Claims Processing Software

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ZirMed

ZirMed

by ZirMed

(5 reviews)

ZirMed and Navicure empower healthcare organizations to optimize their revenue cycle with end-to-end, cloud-based RCM solutions, including hospital & healthcare systems, physician groups, DMEs, billing services, clinics, labs & more! You'll get the best technology and cloud-based software solutions available, combined with fast, flexible architecture and award-winning client support. And as legislative and industry developments occur, we'll be here helping you stay ahead. Learn more about ZirMed

ZirMed & Navicure offer end-to-end revenue cycle management tools to improve payer reimbursement and patient collections. Learn more about ZirMed

Virtual Benefits Administrator

Virtual Benefits Administrator

by Virtual Benefits Administrator

(2 reviews)

One solution for all benefits administration. Any benefits plan can be built and managed: medical, dental, vision, life and disability, Medicaid, Medicare, Medicare Supplement, care management and long-term care health benefits, flexible spending accounts (FSAs), health savings accounts (HSAs), health reimbursement accounts (HRAs) and COBRA. All transactions are real time, including integrated online payments, cost containment, fraud and abuse edits, provider matching and pricing. Learn more about Virtual Benefits Administrator

Manage all Health Care benefits including Medical, Dental, Life, Disability, Vision, FLEX, COBRA, Medicaid/Medicare/MedSupp on 1 system Learn more about Virtual Benefits Administrator

PLEXIS Payer Platforms

PLEXIS Payer Platforms

by PLEXIS Healthcare Systems

(0 reviews)

PLEXIS Healthcare Systems is a leading payer technology company that delivers trusted enterprise core administration and claims management solutions to healthcare payers and delivery systems around the globe. PLEXIS ignites growth, innovation, and efficiencies across diverse business lines for payer organizations such as health plans, dental plans, vision plans, TPAs, cost containment companies, specialty groups, government healthcare, and international insurers. Learn more about PLEXIS Payer Platforms

PLEXIS delivers trusted enterprise core administration and claims management software to leading payer organizations across the globe. Learn more about PLEXIS Payer Platforms

Navicure

Navicure

by Navicure

(57 reviews)

Cloud-based healthcare billing and payment solutions help healthcare organizations of all sizes increase revenue, accelerate cash flow, and reduce costs associated with managing insurance claims and patient payments. Navicures technology solutions automate account receivables processes, including claims management; patient eligibility verification; remittance and denial management, appeals, and posting; reporting and analysis; and patient payment collections at and near the time of service. Learn more about Navicure

Cloud-based healthcare billing and payment solutions to help organizations of all sizes collect more and stress less. Learn more about Navicure

Patch

Patch

by Patch

(9 reviews)

Patch is an online insurance assistant that helps healthcare providers and patients understand out-of-network benefits in minutes and submit claims online. No more dealing with insurance companies by phone or submitting claims by paper. Using Patch, healthcare providers can let patients know the exact reimbursement amount to expect and automatically submit an optimized claim on their behalf. GIve us a call: 1 888-477-1536 Learn more about Patch

Healthcare professionals can now leverage insurance benefits while avoiding the constraints of being in-network Learn more about Patch

Ahshay

Ahshay

by DataCare

(2 reviews)

DataCare provides software solutions for the workers' compensation industry to better manage medical treatment and billing. Our Medical Process Manager and UR platforms help integrate a medical aspect to the claims workflow and expedite the communication process between the URO and requesting physician. While our Care++ mobile application was created for patients to communicate with their nurses, adjusters and claims staff can also send/receive messages to/from the application. Learn more about Ahshay

Web-based SaaS medical case management, utilization review, and claims enhancement software. Learn more about Ahshay

Claims

Claims

by ClaimVantage

(1 review)

The Claim management software solution is state-of-the-art. Designed to process both group and individual life and health claims on one digital platform. Supporting a broad range of policy benefits, the software leverages a claimant-centric approach to help you deliver superior customer service with efficiency and accuracy. The Claim software solution is hosted on the secure Salesforce Lightning Platform, built by industry experts that will change the way you process claims forever. Learn more about Claims

