Claims Processing Software Finder
Featured Software
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 [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 [more]
Comprehensive Directory
97 Solutions Listed
@Global - Allegro
Claims administration, care management and medical bill review software solution. [more]
Target Market: Mid - Large
AdvanTec Information Systems - CAMS
Simplifies management, record keeping and reporting. [more]
Target Market: Small - Mid
American Technical Services - Risk Management Information System
Web-based claims management system; worker's comp, multi-line liability, FROI, EDI, bill review, group health. [more]
Target Market: Small - Large
APP Technologies - Incident Management System
Powerfully handles the full range of operations required of claims administrators, self-insureds, and TPAs. [more]
Target Market: Small - Mid
Processes claims and takes cases through from information capture to invoicing. [more]
Target Market: Small - Mid
Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication. [more]
Target Market: Mid - Large
BEMAS Software - PayDirect
Suite of benefit management software solutions that will automate day-to-day claims and plan administration activities. [more]
Target Market: Mid
Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security. [more]
Target Market: Small - Mid
Burkitt Computer - W5
Features for: claim recording, time and expense recording, billing, reserve and payment control, and more. [more]
Target Market: Mid
Chordiant Software - Chordiant Claims Management
Automates the full range of claims processing to guide agents and CSRs through each step across multiple channels. [more]
Target Market: Mid - Large
City Computers - Polygonal
Insurance software system with underwriting, claims, accounting and reporting functions. [more]
Target Market: Small - Mid
ClaimBase - Panoramis
Claims management system specifically for the insurance industry. [more]
Target Market: Mid - Large
ClaimScape - ClaimScape
Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution. [more]
Target Market: Mid - Large
Provides coverage for the full claims life cycle, from claim intake and triage to adjudication and payment of benefits. [more]
Target Market: Small - Large
CMEwww SB - PayorLink
Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality. [more]
Target Market: Large
CODE Evolution - Virtual Claims Adjuster
Web-based claims management software designed to let you access the program from anywhere, at anytime. [more]
Target Market: Small - Mid
Concord Information Systems - Insurance Management System
Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable. [more]
Target Market: Small - Large
Cost Management Technology - Advanced Resolution Systems
Fully automated healthcare claims negotiation and repricing systems customized to meet any client's needs. [more]
Target Market: Small
DAVID - NavRisk
Streamlines claims, policy, reporting and overall business process management needs. [more]
Target Market: Small - Mid
Delphi Technology - OASIS
Component based, fully integrated, insurance processing system. [more]
Target Market: Mid - Large
Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims. [more]
Target Market: Small - Large
EDS SOLCORP - INGENIUM
A fully integrated insurance processing solution that provides comprehensive client-focused support. [more]
Target Market: Small - Large
ERIC Systems - Risk Manager
An integrated suite of programs for the administration of worker compensation and property & casualty claims. [more]
Target Market: Small - Large
Everest Automation - Claims Automation
Enhance collaboration between claims and legal teams while tracking litigation files and dates. [more]
Target Market: Mid - Large
Fadata - INSIS
Information system for all fields of insurance; policy administration and claims settlement. [more]
Target Market: Mid
FINEOS - FINEOS Claims
Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management. [more]
Target Market: Mid - Large
Garvin-Allen Solutions - Advanced Insurance System
Modular policy, quoting, billing and claim administration application. [more]
Target Market: Mid - Large
GenSource Integrated Risk Technologies - GenIRIS
Suite of claims administration applications covering workers' compensation, property and casualty and non-occupational disability. [more]
Target Market: Mid - Large
Hawkins Research - PowerClaim
Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more. [more]
Target Market: Mid - Large
HealthSoft Enterprise Systems - Mcare
Managed care software designed to pay medical claims, process referrals, track eligibility & monitor medical benefits. [more]
Target Market: Small - Mid
Hi-Tech Health - Series 3000
Claims processing solution with unlimited system variables that can be programmed to meet your specific needs. [more]
Target Market: Mid - Large
IDP - IDP::Claims
Manage everyday claims requirements, including salvage, subrogation and litigation processing, coverage limits editing and more. [more]
