Claims Processing Software Tools
106 solutions found. Filter these results to match your needs.
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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. [Learn more]
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 [Learn more]
Virtual Benefits Administrator is a highly customizable and comprehensive enterprise application used to administer all aspects of benefits management. Utilizing a modular design, Virtual Benefits Administrator can independently or collectively administer Medical, Dental, FSA, Disability, Vision and Medicaid/Medicare lines of business. [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. Built-in reports and ad hoc reporting get the meaningful data you need when you need it. [Learn more]
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 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]
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. [Learn more]
HealthSoft provides cost-effective, innovative healthcare information technology solutions for managed care organizations (IPAs, MSOs, PHOs), benefit administrators, health plans, TPAs and other payers searching to improve productivity, reduce operation costs, and optimize administrative process. Automate claims processing and adjudication, manage health plans, streamline referral processes, track eligibility, manage individual or group medical benefits, custom report generation and analysis. [Learn more]
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]
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. [Learn more]
SpyGlass Health Claims Management System helps claims payers improve business performance. Completely WEB based and built for HIPPA, SpyGlass increases automation and efficiencies, letting users generate new revenues and gain an advantage in the marketplace. SpyGlass enhances accuracy, minimizes manual labor, and streamlines the health claims management process. [Learn more]
All Claims Processing Software
106 Solutions Listed
@Global - Allegro
Claims administration, care management and medical bill review software solution. [Learn more]
AdvanTec Information Systems - CAMS
Simplifies management, record keeping and reporting. [Learn more]
American Technical Services - Risk Management Information System
Web-based claims management system; worker's comp, multi-line liability, FROI, EDI, bill review, group health. [Learn more]
Anodas Software - ClaimsPoint
Improving customer service and satisfaction, streamlining business processes, and reducing costs. [Learn more]
Aon eSolutions - iVOS
Web-based claims administration software; includes diary, notepad, payment processing, reserves and more. [Learn more]
Powerfully handles the full range of operations required of claims administrators, self-insureds, and TPAs. [Learn more]
Aquarium Software - AquariumClaims
Processes claims and takes cases through from information capture to invoicing. [Learn more]
Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication. [Learn more]
BEMAS Software - PayDirect
Suite of benefit management software solutions that will automate day-to-day claims and plan administration activities. [Learn more]
BrightOffice - BrightOffice | ClaimsCRM
Case Processing for Financial & Personal Injury Claims [Learn more]
Brightwork - Alyce
Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security. [Learn more]
Burkitt Computer - W5
Features for: claim recording, time and expense recording, billing, reserve and payment control, and more. [Learn more]
Chordiant Software - Chordiant Claims Management
Automates the full range of claims processing to guide agents and CSRs through each step across multiple channels. [Learn more]
City Computers - Polygonal
Insurance software system with underwriting, claims, accounting and reporting functions. [Learn more]
ClaimAble - ClaimAble
Web based claims management software, access claims from anywhere, upload photos, documents and track claim progress in real time. [Learn more]
ClaimBase - Panoramis
Claims management system specifically for the insurance industry. [Learn more]
ClaimScape - ClaimScape
Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution. [Learn more]
Provides coverage for the full claims life cycle, from claim intake and triage to adjudication and payment of benefits. [Learn more]
CMEwww SB - PayorLink
Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality. [Learn more]
CODE Evolution - Virtual Claims Adjuster
Web-based claims management software designed to let you access the program from anywhere, at anytime. [Learn more]
Concord Information Systems - Insurance Management System
Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable. [Learn more]
Cost Management Technology - Advanced Resolution Systems
Fully automated healthcare claims negotiation and repricing systems customized to meet any client's needs. [Learn more]
DataCare - Ahshay
Paperless document workflow allows authorized users to create, access and update folder records from any browser. [Learn more]
DAVID - NavRisk
Streamlines claims, policy, reporting and overall business process management needs. [Learn more]
Delphi Technology - OASIS
Component based, fully integrated, insurance processing system. [Learn more]
eBaoTech - GeneralClaim
An online collaboration software for general insurance claims processing and management: life claim product available as well [Learn more]
Ebix - FACTS
Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims. [Learn more]
Ebix RM - RiskEnvision
Supports risk management and claims functions including payments, reserve management, correspondence, policies, diary, reporting. [Learn more]