The ClaimFirst Solution provides full life cycle claims management, for Life and Health claims Learn more about Claims

Incident Management System

Incident Management System

by APP Technologies

(8 reviews)

IMS is an industry-leading claims/risk management system, covering all commercial lines including P&C, workers' compensation, auto, and general liability. IMS accurately and easily manages the entire claims lifecycle, from first report of incident through issuing payments and collections. IMS's rich features allow for document management, reserves, payments, notes, diary, subrogation, EDI, and bill review. Learn more about Incident Management System

Claims & risk management system for P&C, workers comp, auto and general liability. In- house enterprise systems and cloud services. Learn more about Incident Management System

PDSpectrum

PDSpectrum

by Priority Data

(0 reviews)

PDSpectrum is a robust modern policy processing system for P&C Insurance Companies, MGAs, and Program Administrators. PDSpectrum includes: administration, accounting, billing, claims, rating, underwriting, document management, and agent inquiry & quoting. It provides full data connections and integrations to major risk assessment partners. PDSpectrum is hosted, supported and maintained by Priority Data and accessed by company staff, agents and their partners via a secure web-browser connection. Learn more about PDSpectrum

PDSpectrum is a cloud-based policy administration system that easily manages your business such sales, accounting, billing, and more. Learn more about PDSpectrum

TherapyNotes.com

TherapyNotes.com

by TherapyNotes

(343 reviews)

Online mental health practice management software for appointment scheduling, therapy progress notes, electronic billing and EHR. TherapyNotes saves you time by managing the entire workflow of a mental health professional from scheduling appointments to submitting a claim. It's so easy to use you can start using it in your practice today. Extensive security measures are in place to give you peace of mind, so you can focus on what's most important: your clients. Try TherapyNotes Free for 30 Days! Learn more about TherapyNotes.com

Web software tool for mental health practice management used for notes, scheduling, to do lists, billing, EMR, and other features. Learn more about TherapyNotes.com

Us4U

Us4U

by Us4U

(0 reviews)

Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs. Learn more about Us4U

Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs. Learn more about Us4U

CaseworksPro

CaseworksPro

by Insurance Technology Solutions

(0 reviews)

Web based P&C Claims Administration System supporting a wide range of claim processing requirements. TPA, SIR Entities, Risk Managers. Client-centric workflow, Email integration, Messaging and Alerts, Shared Calendar, Litigation Support, Document Management - store any format including MP3 and DVD, Form Letters, Stat Reporting, Robust Transaction Processing - Reserving, Payment/Check Issuance and Recoveries. Learn more about CaseworksPro

Web based Claims Administration System supporting a wide range of claim processing requirements. Learn more about CaseworksPro

QuickCap

QuickCap

by MedVision

(0 reviews)

QuickCap is an advanced healthcare claim processing system built for IPAs, PHOs, MSOs and other management organizations. It is designed to process EDI and manual claims, capitation, eligibility, referrals, authorizations, premium billing, case management and other healthcare related items. The system is considered one of the most efficient and affordable on the market, and can drastically reduce costs for any group. For more information, please call or contact us through our website. Learn more about QuickCap

Advanced software to process claims, capitation, eligibility, referrals, authorizations, case management, etc. Learn more about QuickCap

Origami Risk

Origami Risk

by Origami Risk

(0 reviews)

The Origami Risk RMIS and claims management platform was designed by industry veterans committed to helping clients streamline the collection, analysis and reporting of risk information. Our innovative, web based software is designed with the latest technology and is focused on ease-of use, performance and dependability. Each client is managed by a service team member with years of experience who supports the client from implementation to ongoing maintenance. Learn more about Origami Risk

RMIS and claims management platform helps clients streamline the collection,analysis and reporting of risk and claims data. Learn more about Origami Risk

FileTrac

FileTrac

by Online Reporting

(15 reviews)