Target Market: Small - Large
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. [more]
Target Market: Mid - Large
Infoton - Insure
For brokerages handling sales, billing and claims for household goods, transit, cargo, marine and storage. [more]
Target Market: Small - Mid
Isoft - ClaimAdept
System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven. [more]
Target Market: Mid - Large
Java-based, robust translation engine that supports all eleven HIPAA mandated transaction sets. [more]
Target Market: Small - Mid
A desktop application for small billing agencies, collection agencies and home based billers. [more]
Target Market: Small - Mid
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. [more]
Target Market: Small - Mid
JDi Data - Claims Manager
Claims Management System for Insurance Company Claims Departments and TPAs with emphasis on complex litigation. [more]
Target Market: Mid - Large
Jopari Solutions - JopariPay
Comprehensive claim disbursement automation and interactive Payment Portal services. [more]
Target Market: Mid - Large
Web based claims management system that handles lines including property, casualty, auto, marine, liability. [more]
Target Market: Small - Large
Fully integrated customized claims processing solution for TPAs, self insured, claims administrators. [more]
Target Market: Small - Mid
Linnaeus - TheSys
Flexible, effective and proven product for nearly any claims payment situation. [more]
Target Market: Mid - Large
Managed Care Systems - Impact
Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality. [more]
Target Market: Small - Mid
Mandon Software - mPACS
Provides a complete solution for managing your database of quotations and policies. [more]
Target Market: Small - Mid
Marshall & Swift / Boeckh - IntegriClaim Suite
Helps insurers and adjusters prioritize, implement and follow through with property claims. [more]
Target Market: Small - Mid
Mastek - Claim Processing Engine
Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems. [more]
Target Market: Large
Medical Administrators International - SIGMA
Online multicurrency multilingual claims adjudication. [more]
Target Market: Small - Mid
MedVision - QuickCap
Advanced software to process claims, capitation, eligibility, referrals, authorizations, case management, etc. [more]
Target Market: Mid - Large
Merimen - Merimen IFE
Claims management with document imaging, communication management and risk management. [more]
Target Market: Mid - Large
Mitchell International - Mitchell WorkCenter
Platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently. [more]
Target Market: Small - Large
Mountain Microsystems - Auto-Appraiser 2000
Designed for the independent claims appraiser, and provides all of the tools you will need to fully automate your claims office. [more]
Target Market: Small - Mid
MountainView Software - ClaimZone Enterprise Edition
Covers all commercial lines, including workers' compensation, general liability and auto liability. [more]
Target Market: Small - Mid
Novin HPA - Electronic Staff
Replicates any manual operation activity performed by a human operator for processing claims. [more]
Target Market: Mid - Large
Occusoft - RiskPRO On-line Reporting
Browser application for direct entry of incident reports into a database. [more]
Target Market: Small - Large
Pac Total Solutions - ClaimsTracker
Allows insurers, policy owners, brokers, and agents to have instant knowledge of the status of the claims. [more]
Target Market: Mid
Patriot Managed Care Solutions - Patriot
Effectively manage all phases of managed care, claims and TPA administration. [more]
Target Market: Small - Mid
PCMI - SCS Administration System
Policy claim administration for manufacturer, retailer/dealer and third party administrators. [more]
Target Market: Large
Peak Performance Solutions - RiskEnvision
Supports risk management and claims functions including payments, reserve management, correspondence, policies, diary, reporting. [more]
Target Market: Small - Mid
Medical Claims Processing Software that streamlines and automates claims payment and medical case management. [more]
Target Market: Small - Large
ppoONE - WebDM/WebCR
Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing. [more]
Target Market: Mid - Large
ProForma Document Management Services - ProForma StaffR
Hosted document management solution that integrates with your current software securely and remotely. [more]
Target Market: Mid
Workers' compensation, safety, and OSHA claims management software. [more]
Target Market: Mid - Large
Quick Internet Software Solutions - Claims Management System
Web-based insurance claims management software service for insurance adjusting firms, TPA's, and more. [more]
Target Market: Mid
Radix - Insurance Management Software System
Web-based solution for policy management, claims processing and insurance agency administration. [more]
Target Market: Mid - Large
Software solution to automate all aspects of claims processing/benefits administration. [more]
