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KMR Claims Manager is a fully integrated, customizable medical claims processing solution for TPAs, self insured and claims administrators. Features include: coordination of benefits, co-pays & deductibles, claims processing including ability to scan, receive via EDI or manual entry, document image management system eliminating need to store paper claim forms; comprehensive claims history display; adjuster analysis reporting; actuarial reporting and web inquiry capabilities.
Featured Solutions
Claims Manager. A comprehensive insurance software product developed for Claims Departments, Risk Managers and TPAs administering P&C, GL, Commercial Auto, Public Entity, Med Mal, Excess Coverage, WC. Capture relevant claim information, record all file activity. Comprehensive diary and alarm system with full document depository. TimesManager time billing produces the invoices for your T&E clients. Check our website and schedule a demo!
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.
Prognos includes a complete set 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.
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.
Series 3000 is a claims processing solution with unlimited system variables that can be programmed to meet your specific needs. You won't have to change the way you do business to utilize our software, because we'll partner with your company to ensure that our software is customized to work for you.
Tired of handling claims the same old way. Tired of it costing you too much money! Let Startech Software show you a better way. Our Eclipse software WILL save you time and money. Claims like Workers Comp,Tort, GL, P&C, Auto, Long and Short Term Disability can be done with ease. Full Featured. Check Printing. Fee Schedules. Extensive Reporting. Top rated Customer Support. Call or visit website for free demonstration.
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.
Plexis Claims Manager is an integrated benefit and claim administration system providing complete medical, dental & vision claim processing for organizations in a competitive healthcare IT environment. Use of HIPAA compatible EDI tools & Web portal allows users to import/export data & create ad-hoc mission critical reports. Plexis Claims Manager helps to reduce healthcare costs & increase returns on technology investments.
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 expEDIum Claims Portal is a web based application that has a variety of features like processing of legacy healthcare formats, providing validation reports and scrubbing facility using standard healthcare forms. Our expEDIum Claims Portal processes a variety of healthcare formats into constituent claims, provides a web based provider access, enriches claims, performs L1, L2& L3 validation along with payer specific validation and generates clean "payer ready" claims among other features.
Comprehensive Directory
90 Solutions Listed
Claims administration, care management and medical bill review software solution.
Target Market: Mid - Large
Simplifies management, record keeping and reporting.
Target Market: Small - Mid
Web-based claims management system; worker's comp, multi-line liability, FROI, EDI, bill review, group health.
Target Market: Small - Mid
Powerfully handles the full range of operations required of claims administrators, self-insureds, and TPAs.
Target Market: Small - Mid
Processes claims and takes cases through from information capture to invoicing.
Target Market: Small - Mid
Suite of benefit management software solutions that will automate day-to-day claims and plan administration activities.
Target Market: Mid
Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security.
Target Market: Small - Mid
Features for: claim recording, time and expense recording, billing, reserve and payment control, and more.
Target Market: Mid
Claims automation software for Life, Annuity and Disability insurers.
Target Market: Mid - Large
Insurance management solution with policy, billing and claims management.
Target Market: Small - Large
Automates the full range of claims processing to guide agents and CSRs through each step across multiple channels.
Target Market: Mid - Large
Insurance software system with underwriting, claims, accounting and reporting functions.
Target Market: Small - Mid
Suite of professional indemnity and employers liability/public liability (EL/PL) claim management systems.
Target Market: Mid - Large
Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution.
Target Market: Mid - Large
Provides coverage for the full claims life cycle, from claim intake and triage to adjudication and payment of benefits.
Target Market: Small - Large
Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality.
Target Market: Large
Web-based claims management software designed to let you access the program from anywhere, at anytime.
Target Market: Small - Mid
For property & casualty claims; allows complete workflow claims processing over all your day to day and catastrophe property claims.
Target Market: Mid - Large
Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable.
Target Market: Small - Large
Fully automated healthcare claims negotiation and repricing systems customized to meet any client's needs.
Target Market: Small
Streamlines claims, policy, reporting and overall business process management needs.
Target Market: Small - Mid
Component based, fully integrated, insurance processing system.
Target Market: Mid - Large
A fully integrated insurance processing solution that provides comprehensive client-focused support.
Target Market: Small - Large
Provides claim intake, compliance reporting, vendor services, subrogation and salvage, document management and imaging, claims payment.
Target Market: Mid - Large
An integrated suite of programs for the administration of worker compensation and property & casualty claims.
Target Market: Small - Large
Enhance collaboration between claims and legal teams while tracking litigation files and dates.
Target Market: Mid - Large
Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims.
Target Market: Small - Large
Information system for all fields of insurance; policy administration and claims settlement.
Target Market: Mid
Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management.
Target Market: Mid - Large
Modular policy, quoting, billing and claim administration application.
Target Market: Mid - Large
Suite of claims administration applications covering workers' compensation, property and casualty and non-occupational disability.
Target Market: Mid - Large
Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more.
Target Market: Mid - Large
Managed care software designed to pay medical claims, process referrals, track eligibility & monitor medical benefits.