The # 1 ranked Claim management system for independent adjusters, TPA's, MGA's, & Mutual Ins. Co.'s. System does not apply to Public Adjusters. Entire system is based on the input from our 1000's of Users. Integrates with Outlook, Quick Books, Xactimate, Xactanalysis, Symbility, NFIP/NFS, LEDES and Google Maps. FileTrac also offers an Adjuster Database module that allows you to track licenses, certificates and so many other criterias. Best suited for companies with 85+ claims per month. Learn more about FileTrac

The # 1 ranked Claim management system for independent adjusters. Integrates with QuickBooks, Outlook and all estimating software. Learn more about FileTrac

FileHandler

FileHandler

by JW Software

(6 reviews)

FileHandler Enterprise is an intuitive claims administration system designed to help streamline and automate workflows for the claims and risk management market. Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software. Learn more about FileHandler

FileHandler Enterprise will transform your companys data into rich visuals built and defined by you. Learn more about FileHandler

HEALTHsuite

HEALTHsuite

by RAM Technologies

(0 reviews)

HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans administering Medicaid and / or Medicare Advantage benefits. HEALTHsuite is a rules-based auto adjudication software solution designed to automate all aspects of enrollment / eligibility, benefit administration, provider contracting / reimbursement, premium billing, medical management, care management, claims adjudication, customer service, reporting and more. Learn more about HEALTHsuite

Comprehensive benefit administration system and claims processing software solution designed for Medicaid and Medicare health plans. Learn more about HEALTHsuite

DuxWare

DuxWare

by Medical Practice Software

(67 reviews)

DuxWare was "cloud based" before the term was even invented. Our users have grown with us for over 26 years and in the process taught us how to support and make DuxWare perfect for their practices. Perfect because DuxWare allows them to move efficiently through their daily routine in clinics large and small. Perfect because, at the end of the day, the PROVIDERS GET PAID. Why? DuxWare gets it right and our support team has been in their shoes. Call us to become part of the DuxWare family today! Learn more about DuxWare

Web Based Practice Management Software incorporating an effective Clinical Claim Scrubber. Learn more about DuxWare

bestPT

bestPT

by Billing Dynamix

(5 reviews)

bestPT by Billing Dynamix: A complete, cloud-based practice and billing/revenue cycle management solution that provides unlimited support for your entire practice. bestPT integrates scheduling, documentation, billing, and task management into one system. It can also be integrated with most popular EHR systems, including webPT and Cedaron. Users average 96% of all insurance payments received in under 120 days. Full service and in-house billing available. Learn more about bestPT

bestPT is complete cloud based practice & revenue cycle management system with exceptional support, or use with your current EHR. Learn more about bestPT

V3

V3

by Vitech Systems Group

(0 reviews)

Enterprise-class software for hedge fund, private equity and alternative asset administration.

Enterprise-class software for hedge fund, private equity and alternative asset administration.

SpyGlass

SpyGlass

by Beacon Technologies

(0 reviews)

Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication.

Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication.

W5

W5

by Burkitt Computer

(0 reviews)

Features for: claim recording, time and expense recording, billing, reserve and payment control, and more.

Features for: claim recording, time and expense recording, billing, reserve and payment control, and more.

CyberSource

CyberSource

by ComCom Systems

(0 reviews)

Medical claims forms scanning solution that provides data recognizing, validating and formatting.

Medical claims forms scanning solution that provides data recognizing, validating and formatting.

MediClaims

MediClaims

by WLT Software

(0 reviews)

Benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs and Self Administered Groups.

Benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs and Self Administered Groups.

INSIS

INSIS

by Fadata

(1 review)

Information system for all fields of insurance; policy administration and claims settlement.

Information system for all fields of insurance; policy administration and claims settlement.

AutoMatch

AutoMatch

by Unicomp Corp. of America

(0 reviews)

Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs.

Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs.

Alyce

Alyce

by Brightwork

(0 reviews)

Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security.

Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security.

SEcureCard

SEcureCard

by StoneEagle

(0 reviews)

Provides vehicle service contract administrators a real-time approach to handle claim payments.

Provides vehicle service contract administrators a real-time approach to handle claim payments.

