Insurance Adjusting Software: Data Import and Export, Electronic Submissions 

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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.
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.
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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Claims Processing Software Directory: medical claim software ...
Complete property adjusting software package; quickly complete estimates and create photo sheets, ... Automates truck insurance form processing by transferring data to any carrier .... Data Import/Export (42) Reporting (42) Customizable Reporting (40) ... Electronic Submission (34) Claim Resolution Tracking (32) ...
http://software.forbes.com/claims-processing-software
Claims Processing Software Directory: medical claim software ...
Complete property adjusting software package; quickly complete estimates ..... Data Import/Export (42). Data Warehousing (25). Electronic Submission (34) ...
http://www.capterra.com/claims-processing-software
Property and casualty insurance software products
Software tools for insurance professionals ... CIS links to other insurance sites ... Fax directly from quote window; Merge submission and quote data directly into MS Word ... Automatic reversal and adjustment of premium transaction ... underwriters, and claim examiners; Import and export utilities ...
http://www.cisinform.com/products.html
Medicaid Billing Software, Medicaid Electronic Billing Software
H-Sys Data Management & Electronic Billing Software ... ICD9 Diagnosis codes ( with automatic import from disk); CPT Procedure codes (with automatic import from disk); Insurance ... and/or HIPAA-compliant transactions via electronic submission, ... facilitates quick payment and adjustment entries on patient ledgers. ...
http://www.hsyssoftware.com/About.aspx
Vendor Informational Meeting - MainePERS.org
MainePERS New Pension Software. Beginning in early 2010; Replacing legacy ... Import/Export Files- Import. Where employer can changer data on a member in a file not yet released .... Group Life Insurance premiums removed from payroll reports ... Annual level adjustment made through electronic file submission ...
http://www.msrs.org/Employers/ER%20Self%20Service/IT%20Vendor%20August%202009.ppt
Service Agreement - EdGate - Analyze, Assess, Adjust, Communicate
This Web site may contain text, data, software, digital photographs, graphics, ... Communication and Submissions via this Web Site By You .... obscenity, child pornography or other pornography and/or export or import control; ... An electronic or physical signature of the owner or of the person authorized to act on ...
http://www.edgate.com/service.php


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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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