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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.
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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Web Listings
13-1031.02 - Insurance Adjusters, Examiners, and Investigators
Refer questionable claims to investigator or claims adjuster for investigation or settlement. ... Desktop computers. Measuring wheels for distance — Measure markers ... Expert system software — atGlobal webMBR; Axonwave Fraud and Abuse ...
http://online.onetcenter.org/link/summary/13-1031.02
Refer questionable claims to investigator or claims adjuster for investigation or settlement. ... Desktop computers. Measuring wheels for distance — Measure markers ... Expert system software — atGlobal webMBR; Axonwave Fraud and Abuse ...
http://online.onetcenter.org/link/summary/13-1031.02
For more information about other Microsoft customer successes ...
While insurance companies and their customers want all claims adjusting handled ... The software runs on the Windowsо operating system, including Windows 98 or ... PCs or laptops in the field, or desktop PCs back in their offices. ...
http://www.microsoft.com/casestudies/ServeFileResource.aspx?203249
While insurance companies and their customers want all claims adjusting handled ... The software runs on the Windowsо operating system, including Windows 98 or ... PCs or laptops in the field, or desktop PCs back in their offices. ...
http://www.microsoft.com/casestudies/ServeFileResource.aspx?203249
Claims Adjuster Software, Insurance Software Solutions ...
CMS Desktop is designed by claims handlers for claims handlers. ... Open and work with multiple claims files simultaneously using our multi-dimensional windows interface. ... Desktop Software for Adjusters > Online Web-Based Portal ...
http://www.claimsmanagement.com.au/claims-adjuster-software.aspx
CMS Desktop is designed by claims handlers for claims handlers. ... Open and work with multiple claims files simultaneously using our multi-dimensional windows interface. ... Desktop Software for Adjusters > Online Web-Based Portal ...
http://www.claimsmanagement.com.au/claims-adjuster-software.aspx
Claims Processing Software Directory: medical claim software ...
A desktop application that small billing agencies, collection agencies and .... Complete property adjusting software package; quickly complete estimates .... Web-based insurance claims management software service for insurance adjusting ...
http://software.forbes.com/claims-processing-software
A desktop application that small billing agencies, collection agencies and .... Complete property adjusting software package; quickly complete estimates .... Web-based insurance claims management software service for insurance adjusting ...
http://software.forbes.com/claims-processing-software
Virtual Claims Adjuster - Industry News
Our claims software is designed to change over time to meet our users ... Insurance Adjusters in the USA this year have been flooded with claims due to all ...
http://www.virtualclaimsadjuster.com/News/Index.asp
Our claims software is designed to change over time to meet our users ... Insurance Adjusters in the USA this year have been flooded with claims due to all ...
http://www.virtualclaimsadjuster.com/News/Index.asp
Case Study: Insurance adjusters use pen-based GUI and wireless ...
A Canadian insurance company is deploying to its field adjusters a new mobile application designed to speed damage... ... The application includes pen-based software on a tablet PC, ... Windows 7 screenshots: 10 cool desktop features ...
http://howto.techworld.com/mobile-wireless/1874/case-study-insurance-adjusters-use-p...
A Canadian insurance company is deploying to its field adjusters a new mobile application designed to speed damage... ... The application includes pen-based software on a tablet PC, ... Windows 7 screenshots: 10 cool desktop features ...
http://howto.techworld.com/mobile-wireless/1874/case-study-insurance-adjusters-use-p...