PBM Express

PBM Express

by Laker Software

(0 reviews)

Modular adjudication software designed to achieve accurate processing results.

Modular adjudication software designed to achieve accurate processing results.

Claimable

Claimable

by Claimable

(0 reviews)

Customer-first claims management software for your business. Streamline your workflow, go paperless and settle more claims!

Customer-first claims management software for your business. Streamline your workflow, go paperless and settle more claims!

TrackAbility

TrackAbility

by Recordables

(0 reviews)

Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability.

Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability.

RL6

RL6

by RL Solutions

(0 reviews)

Healthcare claims management solution that designed to track financial transactions, capture and analyze detailed insurance coverage.

Healthcare claims management solution that designed to track financial transactions, capture and analyze detailed insurance coverage.

Orchestra One

Orchestra One

by Orchestra One

(16 reviews)

Orchestra One is an all-in-one practice management platform made for independent providers.

Orchestra One is an all-in-one practice management platform made for independent providers.

Record360

Record360

by Record360

(8 reviews)

Record360 offers industry leading software for digital condition documentation, asset condition management, and claims management.

Record360 offers industry leading software for digital condition documentation, asset condition management, and claims management.

BriteCore

BriteCore

by Intuitive Web Solutions

(0 reviews)

All-in-one policy administration and insurance processing system designed for P&C carrier, MGA, and InsureTech companies.

All-in-one policy administration and insurance processing system designed for P&C carrier, MGA, and InsureTech companies.

Mitchell WorkCenter

Mitchell WorkCenter

by Mitchell International

(2 reviews)

Platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently.

Platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently.

Speedy Claims

Speedy Claims

by SpeedySoft USA

(395 reviews)

Very easy to use software for insurance billing, CMS 1500 forms filling, payment tracking and patient billing.

Very easy to use software for insurance billing, CMS 1500 forms filling, payment tracking and patient billing.

Virtual Claims Adjuster

Virtual Claims Adjuster

by Code Evolution

(22 reviews)

As the industry leaders in claim management software for over a decade, we provide secure on-line claims software to clients worldwide.

As the industry leaders in claim management software for over a decade, we provide secure on-line claims software to clients worldwide.

ClickClaims

ClickClaims

by E-Claim.com

(1 review)

Carriers, TPAs and IA Firms choose ClickClaims over the competition because it fits every user's expectation and business requirement.

Carriers, TPAs and IA Firms choose ClickClaims over the competition because it fits every user's expectation and business requirement.

Series 3000

Series 3000

by Hi-Tech Health

(0 reviews)

Claims processing solution with unlimited system variables that can be programmed to meet your specific needs.

Claims processing solution with unlimited system variables that can be programmed to meet your specific needs.

CLAIMExpert

CLAIMExpert

by Acrometis

(0 reviews)

Cutting-edge technology platform, proprietary workflows, and unique rules-driven engine completely automates the claim handling process

Cutting-edge technology platform, proprietary workflows, and unique rules-driven engine completely automates the claim handling process

SIGMA

SIGMA

by Medical Administrators International

(0 reviews)

Online multicurrency multilingual claims adjudication.

Online multicurrency multilingual claims adjudication.

PowerClaim

PowerClaim

by Hawkins Research

(0 reviews)

Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more.

Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more.

CaseBlocks

CaseBlocks

by EmergeAdapt

(1 review)

CaseBlocks is a cloud-based, Adaptive Case Management Platform which helps organisation of all sizes automate their business processes.

CaseBlocks is a cloud-based, Adaptive Case Management Platform which helps organisation of all sizes automate their business processes.

Impact

Impact

by Managed Care Systems

(0 reviews)

Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality.

Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality.

FINEOS Claims

FINEOS Claims

by FINEOS

(1 review)

Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management.

Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management.

ClaimSuite

ClaimSuite

by Whitespace Software

(0 reviews)

Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies.

Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies.

Complete Claims

Complete Claims

by Complete Health Systems

(0 reviews)

Claims processing and payment software with unlimited plans, on-line repricing and PPO fee schedules capabilities.

