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KMR Claims Manager is a fully integrated, customizable state-of-the-art medical claims processing software solution for TPAs, self insured and claims administrators. Features include: comprehensive claims processing-ability to scan, receive via EDI or manual entry; coordination of benefits, co-pays & deductibles; full claims history display; adjuster analysis reporting; actuarial reporting; custom & ad-hoc reports, online portals for members/participants & providers, document imaging integration
Virtual Benefits Administrator is a highly customizable and comprehensive enterprise application used to administer all aspects of benefits management. Utilizing a modular design, Virtual Benefits Administrator can independently or collectively administer Medical, Dental, FSA, Disability, Vision and Medicaid/Medicare lines of business.
Prognos provides a powerful suite of claims management tools to help both employers and service providers efficiently manage workers' compensation and disability claims. Employers using third-party administrators or insurance carriers will find everything they need to manage notes, tasks and return-to-work programs and import and reconcile cost data. Self-administered employers and third-party service providers will find everything they need to administer claims.
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.
HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans and benefit administrators. HEALTHsuite is a rules-based auto adjudication software solution designed to administer complex benefit offerings including Medicare, Medicaid, Indemnity, HMO, Consumer-Driven and Federal Employee products.
Alyce by Brightwork
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.
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.
ClaimVantage delivers world class claims management software for the life
and health market. The target market includes insurance carriers, Third Party Administrators and self-funded companies who require flexible software solutions that can be customized and enhanced by internal IT resources. Lines of business supported include disability, long-term care, life, AD&D, critical illness and supplemental products.
The solution is a web based secure Claims Processing solution that has a variety of features including provider side web based secure access and high performing backend expEDIum Claims Portal Components. This solution is an optimal way to allow Practices, IPAs, Clearinghouses, Billing Services and Hospitals to connect to one or more Payers or Clearinghouses directly and make the claim life cycle visible across the spectrum and make the claim management more efficient and predictable.
Because every healthcare organization is unique, Plexis healthcare software employs a flexible, rules-based engine. This rules-based architecture allows our business analysts to work with you to create a comprehensive healthcare information system tailored to your organization. Combining flexibility, scalability, and powerful reporting and workflow tools, Plexis healthcare software gives you the data tools you need to keep your operations running smoothly.
A desktop application that small billing agencies, collection agencies and home based billers can use to enter, manage, scrub and validate claims using an open database. This tool creates HIPAA compatible EDI claims from HCFA-1500, UB92 and Dental form based data and allows printing of paper claims on HCFA/UB04 Stationery. This product uses internally a proprietary expEDIum X1N Validation Engine to create complete error free payer ready claims. It is a single user, desktop tool.
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Web Listings
Claims Adjusters, Appraisers, Examiners, and Investigators
... where software programs produce estimates of damage on standard forms. .... In some States, claims adjusters employed by insurance companies can work under ... The work of auto damage appraisers is also not easily automated because ...
http://www.bls.gov/oco/ocos125.htm
... where software programs produce estimates of damage on standard forms. .... In some States, claims adjusters employed by insurance companies can work under ... The work of auto damage appraisers is also not easily automated because ...
http://www.bls.gov/oco/ocos125.htm
13-1031.02 - Insurance Adjusters, Examiners, and Investigators
Examine claims forms and other records to determine insurance coverage. ... Access software — CCC EZNet electronic communications network; CSC Automated ...
http://online.onetcenter.org/link/summary/13-1031.02
Examine claims forms and other records to determine insurance coverage. ... Access software — CCC EZNet electronic communications network; CSC Automated ...
http://online.onetcenter.org/link/summary/13-1031.02
Virtual Claims Adjuster - The direction of claims technology and ...
Request a Personally Guided Tour Of Virtual Claims Adjuster ... time logs, file notes, on-demand claims information and automated system alerts. ... all companies will move forward with some form of claims processing software. ...
http://www.virtualclaimsadjuster.com/site/News/ClaimsTechnologyArticle.asp
Request a Personally Guided Tour Of Virtual Claims Adjuster ... time logs, file notes, on-demand claims information and automated system alerts. ... all companies will move forward with some form of claims processing software. ...
http://www.virtualclaimsadjuster.com/site/News/ClaimsTechnologyArticle.asp
Claims Processing Software Directory: medical claim software ...
Fully automated healthcare claims negotiation and repricing systems customized ... Complete property adjusting software package; quickly complete estimates and create .... Software for scanning insurance claim forms and automating the ...
http://software.forbes.com/claims-processing-software
Fully automated healthcare claims negotiation and repricing systems customized ... Complete property adjusting software package; quickly complete estimates and create .... Software for scanning insurance claim forms and automating the ...
http://software.forbes.com/claims-processing-software
Insurance > Claims Processing Software - Best of the Web Verticals
ClaimScape - Automated Claims Scanning System (For Medium to Enterprise Businesses) .... Handles software service for insurance adjusting firms, ... Features includes collects data to print the form 300 log of work-related injuries and ...
http://verticals.botw.org/Software/Insurance/Claims-Processing/
ClaimScape - Automated Claims Scanning System (For Medium to Enterprise Businesses) .... Handles software service for insurance adjusting firms, ... Features includes collects data to print the form 300 log of work-related injuries and ...
http://verticals.botw.org/Software/Insurance/Claims-Processing/
Electronic Health Claim Systems: Ontario's HCAI System Automates ...
Insurance company claims adjusters use the HCAI system to approve or decline ... can still outsource the automated submission of electronic claims forms to leading ... software and patient management systems to communicate with HCAI. ...
http://automotive-insurance.suite101.com/article.cfm/electronic_health_claim_systems
Insurance company claims adjusters use the HCAI system to approve or decline ... can still outsource the automated submission of electronic claims forms to leading ... software and patient management systems to communicate with HCAI. ...
http://automotive-insurance.suite101.com/article.cfm/electronic_health_claim_systems
