Insurance Adjusting Software: Co-Pay and Deductible Management 

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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.
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.
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.
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.

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Glossary Terms for HealthInsurance.Alabama.Gov
Alternative Trade Adjustment Assistance (ATAA) Program: A benefit for workers at least ... Co-insurance: The amount you are required to pay for medical care in a .... HRAs are usually paired with a high-deductible health insurance policy; ... Many managed care systems focus on Preventive care and case management to ...
http://healthinsurance.alabama.gov/glos.htm
Claims Processing Software Directory: medical claim software ...
Complete property adjusting software package; quickly complete estimates and create ..... Co-Pay & Deductible Management (24). COBRA Administration (8) ...
http://www.capterra.com/claims-processing-software
What Is an Insurance Deductible? | eHow.com
If you file a claim, you must pay your deductible before the insurance company will pay the remaining balance on your claim. ...
http://www.ehow.com/facts_5245736_insurance-deductible.html
TSPR Laredo Independent School District - Chapter 6
This chapter of the report addresses the asset and risk management of the Laredo Independent ... In December 2001, the board voted to pay half of the increase, .... Type, Company, Insurance Amount, Deductible, Policy Expires, Premium ... and provides claims administration, claims adjustment and data analysis. ...
http://www.window.state.tx.us/tspr/laredo/ch06b.htm
Ask the attorney: Can co-pay be waived for charity?
For instance: Assume that your normal fee for an adjustment is $50. ... You do not routinely waive co-insurance and deductible amounts; and ...
http://www.chiroeco.com/news/chiropractic-news.php?id=3363§ion=101
Glossary - ColoradoHealthInsuranceWiki
5.1 Calendar Year; 5.2 Capital Sum; 5.3 Case Management .... Once the coinsurance limit is met, the insurance company will pay 100%, giving you an out -of-pocket .... A group can be underwritten as a whole to adjust price by a small percentage, ... These plans show a reasonable copay, deductible, coinsurance, ...
http://www.healthinsurancecolorado.net/wiki/index.php?title=Glossary


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Insurance Adjusting Software

Find insurance adjusting software solutions that are right for your business.
Insurance adjusting software applications go the gamut of separate programs for each type of claim, all-in-one programs or even web-based programs that work with you wherever you are. An insurance adjuster has to evaluate the damage, take pictures of the damage, take statements from the parties involved, and then make sense of all of this data to award the proper monetary proceeds to the customer.Use programs that allow you to ... Read more

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