Claims processing and payment software with unlimited plans, on-line repricing and PPO fee schedules capabilities.

SIMS Claims

SIMS Claims

by Systema Software

(0 reviews)

Web-based modular claims management system that integrates with Bing Maps and MS Office, offers notepad templates, mobile access.

Web-based modular claims management system that integrates with Bing Maps and MS Office, offers notepad templates, mobile access.

ClaimPilot

ClaimPilot

by Quick Internet

(0 reviews)

Web-based claims management system with features such as functional security and reporting.

Web-based claims management system with features such as functional security and reporting.

Pyramid

Pyramid

by Clear Data Strategies

(0 reviews)

An online claims processing and policy administration solution for P & C / workers compensation policies.

An online claims processing and policy administration solution for P & C / workers compensation policies.

ClaimScape

ClaimScape

by DataGenix

(0 reviews)

Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution.

Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution.

Simsol Software

Simsol Software

by Simultaneous Solutions

(0 reviews)

Simsol Software provides software solutions to create construction estimates and claims documentation for the property insurance and co

Simsol Software provides software solutions to create construction estimates and claims documentation for the property insurance and co

Fee Basis Claims System

Fee Basis Claims System

by DSS

(0 reviews)

FBCS is a powerful software solution that simplifies the administration and tracking of claims.

FBCS is a powerful software solution that simplifies the administration and tracking of claims.

AquariumClaims

AquariumClaims

by Aquarium Software

(0 reviews)

Processes claims and takes cases through from information capture to invoicing.

Processes claims and takes cases through from information capture to invoicing.

Sapiens INSIGHT

Sapiens INSIGHT

by Sapiens International

(0 reviews)

P&C and Reinsurance policy administration and expert underwriting systems.

P&C and Reinsurance policy administration and expert underwriting systems.

LMS Suite

LMS Suite

by Street Solutions

(0 reviews)

Loan management platform for secondary markets. A true end-to-end platform for managing all loan processes from acquisition to exit.

Loan management platform for secondary markets. A true end-to-end platform for managing all loan processes from acquisition to exit.

HealthRules Payor

HealthRules Payor

by HealthEdge Software

(0 reviews)

Claims and benefits administration solution for health plans managing & processing. Provides the patented configuration feature.

Claims and benefits administration solution for health plans managing & processing. Provides the patented configuration feature.

EDI Smart Reader

EDI Smart Reader

by EDI Smart Reader

(0 reviews)

Simple yet powerful Electronic Response File Reader that translates Medicare HIPAA 5010 277CA and 999 responses into a readable format.

Simple yet powerful Electronic Response File Reader that translates Medicare HIPAA 5010 277CA and 999 responses into a readable format.

Intelligent Medical Software

Intelligent Medical Software

by Meditab Software

(34 reviews)

The All-in-One EHR, Practice Management, and Billing Solution that Adapts to Your Practice. Designed for chiropractors!

The All-in-One EHR, Practice Management, and Billing Solution that Adapts to Your Practice. Designed for chiropractors!

expEDIum Claims Portal

expEDIum Claims Portal

by iTech Workshop

(2 reviews)

A web-based automated medical claims solution that has a variety of features including online referrals & authorizations management.

A web-based automated medical claims solution that has a variety of features including online referrals & authorizations management.

ClaimAdept

ClaimAdept

by Isoft

(1 review)

System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven.

System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven.

Merimen IFE

Merimen IFE

by Merimen

(1 review)

Claims management with document imaging, communication management and risk management.

Claims management with document imaging, communication management and risk management.

SmartSimple CMS360

SmartSimple CMS360

by SmartSimple Software

(1 review)

Accident benefit claims and referral management solution used by insurers, health care providers and independent medical examiners.

Accident benefit claims and referral management solution used by insurers, health care providers and independent medical examiners.

TIA

TIA

by TIA Technology

(0 reviews)

Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance.

Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance.

