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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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Independent Adjuster Manager, Property and Casualty Solutions
CSC's Independent Adjuster Manager™ software streamlines the process with tools that manage the entire independent ... electronic file submissions as well as a Web-based bill ... Independent Adjuster Manager saves insurance companies ...
http://assets1.csc.com/p_and_c_general_insurance/downloads/10335_1.pdf
CSC's Independent Adjuster Manager™ software streamlines the process with tools that manage the entire independent ... electronic file submissions as well as a Web-based bill ... Independent Adjuster Manager saves insurance companies ...
http://assets1.csc.com/p_and_c_general_insurance/downloads/10335_1.pdf
Claims Processing Software Directory: medical claim software ...
Complete property adjusting software package; quickly complete estimates and create photo ..... Electronic Submission (34) Claim Resolution Tracking (32) ...
http://software.forbes.com/claims-processing-software
Complete property adjusting software package; quickly complete estimates and create photo ..... Electronic Submission (34) Claim Resolution Tracking (32) ...
http://software.forbes.com/claims-processing-software
Make the most of your electronic submissions
ensure their systems are HIPAA compliant and can accommodate electronic claims with adjustment information. Clearinghouses and software vendors should be ...
http://www.bcbsga.com/provider/noapplication/plansbenefits/electronictransactions/no...
ensure their systems are HIPAA compliant and can accommodate electronic claims with adjustment information. Clearinghouses and software vendors should be ...
http://www.bcbsga.com/provider/noapplication/plansbenefits/electronictransactions/no...
Claims Processing Software Directory: medical claim software ...
Complete property adjusting software package; quickly complete estimates and ..... Electronic Submission (34). EMR Integration (1). Forms Management (31) ...
http://www.capterra.com/claims-processing-software
Complete property adjusting software package; quickly complete estimates and ..... Electronic Submission (34). EMR Integration (1). Forms Management (31) ...
http://www.capterra.com/claims-processing-software
Electronic Claims Submission Coordination of Benefits (COB) Data ...
providers claim submission software. This is the “Insurance Plan Name or ... Line level adjustment reason codes and associated amounts. 2430/CAS ...
http://www.aetna.com/provider/data/Claim_COB_Data_Fields.pdf
providers claim submission software. This is the “Insurance Plan Name or ... Line level adjustment reason codes and associated amounts. 2430/CAS ...
http://www.aetna.com/provider/data/Claim_COB_Data_Fields.pdf
Make the most of your electronic submissions
Tips for working with a clearinghouse or software vendor .... Control insurance billing processes like daily reports, claim status. Ł and audit trail ... Understanding electronic submission, opportunities to reduce paper and where to ... DTP — Claim Adjustment Date (Only if notes in IG are satisfied) ...
http://www.empireblue.com/edi/noapplication/f4/s3/t0/pw_b131065.pdf
Tips for working with a clearinghouse or software vendor .... Control insurance billing processes like daily reports, claim status. Ł and audit trail ... Understanding electronic submission, opportunities to reduce paper and where to ... DTP — Claim Adjustment Date (Only if notes in IG are satisfied) ...
http://www.empireblue.com/edi/noapplication/f4/s3/t0/pw_b131065.pdf