Target Market: Small - Mid
Claims processing solution with unlimited system variables that can be programmed to meet your specific needs.
Target Market: Mid - Large
Fully-integrated administration system with policy, billing, claims, reinsurance and cash disbursement modules that can stand alone.
Target Market: Mid - Large
Allows the manager to enter, assign, track and close virtually an unlimited number of claims by an unlimited number of adjusters.
Target Market: Mid - Large
Policy and claims administration system designed for property and casualty insurers.
Target Market: Small - Mid
For brokerages handling sales, billing and claims for household goods, transit, cargo, marine and storage.
Target Market: Small - Mid
System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven.
Target Market: Mid - Large
Java-based, robust translation engine that supports all eleven HIPAA mandated transaction sets.
Target Market: Small - Mid
Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form.
Target Market: Small - Mid
Claims Management System for Insurance Company Claims Departments and TPAs with emphasis on complex litigation.
Target Market: Mid - Large
Comprehensive claim disbursement automation and interactive Payment Portal services.
Target Market: Mid - Large
Web based claims management system that handles lines including property, casualty, auto, marine, liability.
Target Market: Small - Large
Fully integrated customized claims processing solution for TPAs, self insured, claims administrators.
Target Market: Small - Mid
Flexible, effective and proven product for nearly any claims payment situation.
Target Market: Mid - Large
Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality.
Target Market: Small - Mid
Provides a complete solution for managing your database of quotations and policies.
Target Market: Small - Mid
Helps insurers and adjusters prioritize, implement and follow through with property claims.
Target Market: Small - Mid
Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems.
Target Market: Large
Advanced software to process claims, capitation, eligibility, referrals, authorizations, case management, etc.
Target Market: Mid - Large
Claims management with document imaging, communication management and risk management.
Target Market: Mid - Large
Electronically connects all parties involved in the claims process to streamline workflow and enhance productivity.
Target Market: Mid - Large
Designed for the independent claims appraiser, and provides all of the tools you will need to fully automate your claims office.
Target Market: Small - Mid
Covers all commercial lines, including workers' compensation, general liability and auto liability.
Target Market: Small - Mid
Replicates any manual operation activity performed by a human operator for processing claims.
Target Market: Mid - Large
Browser application for direct entry of incident reports into a database.
Target Market: Small - Large
Allows insurers, policy owners, brokers, and agents to have instant knowledge of the status of the claims.
Target Market: Mid
Effectively manage all phases of managed care, claims and TPA administration.
Target Market: Small - Mid
Policy claim administration for manufacturer, retailer/dealer and third party administrators.
Target Market: Large
Medical Claims Processing Software that streamlines and automates claims payment and medical case management.
Target Market: Small - Large
Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing.
Target Market: Mid - Large
Workers' compensation, safety, and OSHA claims management software.
Target Market: Mid - Large
Web-based insurance claims management software service for insurance adjusting firms, TPA's, and more.
Target Market: Mid
Web-based solution for policy management, claims processing and insurance agency administration.
Target Market: Mid - Large
Software solution to automate all aspects of claims processing/benefits administration.
Target Market: Small - Mid
P&C and Reinsurance policy administration and expert underwriting systems.
Target Market: Mid - Large
MODEL (Managing, Organizing and Documenting Every Loss) is a comprehensive Claims Management System.
Target Market: Mid
Web-based front end system for insurance agencies; includes policy, broker, agent, claims and client administration.
Target Market: Small
Features: Detailed policy, claim & claimant information; Reporting and Financial services; and more.
Target Market: Mid
Total environment designed to manage the needs of workers' compensation claims.
Target Market: Mid - Large
Provides vehicle service contract administrators a real-time approach to handle claim payments.
Target Market: Mid - Large
Comprehensive workers' compensation policy and claims administration system.
Target Market: Mid - Large
Allows property claim adjusters and contractors to process claims on-site.
Target Market: Mid
Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing.
Target Market: Mid - Large
Improving efficiencies within the healthcare billing process through automation and seamless integration.
Target Market: Mid
Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance.
Target Market: Mid - Large
Manages all insurance business processes from new business to claims.
Target Market: Mid - Large
Workers' compensation software system with policy and claims administration, document management and email alerts.
Target Market: Mid - Large
Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs.
Target Market: Mid - Large
Software for underwriting, new business processing, policy services, insurance billing, agent commissions.
Target Market: Mid
Web-based claims administration software; includes diary, notepad, payment processing, reserves and more.
Target Market: Mid
Software for scanning insurance claim forms and automating the collection and processing of claim payment data.
Target Market: Mid - Large
Can independently or collectively administer Medical, Dental, FSA, Disability, Vision and Medicaid/Medicare lines of business.
Target Market: Small
Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies.
Target Market: Mid - Large
Claims Administration Software systems for Health, Workers' Compensation, Consumer Driven Health Care, Flex and more.
Target Market: Mid - Large
Life insurance solution; product and policy management, billing, payments, compensation.
Target Market: Mid
Web-based claims estimation program for residential, commercial, and agricultural structures.
Target Market: Mid
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