JopariPay

JopariPay

by Jopari Solutions

(0 reviews)

Comprehensive claim disbursement automation and interactive Payment Portal services.

Comprehensive claim disbursement automation and interactive Payment Portal services.

FACTS

FACTS

by Ebix

(0 reviews)

Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims.

Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims.

Claim Processing Engine

Claim Processing Engine

by Mastek

(0 reviews)

Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems.

Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems.

ClaimZone Enterprise Edition

ClaimZone Enterprise Edition

by MountainView Software

(0 reviews)

Covers all commercial lines, including workers' compensation, general liability and auto liability.

Covers all commercial lines, including workers' compensation, general liability and auto liability.

Advanced Insurance System

Advanced Insurance System

by Garvin-Allen Solutions

(0 reviews)

Modular policy, quoting, billing and claim administration application.

Modular policy, quoting, billing and claim administration application.

Venue Claims Management

Venue Claims Management

by KLJ Computer Solutions

(0 reviews)

Web based claims management system that handles lines including property, casualty, auto, marine, liability.

Web based claims management system that handles lines including property, casualty, auto, marine, liability.

CAMS

CAMS

by AdvanTec Information Systems

(0 reviews)

Simplifies management, record keeping and reporting.

Simplifies management, record keeping and reporting.

PayorLink

PayorLink

by PayorLink

(0 reviews)

Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality.

Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality.

Advanced Resolution Systems

Advanced Resolution Systems

by Cost Management Technology

(0 reviews)

Fully automated healthcare claims negotiation and repricing systems customized to meet any client's needs.

Fully automated healthcare claims negotiation and repricing systems customized to meet any client's needs.

Truck Insurance Form Automation

Truck Insurance Form Automation

by J&J Technology Consulting

(0 reviews)

Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form.

Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form.

PCRS

PCRS

by PCMI

(0 reviews)

Policy claim administration for manufacturer, retailer/dealer and third party administrators.

Policy claim administration for manufacturer, retailer/dealer and third party administrators.

TrueClaim Payment Integrity

TrueClaim Payment Integrity

by TC3 Health

(0 reviews)

Software suite that offers healthcare payers a total claims management solution to validate payment integrity and maximize savings.

Software suite that offers healthcare payers a total claims management solution to validate payment integrity and maximize savings.

Enkata for Healthcare Claims Processing

Delivers the information, insight and action insurance companies need to get the most out of their claims payment processors.

Delivers the information, insight and action insurance companies need to get the most out of their claims payment processors.

MedNeXt+

MedNeXt+

by MedNet International

(0 reviews)

MedNeXt+ with its Operational and BI systems and its 6 interfaces is a complete, enterprise-wide health insurance solution

MedNeXt+ with its Operational and BI systems and its 6 interfaces is a complete, enterprise-wide health insurance solution

Teamworks IRO

Teamworks IRO

by IRO Solutions

(0 reviews)

Teamworks software for IRO, peer review, and insurance companies.

Teamworks software for IRO, peer review, and insurance companies.

BizFlow Insurance

BizFlow Insurance

by BizFlow

(0 reviews)

Solutions for Sales, New Business, Underwriting, Policy Maintenance, Billing, Collections, Commissions, Customer Service, and Claims.

Solutions for Sales, New Business, Underwriting, Policy Maintenance, Billing, Collections, Commissions, Customer Service, and Claims.

PowerSuite Claims

PowerSuite Claims

by StoneRiver

(0 reviews)

P&C claims management software for personal & commercial lines of business

P&C claims management software for personal & commercial lines of business

ClaimsVISION

ClaimsVISION

by PCIS

(0 reviews)

ClaimsVision PCIS' multi-line claims management solution. SaaS deployed, leveraging latest technology to optimize the claims process.

ClaimsVision PCIS' multi-line claims management solution. SaaS deployed, leveraging latest technology to optimize the claims process.

Intellect Claims

Intellect Claims

by intellectSEEC

(0 reviews)

Intellect Claims provides comprehensive proactive claim management for life, annuity, disability, critical illness and long term care.

