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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.
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.
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.
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Web Listings
Wardlaw Claims Assures Network Availability and Transparency with ...
Feb 17, 2009 ... With more than 2500 independent adjusters nationwide and ... Enterasys is part of Siemens Enterprise Communications, ... and availability of IT services and the business users that rely on them – without sacrificing performance. ... security software and services is available at www.enterasys.com. ...
http://www.enterasys.com/company/press-release-item.aspx?id=786
Feb 17, 2009 ... With more than 2500 independent adjusters nationwide and ... Enterasys is part of Siemens Enterprise Communications, ... and availability of IT services and the business users that rely on them – without sacrificing performance. ... security software and services is available at www.enterasys.com. ...
http://www.enterasys.com/company/press-release-item.aspx?id=786
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...
Business: Insurance Press Releases and News - PR.com
In the last 30 days BimaDeals.com has managed to source more than 2500 Insurance ... MyHomeAssets! Software Receives Mortgage Industry 1003 PA Certification ... Thunderhead Evolves as It Launches NOW; Enterprise Communications Company ... Advice for Dealing with Home Insurance Adjusters after Disaster Strikes ...
http://www.pr.com/news-by-category/35/+8
In the last 30 days BimaDeals.com has managed to source more than 2500 Insurance ... MyHomeAssets! Software Receives Mortgage Industry 1003 PA Certification ... Thunderhead Evolves as It Launches NOW; Enterprise Communications Company ... Advice for Dealing with Home Insurance Adjusters after Disaster Strikes ...
http://www.pr.com/news-by-category/35/+8
SAP America, Inc. Press Release - Austrian Insurer Deploys mySAP ...
Sep 7, 2005 ... 2020software.com: The Short List for Business Software ... solution to help a total of 2500 insurance agents across its organization improve ... are able to immediately forward reports to the responsible claims adjuster. ... countries run more than 96400 installations of SAP® software—from distinct ...
http://www.2020software.com/products/news/SAP_America__Inc_864.asp
Sep 7, 2005 ... 2020software.com: The Short List for Business Software ... solution to help a total of 2500 insurance agents across its organization improve ... are able to immediately forward reports to the responsible claims adjuster. ... countries run more than 96400 installations of SAP® software—from distinct ...
http://www.2020software.com/products/news/SAP_America__Inc_864.asp
Lawson Software Reports Strong First Quarter Fiscal 2010 Financial ...
Sep 30, 2009 ... Business Wire business news by ticker, Lawson Software Reports Strong First ... Operating income growth more than offset a $2.7 million, or 90 percent, ... Lawson's solutions include Enterprise Performance Management, .... Pre-merger claims reserve adjustment – We have excluded the adjustment to our ...
http://news.moneycentral.msn.com/ticker/article.aspx?Feed=BW&Date=20090930&ID=104381...
Sep 30, 2009 ... Business Wire business news by ticker, Lawson Software Reports Strong First ... Operating income growth more than offset a $2.7 million, or 90 percent, ... Lawson's solutions include Enterprise Performance Management, .... Pre-merger claims reserve adjustment – We have excluded the adjustment to our ...
http://news.moneycentral.msn.com/ticker/article.aspx?Feed=BW&Date=20090930&ID=104381...
ILOG Offers First-Available Business Rule Software for New ...
Sep 14, 2005 ... Embedded with IBM WebSphere Enterprise Service Bus (ESB) and based on open standards, ... insurance claims processing, loan and insurance underwriting, ... The resulting solution provides for the continuous adjustment of ... Over 2500 global corporations and more than 465 leading software vendors ...
http://www.ilog.com/corporate/releases/us/050914_ibm.cfm
Sep 14, 2005 ... Embedded with IBM WebSphere Enterprise Service Bus (ESB) and based on open standards, ... insurance claims processing, loan and insurance underwriting, ... The resulting solution provides for the continuous adjustment of ... Over 2500 global corporations and more than 465 leading software vendors ...
http://www.ilog.com/corporate/releases/us/050914_ibm.cfm
