Claims Processing Software Tools
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.
Featured Claims Processing 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 & 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 covers all commercial lines including Workers Comp, General and Property Liability. A Claims/Risk Management System designed to handle a full range of operations for self-insureds, claims administrators,and TPA's. IMS accurately and easily manages the claims process from the First Report of Injury, through documentation and communication, digital attachments, setting reserves, making payments, claim submission, subrogation, and bill review with pre-designed and custom reports. [Learn more]
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Prognos provides a powerful suite 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. [Learn more]
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]
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. [Learn more]
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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. [Learn more]
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. [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]
More Links: Beacon Technologies SpyGlass
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]
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]
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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]
Claims Processing: Comprehensive Directory
100 Solutions Listed
@Global - Allegro
Claims administration, care management and medical bill review software solution. [Learn more]
Business Size Served: Mid - Large
AdvanTec Information Systems - CAMS
Simplifies management, record keeping and reporting. [Learn more]
Business Size Served: 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. [Learn more]
Business Size Served: Small - Large
Anodas Software - ClaimsPoint
Improving customer service and satisfaction, streamlining business processes, and reducing costs. [Learn more]
Business Size Served: Mid
Aon eSolutions - iVOS
Web-based claims administration software; includes diary, notepad, payment processing, reserves and more. [Learn more]
Business Size Served: Mid
Powerfully handles the full range of operations required of claims administrators, self-insureds, and TPAs. [Learn more]
Business Size Served: Small - Mid
Processes claims and takes cases through from information capture to invoicing. [Learn more]
Business Size Served: Small - Mid
Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication. [Learn more]
Business Size Served: Mid - Large
BEMAS Software - PayDirect
Suite of benefit management software solutions that will automate day-to-day claims and plan administration activities. [Learn more]
Business Size Served: Mid
BrightOffice - BrightOffice | ClaimsCRM
Case Processing for Financial & Personal Injury Claims [Learn more]
Business Size Served: Small
Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security. [Learn more]
Business Size Served: Small - Mid
Burkitt Computer - W5
Features for: claim recording, time and expense recording, billing, reserve and payment control, and more. [Learn more]
Business Size Served: Mid
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]
Business Size Served: Mid - Large
City Computers - Polygonal
Insurance software system with underwriting, claims, accounting and reporting functions. [Learn more]
Business Size Served: Small - Mid
ClaimAble - ClaimAble
Web based claims management software, access claims from anywhere, upload photos, documents and track claim progress in real time. [Learn more]
Business Size Served: Mid
ClaimBase - Panoramis
Claims management system specifically for the insurance industry. [Learn more]
Business Size Served: Mid - Large
ClaimScape - ClaimScape
Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution. [Learn more]
Business Size Served: Mid - Large
Provides coverage for the full claims life cycle, from claim intake and triage to adjudication and payment of benefits. [Learn more]
Business Size Served: Small - Large
CMEwww SB - PayorLink
Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality. [Learn more]
Business Size Served: Large
CODE Evolution - Virtual Claims Adjuster
Web-based claims management software designed to let you access the program from anywhere, at anytime. [Learn more]
Business Size Served: Small - Mid
Concord Information Systems - Insurance Management System
Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable. [Learn more]
Business Size Served: Small - Large
Cost Management Technology - Advanced Resolution Systems
Fully automated healthcare claims negotiation and repricing systems customized to meet any client's needs. [Learn more]
Business Size Served: Small
DataCare - Ahshay
Paperless document workflow allows authorized users to create, access and update folder records from any browser. [Learn more]
Business Size Served: Large
DAVID - NavRisk
Streamlines claims, policy, reporting and overall business process management needs. [Learn more]
Business Size Served: Small - Mid
Delphi Technology - OASIS
Component based, fully integrated, insurance processing system. [Learn more]
Business Size Served: Mid - Large
eBaoTech - GeneralClaim
An online collaboration software for general insurance claims processing and management: life claim product available as well [Learn more]
Business Size Served: Mid - Large
Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims. [Learn more]
Business Size Served: Small - Large
EDS SOLCORP - INGENIUM
A fully integrated insurance processing solution that provides comprehensive client-focused support. [Learn more]
Business Size Served: Small - