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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
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.
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.
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Farm Bureau Insurance of Michigan Selects CDC Software's Pivotal ...
Farm Bureau Insurance's 2500 agents and employees will use Pivotal CRM to facilitate ... Enterprise Software : Business Services : Online Games ... total employees and associates that include insurance agents, claims adjusters, ... and customer loyalty, Pivotal CRM is used by more than 2000 companies around the ...
http://www.cdccorporation.net/en/Newsroom/Press-Releases.aspx?name=20070807%20Farm%2...
Farm Bureau Insurance's 2500 agents and employees will use Pivotal CRM to facilitate ... Enterprise Software : Business Services : Online Games ... total employees and associates that include insurance agents, claims adjusters, ... and customer loyalty, Pivotal CRM is used by more than 2000 companies around the ...
http://www.cdccorporation.net/en/Newsroom/Press-Releases.aspx?name=20070807%20Farm%2...
Farm Bureau Insurance of Michigan Selects CDC Software's Pivotal ...
Farm Bureau Insurance's 2500 agents and employees will use Pivotal CRM to facilitate ... provider of industry-specific enterprise software applications and business services, ... and associates that include insurance agents, claims adjusters, ... and customer loyalty, Pivotal CRM is used by more than 2000 companies ...
http://www.cdcsoftware.com/en/Company/News-and-Events/Press-Releases.aspx?name=20070...
Farm Bureau Insurance's 2500 agents and employees will use Pivotal CRM to facilitate ... provider of industry-specific enterprise software applications and business services, ... and associates that include insurance agents, claims adjusters, ... and customer loyalty, Pivotal CRM is used by more than 2000 companies ...
http://www.cdcsoftware.com/en/Company/News-and-Events/Press-Releases.aspx?name=20070...
Industry Solutions: Documentum Solutions for Insurance
business processes. • Integrate with enterprise ERP and. CRM applications .... “ With Documentum, we cut the DOI submissions process substantially from ... insurance companies in the United. States, with more than $50 billion in assets. .... “Documentum makes life much easier for our CSRs and claims adjusters. ...
http://www.emc.com/collateral/industry-overview/h3169-industry-solutions-insurance-i...
business processes. • Integrate with enterprise ERP and. CRM applications .... “ With Documentum, we cut the DOI submissions process substantially from ... insurance companies in the United. States, with more than $50 billion in assets. .... “Documentum makes life much easier for our CSRs and claims adjusters. ...
http://www.emc.com/collateral/industry-overview/h3169-industry-solutions-insurance-i...
RiskWorld Software: computer programs for risk assessment and risk ...
ESP is a leading provider of enterprise software solutions for environmental ... ESP software is currently being used to track more than 70% of all SO2 allowances. ..... premium auditor, and claims adjuster have access to the tools needed to ..... as management software, risk and insurance, medical decision making, ...
http://www.riskworld.com/SOFTWARE/sw5sw001.htm
ESP is a leading provider of enterprise software solutions for environmental ... ESP software is currently being used to track more than 70% of all SO2 allowances. ..... premium auditor, and claims adjuster have access to the tools needed to ..... as management software, risk and insurance, medical decision making, ...
http://www.riskworld.com/SOFTWARE/sw5sw001.htm
DIRECTORY
Below are paid listings of specialty software packages for insurance companies, risk managers and .... Custom business rules, auto adjudication, adjuster tool kit, vendor supply chain ... ReserveProо Enterprise Edition automates, streamlines and .... More than 700 property and casualty insurance companies rely ...
http://www.riskandinsurance.com/userpdfs/SoftwareDirectory.pdf
Below are paid listings of specialty software packages for insurance companies, risk managers and .... Custom business rules, auto adjudication, adjuster tool kit, vendor supply chain ... ReserveProо Enterprise Edition automates, streamlines and .... More than 700 property and casualty insurance companies rely ...
http://www.riskandinsurance.com/userpdfs/SoftwareDirectory.pdf
Leveraging Activities & Drivers for Exceptional Perf Mgmt in ...
ABC 101 Not all costs go through Activities; real life is much more ... to implement – consulting light Frequently more accurate than assumed If people ..... Benefits of “Integrated Business Planning” All the “hygiene factors” of an enterprise budgeting .... Auto Insurance Reform in Alberta and the New Premium Grid ...
http://www.docstoc.com/docs/13988703/Leveraging-Activities-and-Drivers-for-Exception...
ABC 101 Not all costs go through Activities; real life is much more ... to implement – consulting light Frequently more accurate than assumed If people ..... Benefits of “Integrated Business Planning” All the “hygiene factors” of an enterprise budgeting .... Auto Insurance Reform in Alberta and the New Premium Grid ...
http://www.docstoc.com/docs/13988703/Leveraging-Activities-and-Drivers-for-Exception...