EDS SOLCORP - INGENIUM
A fully integrated insurance processing solution that provides comprehensive client-focused support. [Learn more]
ERIC Systems - Risk Manager
An integrated suite of programs for the administration of worker compensation and property & casualty claims. [Learn more]
Everest Automation - Claims Automation
Enhance collaboration between claims and legal teams while tracking litigation files and dates. [Learn more]
Fadata - INSIS
Information system for all fields of insurance; policy administration and claims settlement. [Learn more]
FINEOS - FINEOS Claims
Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management. [Learn more]
Garvin-Allen Solutions - Advanced Insurance System
Modular policy, quoting, billing and claim administration application. [Learn more]
GenSource Integrated Risk Technologies - GenIRIS
Suite of claims administration applications covering workers' compensation, property and casualty and non-occupational disability. [Learn more]
Hawkins Research - PowerClaim
Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more. [Learn more]
Healthation - AcceleHealth
Comprehensive benefit management system offers Payers a single Web-based system for administering benefits across all lines of business [Learn more]
Healthaxis - Insur-Claim
Claims processing, benefits administration, and self-service portals for health care benefits administration. [Learn more]
Managed care software designed to pay medical claims, process referrals, track eligibility & monitor medical benefits. [Learn more]
Hi-Tech Health - Series 3000
Claims processing solution with unlimited system variables that can be programmed to meet your specific needs. [Learn more]
IDP - IDP::Claims
Manage everyday claims requirements, including salvage, subrogation and litigation processing, coverage limits editing and more. [Learn more]
INDIO Software - Claims Management Database
Allows the manager to enter, assign, track and close virtually an unlimited number of claims by an unlimited number of adjusters. [Learn more]
Infoton - Insure
For brokerages handling sales, billing and claims for household goods, transit, cargo, marine and storage. [Learn more]
Web based Claims Administration System supporting a wide range of claim processing requirements. [Learn more]
Isoft - ClaimAdept
System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven. [Learn more]
iTech Workshop - expEDIum Claims Portal
Java-based, robust translation engine that supports all eleven HIPAA mandated transaction sets. [Learn more]
J&J Technology Consulting - Truck Insurance Form Automation
Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form. [Learn more]
JDi Data - Claims Manager
Claims management system for insurance company claims departments and TPAs with emphasis on complex litigation. [Learn more]
Jopari Solutions - JopariPay
Comprehensive claim disbursement automation and interactive Payment Portal services. [Learn more]
Web based claims management system that handles lines including property, casualty, auto, marine, liability. [Learn more]
Fully integrated customized claims processing solution for TPAs, self insured, claims administrators. [Learn more]
Linnaeus - TheSys
Flexible, effective and proven product for nearly any claims payment situation. [Learn more]
Managed Care Systems - Impact
Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality. [Learn more]
Mandon Software - mPACS
Provides a complete solution for managing your database of quotations and policies. [Learn more]
Marshall & Swift / Boeckh - IntegriClaim Suite
Helps insurers and adjusters prioritize, implement and follow through with property claims. [Learn more]
Mastek - Claim Processing Engine
Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems. [Learn more]
Medical Administrators International - SIGMA
Online multicurrency multilingual claims adjudication. [Learn more]
Advanced software to process claims, capitation, eligibility, referrals, authorizations, case management, etc. [Learn more]
Merimen - Merimen IFE
Claims management with document imaging, communication management and risk management. [Learn more]
Mitchell International - Mitchell WorkCenter
Platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently. [Learn more]
MountainView Software - ClaimZone Enterprise Edition
Covers all commercial lines, including workers' compensation, general liability and auto liability. [Learn more]
Novin HPA - Electronic Staff
Replicates any manual operation activity performed by a human operator for processing claims. [Learn more]
Occusoft - RiskPRO On-line Reporting
Browser application for direct entry of incident reports into a database. [Learn more]
Pac Total Solutions - ClaimsTracker
Allows insurers, policy owners, brokers, and agents to have instant knowledge of the status of the claims. [Learn more]
Patriot Managed Care Solutions - Patriot
Effectively manage all phases of managed care, claims and TPA administration. [Learn more]
PCMI - SCS Administration System
Policy claim administration for manufacturer, retailer/dealer and third party administrators. [Learn more]
Medical Claims Processing Software that streamlines and automates claims payment and medical case management. [Learn more]
ppoONE - WebDM/WebCR
Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing. [Learn more]
ProForma Document Management Services - ProForma StaffR
1 reviewHosted document management solution that integrates with your current software securely and remotely. [Learn more]
PureSafety - Prognos Workers Compensation Claims Management
Workers' compensation, safety, and OSHA claims management software. [Learn more]