Intellect Claims provides comprehensive proactive claim management for life, annuity, disability, critical illness and long term care.

EvoClaim

EvoClaim

by 3Sixty Systems

(0 reviews)

Leading claims management system to optimise your claims handling. Exceptional reporting and automation help reduce claims burden.

Leading claims management system to optimise your claims handling. Exceptional reporting and automation help reduce claims burden.

NextGen Population Health

NextGen Population Health

by NextGen Population Health

(1036 reviews)

Our population health solutions enable collaborative care that help you enhance care quality.

Our population health solutions enable collaborative care that help you enhance care quality.

NAVRISK VISION

NAVRISK VISION

by DAVID

(14 reviews)

DAVID Corporation is the developer of NAVRISK VISION the alternative risk markets most powerful management automation solution.

DAVID Corporation is the developer of NAVRISK VISION the alternative risk markets most powerful management automation solution.

HIPAAsuite

HIPAAsuite

by HIPAAsuite

(4 reviews)

HIPAAsuite, a market leader in HIPAA EDI transactions. We have products for every HIPAA transaction including CORE Certified solutions.

HIPAAsuite, a market leader in HIPAA EDI transactions. We have products for every HIPAA transaction including CORE Certified solutions.

HealthQx

HealthQx

by Change Healthcare

(2 reviews)

Improve company's reimbursement plan with analytics system that includes specific network analysis and budget planning capabilities.

Improve company's reimbursement plan with analytics system that includes specific network analysis and budget planning capabilities.

Claims Manager

Claims Manager

by JDi Data

(1 review)

Claims management system for insurance company claims departments and TPAs with emphasis on complex litigation.

Claims management system for insurance company claims departments and TPAs with emphasis on complex litigation.

Cases CRM

Cases CRM

by BrightOffice Cloud CRM

(1 review)

Case Management Software, a cloud based software which allows the users to manage their cases from start to finish

Case Management Software, a cloud based software which allows the users to manage their cases from start to finish

Healthaxis

Healthaxis

by HealthAxis

(1 review)

Claims processing, benefits administration, and self-service portals for health care benefits administration.

Claims processing, benefits administration, and self-service portals for health care benefits administration.

InsurancePlus

InsurancePlus

by United Systems and Software

(0 reviews)

Robust software for underwriting, new business processing, policy services, billing, agent commissions, and claims adjudication.

Robust software for underwriting, new business processing, policy services, billing, agent commissions, and claims adjudication.

SSI Claims Management

SSI Claims Management

by The SSI Group

(0 reviews)

Improving efficiencies within the healthcare billing process through automation and seamless integration.

Improving efficiencies within the healthcare billing process through automation and seamless integration.

Risk Manager

Risk Manager

by ERIC Systems

(0 reviews)

An integrated suite of programs for the administration of worker compensation and property & casualty claims.

An integrated suite of programs for the administration of worker compensation and property & casualty claims.

Delphi Claims

Delphi Claims

by Delphi Technology

(0 reviews)

Reduce losses via integrated claims tracking system that offers data capture capability for FNOL, NOL, and FROI.

Reduce losses via integrated claims tracking system that offers data capture capability for FNOL, NOL, and FROI.

Risk Management Systems

Risk Management Systems

by American Technical Services

(0 reviews)

Web-based claims management system; worker's comp, multi-line liability, FROI, EDI, bill review, group health.

Web-based claims management system; worker's comp, multi-line liability, FROI, EDI, bill review, group health.

KMR Claims Manager

KMR Claims Manager

by KMR Systems

(0 reviews)

Fully integrated customized claims processing solution for TPAs, self insured, claims administrators.

Fully integrated customized claims processing solution for TPAs, self insured, claims administrators.

mobileClaims

mobileClaims

by Symbility Solutions

(0 reviews)

Multi-platform enabled field estimating solution.

Multi-platform enabled field estimating solution.

Polygonal

Polygonal

by City Computers

(0 reviews)

Insurance software system with underwriting, claims, accounting and reporting functions.

Insurance software system with underwriting, claims, accounting and reporting functions.

