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

Web-based medical claims administration system that helps with multicurrency multilingual claims adjudication.

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.

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.

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.

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

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

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

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

Modular adjudication software designed to achieve accurate processing results.

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

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

Health insurance tool that provides risks management through online sales, mobile channels, digital quotation and more.

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

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.

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.

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 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

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.

Origami Risk provides a highly configurable, integrated SaaS platform for insurance, risk, safety, and compliance that enables organizations—insurers, MGAs, program administrators, risk pools, and third party claims administrators (TPAs)—to transform their approach to managing critical workflows, leveraging analytics, and engaging with stakeholders. Origami’s P&C insurance solution includes policy administration, rating, and billing; claims administration; analytics, dashboards, and reporting.

BriteCore offers end-to-end insurance capabilities, including policy administration, claims management, underwriting rules, and rating, agent quoting and inquiry, contact management, billing, imaging, printing, data warehousing, and reporting. Designed as a cloud-native solution, BriteCore is deployed using Amazon Web Service and is continually updated for maximum security, efficiency, and durability at scale.

Bespoke software, Zero-code: digitise your business fast with the our business process management platform.

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

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.

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.

eClaimStatus is the work of technologists with 20+ years of experience in the medical billing Services. We understand the challenges for patients, front desk personnel, Practitioners and Billing Companies when it comes to eligibility benefit verification and claim status. We wanted to eliminate the tedium and frustration for all thats how eClaimStatus came to be born. Single login to 700+ payers across the nation.

Riunisci assicuratori e assicurati con Financial Services Cloud. L'assicurazione gioca un ruolo fondamentale nelle nostre vite e un'ottima esperienza del cliente può migliorare il processo. Insurance CRM di Salesforce offre soluzioni che forniscono a rappresentanti, agenti e clienti le giuste informazioni, quando e dove ne hanno bisogno.

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

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.

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

Da oltre due decenni, Conexia collabora con i clienti per creare soluzioni perfette per assicuratori, operatori nell'assistenza sanitaria gestita (Managed Care Organization, MCO) e amministratori di terze parti. Le piattaforme personalizzate collegano in modo efficace tutte le parti interessate del settore sanitario. Il punto di forza è la capacità di fornire strumenti avanzati alle aziende che si occupano di assicurazioni per i lavoratori e alle società di servizi sanitari private e statali. Le soluzioni di Conexia garantiscono un ROI di 3:1 per la gestione delle richieste di risarcimento, la fatturazione medica, l'autorizzazione preventiva e altro ancora.

Claims management software for loss adjusters, claims managers, fleet managers, smash repairers, brokers & insurers.

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.

Mize Warranty Management Solution connects manufacturers, distributors, dealers, suppliers, service providers, and customers to automate warranty processes, reduce warranty costs, improve supplier recovery, and increase visibility to warranty KPIs and product quality issues. Request a demo now to learn how you can optimize warranty management and maximize service plan revenue.

Our robust electronic claims administration systems are tried and true, giving our clients the type of transparency

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.

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.

omni:us Claim supercharges your claims processing timeswith semantic document classification & extraction.

Correspondence enables insurers to create, approve and deliver regulatory compliant, accurate and personalized claims correspondence.

Helps medical, dental, etc offices with processing health insurance claims.

Claims processing platform that enables collision and liability losses claiming through vendor integration.

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.

WeProov secures exchanges, simplifies inspections and reduces conflicts by allowing to create certified inspection photo report

Water mitigation suite- simple, efficient, and comprehensive.

Claims processing payor software for pharmaceutical manufacturers. NCPDP approved, pharmacy claims adjudication.

Claims management software powered by a workflow engine that makes bulk claims processing more efficient.