Claims Processing Software
When a claim lands, the clock starts ticking. Your team is chasing paperwork, verifying coverage, assessing damage, and trying to get money out the door before frustration sets in. Claims processing software cuts through that friction by keeping every claim in one workflow, moving it from submission through validation, investigation, and approval without emails ping-ponging between departments. You get automatic eligibility checks against policy data, document capture and routing that puts files where they need to go, and a clear audit trail so you can always see where a claim stands and why. The result is faster payouts, fewer mistakes, and the ability to handle spikes in volume without hiring a temporary army. If you are after something more specific, have a look at our Insurance Agency Software or Insurance Policy Software categories.
The Cirius Group offers revenue cycle systems for UB04 billing, 1500 billing, remittance processing/posting and calculating expected reimbursement. Cirius’ Prebill UB04 and Prebill 1500 billing systems edit claims to a greater extent than a ‘claim scrubber’, and provide true… Learn more about Cirius Group.
Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch? solution. The OneTouch? solution is a Web-based electronic claims… Learn more about Apex EDI.
AI Insurance uses Artificial Intelligence and machine learning to predict how much money an insurance company needs to set aside for a claim. Learn more about AI Insurance.
Founded in 1998, Brightwork specializes in insurance software for small and micro TPAs, self insureds, and municipalities. Our flagship product, ALYCE, is a full featured claims system available with medical bill repricing and imaging (paperless) options. For more… Learn more about Brightwork.
At AddioX, we believe that success is no longer accomplished by doing what is expected. Today, to be successful, an enterprise has to be recognized for breaking down barriers, creating paradigms and pushing parameters. Fueled by this understanding, AddioX's dedication and… Learn more about Addiox Technologies.
Claimlane is the leading returns and claims management system designed to empower brands and retailers with efficient, streamlined processes. We specialize in transforming the traditionally complex and time-consuming task of managing returns into a seamless, customer-friendly… Learn more about Claimlane.
ClaimVantage offers industry-leading software that empowers insurance companies, Third Party Administrators (TPAs), and employers worldwide to manage life, health, and absence claims efficiently and securely. Our solutions help our customers deliver superior customer service. … Learn more about ClaimVantage.
Click Claims is a web-based SaaS for Independent Adjusters and Insurance Carriers that need the latest technology for their Claims Management Systems. The ClickClaims application is a product wholly owned by E-Claim, com, LLC the parent company. It has been in development… Learn more about ClickClaims.
For more than 25 years, Delphi Technology has been the recognized leader in providing business software solutions to the medical professional liability insurance market. Delphi delivers a comprehensive range of proven software solutions including underwriting, policy… Learn more about Delphi Technology.
ERIC Systems is the developer of Risk Manager, an application for the management of worker compensation, general liability, professional liability, retrospective rating, and unemployment claims. Learn more about ERIC Systems.
eSolutions provides powerful data analytics and workflow automation products that help healthcare providers get paid quickly, securely and accurately. Our unique analytics deliver clear intelligence, allowing providers of all types and sizes to understand their data and use it… Learn more about eSolutions, Inc..
Foresight insures safety-critical businesses with the first technology-based workers’ compensation program. An insurtech MGU specializing in the middle market, Foresight wraps its proprietary risk management software into every policy, improving safety engagement and reducing… Learn more about Foresight Commercial Insurance.
** HealthEdge is a 2018 Best & Brightest Companies to Work For® ** Better Business. Richer Lives. Stronger Communities. As a Best & Brightest winner, HealthEdge is committed to HR best practices that promote sustainable workplaces. Our focus is on communication, work-life… Learn more about HealthEdge.
Customized Solutions, One Customer at a Time It doesn’t matter if your company is in the beginning stages or one that has been around for years. You could be a “startup” Third Party Administrator planning to be a major player in the self-insurance industry, or a union, large… Learn more about Hi-Tech Health.
In 1996 the Health Insurance Portability and Accountability Act (HIPAA) required that by 2002 every entity involved in healthcare performed the most common transactions electronically. The founder of HIPAAsuite Martin Scholl, an engineer with over 20 years of experience in the… Learn more about HIPAAsuite.