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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.
SpyGlass Health Claims Management System helps claims payers improve business performance. Completely WEB based and built for HIPPA, SpyGlass increases automation and efficiencies, letting users generate new revenues and gain an advantage in the marketplace. SpyGlass enhances accuracy, minimizes manual labor, and streamlines the health claims management process.
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Claims Processing Software Directory: medical claim software ...
Insurance software system with underwriting, claims, accounting and reporting functions. ... Complete property adjusting software package; quickly complete estimates and create ... solution and allows for rapid integration with legacy systems. .... Data Import/Export (42) Reporting (42) Customizable Reporting (40) ...
http://software.forbes.com/claims-processing-software
Insurance software system with underwriting, claims, accounting and reporting functions. ... Complete property adjusting software package; quickly complete estimates and create ... solution and allows for rapid integration with legacy systems. .... Data Import/Export (42) Reporting (42) Customizable Reporting (40) ...
http://software.forbes.com/claims-processing-software
Solo practitioner settles complex personal injury claims with ...
The insurance adjuster just wasn't seeing the big picture, Kashi realized immediately. .... Close Integration with Leading Software Applications. ... You can utilize scanned documents or import and export data ...
http://law.lexisnexis.com/literature/CaseStudyKashi.pdf
The insurance adjuster just wasn't seeing the big picture, Kashi realized immediately. .... Close Integration with Leading Software Applications. ... You can utilize scanned documents or import and export data ...
http://law.lexisnexis.com/literature/CaseStudyKashi.pdf
Library of Sample Business Plans
Computer Training Service Data Integration Service Data Recovery Service Disaster Recovery Service ... Software Testing Service Wireless Systems Integrator and more. ... Health Insurance Company Insurance Adjuster Insurance Broker .... Hunting Products Ice Cream Shop Import & Export Store Import Boutique ...
http://www.brs-inc.com/pwbSamplePlans.asp
Computer Training Service Data Integration Service Data Recovery Service Disaster Recovery Service ... Software Testing Service Wireless Systems Integrator and more. ... Health Insurance Company Insurance Adjuster Insurance Broker .... Hunting Products Ice Cream Shop Import & Export Store Import Boutique ...
http://www.brs-inc.com/pwbSamplePlans.asp
Apex Medina™ Insurance - Apex Software
Apex software is ideal for the property insurance industry for confirming square footage ... or for simple graphic sketching and area calculations for claims adjustment. ... Using PhotoMetrics, you can now import aerial photographs, building plans, ... Nexus Integration. • Data Export. Apex Medina v4 Enhancements ...
http://www.apexwin.com/v5/insurance_v4.php
Apex software is ideal for the property insurance industry for confirming square footage ... or for simple graphic sketching and area calculations for claims adjustment. ... Using PhotoMetrics, you can now import aerial photographs, building plans, ... Nexus Integration. • Data Export. Apex Medina v4 Enhancements ...
http://www.apexwin.com/v5/insurance_v4.php
Commission Software: sales commission software, compensation ...
Provides a dynamic compensation adjustment process based on a wide range of strategies and different .... Commission management software for the insurance industry. ... Data Import/Export (18). Disburse Payments to Employees & Clients (10) ... Legacy System Integration (15). Mobile Access (7). Multi-Currency (8) ...
http://www.capterra.com/commission-software
Provides a dynamic compensation adjustment process based on a wide range of strategies and different .... Commission management software for the insurance industry. ... Data Import/Export (18). Disburse Payments to Employees & Clients (10) ... Legacy System Integration (15). Mobile Access (7). Multi-Currency (8) ...
http://www.capterra.com/commission-software
Advanced Claims
and competitive insurance market. Software programming changes are minimized through provided tools, which speed the system updates. ... Document adjusters' analysis of coverage application, ... Import and export data to and from other databases ... complement its capabilities in consulting, systems integration and ...
http://assets1.csc.com/p_and_c_general_insurance/downloads/10321_1.pdf
and competitive insurance market. Software programming changes are minimized through provided tools, which speed the system updates. ... Document adjusters' analysis of coverage application, ... Import and export data to and from other databases ... complement its capabilities in consulting, systems integration and ...
http://assets1.csc.com/p_and_c_general_insurance/downloads/10321_1.pdf