Quick Internet Software Solutions - Claims Management System
Web-based insurance claims management software service for insurance adjusting firms, TPA's, and more. [Learn more]
Radix - Insurance Management Software System
Web-based solution for policy management, claims processing and insurance agency administration. [Learn more]
Software solution to automate all aspects of claims processing/benefits administration. [Learn more]
Recordables - TrackAbility
Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability. [Learn more]
Remedysoft - RemedyRoute
Auto dealer warranty submission system. [Learn more]
Sapiens International - Sapiens INSIGHT
P&C and Reinsurance policy administration and expert underwriting systems. [Learn more]
ScerIS - Sceris PAS
A robust process automation system that satisfies the needs of several industries. [Learn more]
Scott Insurance - MODEL
MODEL (Managing, Organizing and Documenting Every Loss) is a comprehensive Claims Management System. [Learn more]
Simsol - Simsol 4.0
Powerful estimating and loss documentation software for insurance restoration contractors. [Learn more]
Smart-Insurer - SAVANT Virtual Insurer
Web-based front end system for insurance agencies; includes policy, broker, agent, claims and client administration. [Learn more]
SPI Software Solutions - Insurance Claims Management System
Gives your adjusters and other personnel access to comprehensive customer, policy, claims and management information. [Learn more]
Startech Software - Eclipse WC
Total environment designed to manage the needs of workers' compensation claims. [Learn more]
StoneEagle Group - SEcureCard
Provides vehicle service contract administrators a real-time approach to handle claim payments. [Learn more]
StoneRiver - PowerSuite Claims
P&C claims management software for personal & commercial lines of business [Learn more]
Street Solutions - LMS
Loan management platform for secondary markets. A true end-to-end platform for managing all loan processes from acquisition to exit. [Learn more]
Support Systems International - CompSupport
Comprehensive workers' compensation policy and claims administration system. [Learn more]
Symbility Solutions - mobile claims
Estimating platform and workflow management application for property and casualty claims. [Learn more]
TC3 Health - TC3 Integrated Loss Control Solutions
Provides healthcare payers with a total claims management solution to validate payment integrity and maximize savings. [Learn more]
TCP LifeSystems - Copernicus SS/G
Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing. [Learn more]
The SSI Group - ClickON Claims Processing Tools
Improving efficiencies within the healthcare billing process through automation and seamless integration. [Learn more]
TIA Technology - TIA
Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance. [Learn more]
Transactor Global Solutions - Transactor
Manages all insurance business processes from new business to claims. [Learn more]
Tropics Software Technologies - Products Framework
Workers' compensation software system with policy and claims administration, document management and email alerts. [Learn more]
Unicomp Associates - AutoMatch
Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs. [Learn more]
United Systems and Software - Life and Health Administration System
Software for underwriting, new business processing, policy services, insurance billing, agent commissions. [Learn more]
Verbatim Claim Services - VS Investigator
Software product line for accident and crime scene reconstruction. [Learn more]
View Links - Insurify
Provides real time decision support along the entire process of underwriting, claims processing and claims investigation. [Learn more]
Can independently or collectively administer Medical, Dental, FSA, Disability, Vision and Medicaid/Medicare lines of business. [Learn more]
VS Visual Statement - FX3 Claims
Provides claims adjusters, investigators and reconstructionists with a simple to use program tailored to meet their needs. [Learn more]
Whitespace Software - ClaimSuite
Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies. [Learn more]
WLT Software - MediClaims
Benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs and Self Administered Groups. [Learn more]
Wyde - Wynsure
Life insurance solution; product and policy management, billing, payments, compensation. [Learn more]
Xactware - XactValue
Web-based claims estimation program for residential, commercial, and agricultural structures. [Learn more]
Zed Axis Technologies - Zed-Service
360 Degree After-Sales Service Management Software Suite [Learn more]
ZirMed - Claims Management System
Provides users power over the electronic claim filing process for both professional (HCFA-1500) and institutional (UB92) claims. [Learn more]
Zylog Systems - ClaimsPoint
Web-based claims management software. [Learn more]
About Claims Processing Software
Claims Processing software automates insurance claims management, electronic submission and collections. These applications offer a full feature suite of efficient claims processing management tools along with integrated accounting and customer relationship management (CRM) solutions. Claims Processing software offers real-time processing and reporting on the administrative and revenue generation activities for insurance industry firms, employee health plans and benefit managers. They cater to a variety of product sectors including life, health, automotive, COBRA, workers compensation, employer liability and others. Claims Processing software is related to Insurance Policy software and Medical Billing software.
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