Solar Eclipse

Solar Eclipse

by Startech Software

(0 reviews)

Total environment designed to manage the needs of workers' compensation claims.

Total environment designed to manage the needs of workers' compensation claims.

SS/G

SS/G

by TCP LifeSystems

(0 reviews)

Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing.

Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing.

Tropics Claims System

Tropics Claims System

by Tropics Software Technologies

(0 reviews)

Workers' compensation software system with policy and claims administration, document management and email alerts.

Workers' compensation software system with policy and claims administration, document management and email alerts.

Insurance Management System

Insurance Management System

by Concord Information Systems

(0 reviews)

Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable.

Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable.

WebDM/WebCR

WebDM/WebCR

by ppoONE

(0 reviews)

Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing.

Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing.

Insurance Policy Administration

Insurance Policy Administration

by Radix

(0 reviews)

Web-based solution for policy management, claims processing and insurance agency administration.

Web-based solution for policy management, claims processing and insurance agency administration.

Claims Processing

Claims Processing

by Atrient

(0 reviews)

Modular software with claim scrubbing, dashboard, eligibility verification, electronic remittance advice for large practice providers.

Modular software with claim scrubbing, dashboard, eligibility verification, electronic remittance advice for large practice providers.

I-CAPS

I-CAPS

by W.O. Comstock & Associates

(0 reviews)

Claims adjudication and processing system that includes payee accounting, automated correspondence, anesthesia pricing capabilities.

Claims adjudication and processing system that includes payee accounting, automated correspondence, anesthesia pricing capabilities.

Payapps

Payapps

by Payapps

(0 reviews)

A mobile collaboration tool suitable for all contractors designed to streamline the claims processing procedure.

A mobile collaboration tool suitable for all contractors designed to streamline the claims processing procedure.

Act-isure

Act-isure

by Activus

(0 reviews)

Act-isure is a medical and protection insurance system supporting products, policy, enrolment & billing, claims & accounts management.

Act-isure is a medical and protection insurance system supporting products, policy, enrolment & billing, claims & accounts management.

Claims Software

Claims Software

by Claim Ruler

(0 reviews)

A complete claims management software solution for insurance Claims, Property Claims, Workers Compensation Claims.

A complete claims management software solution for insurance Claims, Property Claims, Workers Compensation Claims.

All Payer Exchange

All Payer Exchange

by All Payer Exchange

(0 reviews)

Web-based claims processing solution that helps with managing revenue cycle and scheduling patient appointments online.

Web-based claims processing solution that helps with managing revenue cycle and scheduling patient appointments online.

ScanNStore

ScanNStore

by DocuStream

(0 reviews)

Claim scanning and document storage solution for healthcare industry. Works with a variety of scanners and databases.

Claim scanning and document storage solution for healthcare industry. Works with a variety of scanners and databases.

PlanXpand

PlanXpand

by Acero Health Technologies

(0 reviews)

Platform manages real-time, shared benefit accumulators; ACA cost-sharing reduction subsidies; CDH plan designs (HRA) for payors.

Platform manages real-time, shared benefit accumulators; ACA cost-sharing reduction subsidies; CDH plan designs (HRA) for payors.

MyClaimStatus

MyClaimStatus

by Medical Payment Exchange

(0 reviews)

Automated process for interrogating payor portals to identify denied, pending or unprocessed claims in real time for fast reimbursement

Automated process for interrogating payor portals to identify denied, pending or unprocessed claims in real time for fast reimbursement

Claims.io

Claims.io

by Claims.io

(0 reviews)

Claims management software for loss adjusters, claims managers, fleet managers, smash repairers, brokers & insurers.

Claims management software for loss adjusters, claims managers, fleet managers, smash repairers, brokers & insurers.

ClaimBook

ClaimBook

by Attune Technologies

(0 reviews)

ClaimBook helps hospitals by accelerating the overall discharge process of insured patients, enhances Hospital revenue collection.

ClaimBook helps hospitals by accelerating the overall discharge process of insured patients, enhances Hospital revenue collection.