Target Market: Small - Mid
Recordables - TrackAbility
Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability. [more]
Target Market: Mid - Large
Remedysoft - RemedyRoute
Auto dealer warranty submission system. [more]
Target Market: Mid - Large
Sapiens International - Sapiens INSIGHT
P&C and Reinsurance policy administration and expert underwriting systems. [more]
Target Market: Mid - Large
Scott Insurance - MODEL
MODEL (Managing, Organizing and Documenting Every Loss) is a comprehensive Claims Management System. [more]
Target Market: Mid
Simsol - Simsol for Adjusters
Provides adjusters and carriers with complete solution for assignment, estimating, documentation, data management for property claims. [more]
Target Market: Mid - Large
Smart-Insurer - SAVANT Virtual Insurer
Web-based front end system for insurance agencies; includes policy, broker, agent, claims and client administration. [more]
Target Market: Small
SPI Software Solutions - Insurance Claims Management System
Gives your adjusters and other personnel access to comprehensive customer, policy, claims and management information. [more]
Target Market: Mid
Startech Software - Eclipse WC
Total environment designed to manage the needs of workers' compensation claims. [more]
Target Market: Small - Large
StoneEagle Group - SEcureCard
Provides vehicle service contract administrators a real-time approach to handle claim payments. [more]
Target Market: Mid - Large
Support Systems International - CompSupport
Comprehensive workers' compensation policy and claims administration system. [more]
Target Market: Mid - Large
Symbility Solutions - mobile claims
Estimating platform and workflow management application for property and casualty claims. [more]
Target Market: Mid - Large
TC3 Health - TC3 Integrated Loss Control Solutions
Provides healthcare payers with a total claims management solution to validate payment integrity and maximize savings. [more]
Target Market: Mid - Large
TCP LifeSystems - Copernicus SS/G
Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing. [more]
Target Market: Mid - Large
The SSI Group - ClickON Claims Processing Tools
Improving efficiencies within the healthcare billing process through automation and seamless integration. [more]
Target Market: Mid
TIA Technology - TIA
Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance. [more]
Target Market: Mid - Large
Transactor Global Solutions - Transactor
Manages all insurance business processes from new business to claims. [more]
Target Market: Mid - Large
Tropics Software Technologies - Products Framework
Workers' compensation software system with policy and claims administration, document management and email alerts. [more]
Target Market: Mid - Large
Unicomp Associates - AutoMatch
Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs. [more]
Target Market: Mid - Large
United Systems and Software - Life and Health Administration System
Software for underwriting, new business processing, policy services, insurance billing, agent commissions. [more]
Target Market: Mid
Valley Oak Systems - iVOS
Web-based claims administration software; includes diary, notepad, payment processing, reserves and more. [more]
Target Market: Mid
Vaulthouse - ClaimAble
Web based claims management software, access claims from anywhere, upload photos, documents and track claim progress in real time. [more]
Target Market: Mid
Verbatim Claim Services - VS Investigator
Software product line for accident and crime scene reconstruction. [more]
Target Market: Mid - Large
Verity - MediClaim
Software for scanning insurance claim forms and automating the collection and processing of claim payment data. [more]
Target Market: Mid - Large
View Links - Insurify
Provides real time decision support along the entire process of underwriting, claims processing and claims investigation. [more]
Target Market: Mid - Large
Can independently or collectively administer Medical, Dental, FSA, Disability, Vision and Medicaid/Medicare lines of business. [more]
Target Market: Small - Mid
Whitespace Software - ClaimSuite
Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies. [more]
Target Market: Mid - Large
WLT Software - MediClaims
Claims Administration Software systems for Health, Workers' Compensation, Consumer Driven Health Care, Flex and more. [more]
Target Market: Mid - Large
Wyde - Wynsure
Life insurance solution; product and policy management, billing, payments, compensation. [more]
Target Market: Mid
Xactware - XactValue
Web-based claims estimation program for residential, commercial, and agricultural structures. [more]
Target Market: Mid
ZirMed - Claims Management System
Provides users power over the electronic claim filing process for both professional (HCFA-1500) and institutional (UB92) claims. [more]
Target Market: Mid - Large
Zylog Systems - ClaimsPoint
Web-based claims management software. [more]
Target Market: Mid - Large
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