and fee schedule management, credentialing, customer service, EDI and reporting for PPOs, TPAs and insurance carriers. Using the power of the Internet, we deliver a flexible, highly accurate and productive easy-to-use system that streamlines operations and reduces costs. Web-based platform that enables healthcare providers to manage fee schedules, contracts, credentialing and customer service processes.
Plan Management Policy Generation Renewals Discounts Management User Management Document Management Payment history and management Various Business Report Broker and Agent Management Web-based solution for policy management, claims processing and insurance agency administration.
SpyGlass Health Claims Management System helps claims payers improve accuracy and automation via an easy to use and powerful application. It is entirely web-based and offers reliable, adaptable, flexible, scalable, and open IT architecture, which substantially increases reliability and accuracy through automation, empowering you to maximize the return on your technology investment and includes HIPAA required ICD-10 and 5010 support throughout. Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication.
Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability. Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability.
Loan management platform for secondary markets. A true end-to-end platform for managing all loan processes from acquisition to exit. Loan management platform for secondary markets. A true end-to-end platform for managing all loan processes from acquisition to exit.
Web based P&C Claims Administration System supporting a wide range of claim processing requirements. TPA, SIR Entities, Risk Managers. Client-centric workflow, Email integration, Messaging and Alerts, Shared Calendar, Litigation Support, Document Management - store any format including MP3 and DVD, Form Letters, Stat Reporting, Robust Transaction Processing - Reserving, Payment/Check Issuance and Recoveries. Web based Claims Administration System supporting a wide range of claim processing requirements.
Cutting-edge technology platform, proprietary workflows, and unique rules-driven engine completely automates the claim handling process Cutting-edge technology platform, proprietary workflows, and unique rules-driven engine completely automates the claim handling process