Top Claims Processing Software Products

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Virtual Benefits Administrator

by Virtual Benefits Administrator

View a FREE online demo to see how VBA reduces your overhead and your risk for all Employee Benefit Administration. Flexibility, Functionality, and Technology are the 3 key factors in achieving and maintaining a leadership role in a competitive, ever-changing healthcare market and VBA is the leader in all 3 Learn More

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. Enterprise and cloud solutions available. Learn More

CaseworksPro

by Insurance Technology Solutions

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

HEALTHsuite

by RAM Technologies

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 automate complex benefit offerings including Medicare, Medicaid, Indemnity, HMO, Correctional Health and Federal Employee products. Learn More

QuickCap

by MedVision

QuickCap is an advanced healthcare claim processing system that is 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

Note writing software for medicaid waiver providers. Write a billable, person centered, well formatted, and detailed progress note. Learn More

Smart Audit Master (SAM)

by Phoenix Business Computing

Software for larger medical insurance companies that consolidates all claim audit in one place and finds potential payment defects. Learn More

A1 Tracker

by A1 Enterprise

New generation claims software designed to meet unique business needs, bring value to your business, & streamline claims management. Learn More

OASIS

by Delphi Technology

Component based, fully integrated, insurance processing system. Learn More

AcceleHealth

by Aldera

Comprehensive benefit management system offers Payers a single Web-based system for administering benefits across all lines of business Learn More

Advanced Insurance System

by Garvin-Allen Solutions

Modular policy, quoting, billing and claim administration application. Learn More

Advanced Resolution Systems

by Cost Management Technology

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

Ahshay

by DataCare

Paperless document workflow allows authorized users to create, access and update folder records from any browser. Learn More

Allegro

by @Global

Claims administration, care management and medical bill review software solution. Learn More

Alyce

by Brightwork

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

AquariumClaims

by Aquarium Software

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

AutoMatch

by Unicomp Corp. of America

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

BrightOffice | ClaimsCRM

by BrightOffice

Case Processing for Financial & many other Matter/Case Types Learn More

CAMS

by AdvanTec Information Systems

Simplifies management, record keeping and reporting. Learn More

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

ClaimAble

by ClaimAble

Web based claims management software, access claims from anywhere, upload photos, documents and track claim progress in real time. Learn More

ClaimAdept

by Isoft

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

CLAIMExpert

by Acrometis

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

Claims Administration

by CS STARS

Claims administration software that includes online portal, EDI forms, incident and claim reporting functionality. Learn More

Claims Management System

by Quick Internet Software Solutions

Web-based insurance claims management software service for insurance adjusting firms, TPA's, and more. Learn More

Provides users power over the electronic claim filing process for both professional (HCFA-1500) and institutional (UB92) claims. Learn More

Claims Manager

by JDi Data

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

Claims Processing

by Atrient

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

ClaimScape

by ClaimScape

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

ClaimsPoint

by Anodas Software

Improving customer service and satisfaction, streamlining business processes, and reducing costs. Learn More

ClaimsTracker

by Pac Total Solutions

Allows insurers, policy owners, brokers, and agents to have instant knowledge of the status of the claims. Learn More

ClaimSuite

by Whitespace Software

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

ClaimsVision

by P&C Insurance Systems

Suite of claims administration applications covering workers' compensation, property and casualty and non-occupational disability. Learn More

ClaimVantage Suite

by ClaimVantage

Provides coverage for the full claims life cycle, from claim intake and triage to adjudication and payment of benefits. Learn More

ClaimZone Enterprise Edition

by MountainView Software

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

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

Code Evolution

by Virtual Claims Adjuster

Web-based claims management software designed to let you access the program from anywhere, at anytime. Learn More

Complete Claims

by Complete Health Systems

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

Copernicus SS/G

by TCP LifeSystems

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

CyberSource

by ComCom Systems

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

Eclipse WC

by Startech Software

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

EdgeWise

by Employers Edge

Unemployment claims processing system for submitting claims online with real time notification functionality. Learn More

EDI Smart Reader

by Akili Software

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

Integrated, flexible software solution for creating claims with intuitive data entry and support for compliance with state mandates. Learn More

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

FACTS

by Ebix

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

FileHandler

by JW Software

Designed to administer claims for TPAs, Carriers, Self Insured Entities, Municipalities and Risk Pools. Learn More

FileTrac

by Online Reporting

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

FINEOS Claims

by FINEOS

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

GeneralClaim

by eBaoTech

An online collaboration software for general insurance claims processing and management: life claim product available as well Learn More

HealthRules Payor

by HealthEdge Software

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

HIPAA Claim Master

by Martin Scholl Consulting

Electronic claims transaction management solution with medical claims export & imaging, EDI files creation from database records. Learn More

I-CAPS

by W.O. Comstock & Associates

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

ICMS

by SPI Software Solutions

A system that gives your adjusters and other personnel access to comprehensive customer, policy, claims and management information. Learn More

IDP::Claims

by IDP

Manage everyday claims requirements, including salvage, subrogation and litigation processing, coverage limits editing and more. Learn More

Impact

by Managed Care Systems

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

INGENIUM

by Hewlett-Packard

A fully integrated insurance processing solution that provides comprehensive client-focused support. Learn More

INSIS

by Fadata

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

Insur-Claim

by HealthAxis

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

Insurance Management System

by Concord Information Systems

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

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

InsurancePlus Software Series

by United Systems and Software

Software for underwriting, new business processing, policy services, insurance billing, agent commissions. Learn More

Insure

by Infoton

For brokerages handling sales, billing and claims for household goods, transit, cargo, marine and storage. Learn More

IntegriClaim Suite

by Marshall & Swift / Boeckh

Helps insurers and adjusters prioritize, implement and follow through with property claims. Learn More

JopariPay

by Jopari Solutions

Comprehensive claim disbursement automation and interactive Payment Portal services. Learn More

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

LMS

by Street Solutions

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

MediClaims

by WLT Software

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

Merimen IFE

by Merimen

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

Mitchell WorkCenter

by Mitchell International

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

mobile claims

by Symbility Solutions

Estimating platform and workflow management application for property and casualty claims. Learn More

mPACS

by Mandon Software

Provides a complete solution for managing your database of quotations and policies. Learn More

Navicure

by Navicure

Internet-based medical claims clearinghouse that helps physician practices increase profitability through improved claims reimbursement Learn More

NavRisk

by DAVID

Streamlines claims, policy, reporting and overall business process management needs. Learn More

Panoramis

by ClaimBase

Claims management system specifically for the insurance industry. Learn More

Patriot

by Patriot Managed Care Solutions

Effectively manage all phases of managed care, claims and TPA administration. Learn More

PayDirect

by BEMAS Software

Suite of benefit management software solutions that will automate day-to-day claims and plan administration activities. Learn More

PayorLink

by CMEwww SB

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

PBM Express

by Laker Software

Modular adjudication software designed to achieve accurate processing results. Learn More

Plexis Claims Manager

by Plexis Healthcare Systems

Medical Claims Processing Software that streamlines and automates claims payment and medical case management. Learn More

Polygonal

by City Computers

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

PowerClaim

by Hawkins Research

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

PowerSuite Claims

by StoneRiver

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

Products Framework

by Tropics Software Technologies

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

Pyramid

by Clear Data Strategies

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

Risk Management Systems

by American Technical Services

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

Risk Manager

by ERIC Systems

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

RL6

by RL Solutions

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

Salient Suite 5.0 for Healthcare

by Salient Healthcare

Comprehensive suite for healthcare organizations with data analysis functionality, dashboard creation, and storyboard capabilities. Learn More

Sapiens INSIGHT

by Sapiens International

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

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

SEcureCard

by StoneEagle Group

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

Series 3000

by Hi-Tech Health

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

SIGMA

by Medical Administrators International

Online multicurrency multilingual claims adjudication. Learn More

SIMS Claims

by Systema Software

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

Simsol 4.0

by Simultaneous Solutions

Powerful estimating and loss documentation software for insurance restoration contractors. Learn More

Speedy Claims

by SpeedySoft USA

Insurance claim form software that provides claims tracking, CMS 1500 forms filling, integrated calendar and providers database. Learn More

SpyGlass

by Beacon Technologies

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

TIA

by TIA Technology

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

TrackAbility

by Recordables

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

Transactor

by Transactor Global Solutions

Manages all insurance business processes from new business to claims. Learn More

Truck Insurance Form Automation

by J&J Technology Consulting

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

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

V3

by Vitech Systems Group

Software and for retirement, health and group benefit administration. Learn More

Venue Claims Management

by KLJ Computer Solutions

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

Vision for Claim Management

by Vitera Healthcare Solutions

A free web-based application for viewing and correcting existing claims. Learn More

W5

by Burkitt Computer

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

WebDM/WebCR

by ppoONE

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

Wynsure

by Wyde

Life insurance solution; product and policy management, billing, payments, compensation. Learn More

XactValue

by Xactware

Web-based claims estimation program for residential, commercial, and agricultural structures. Learn More

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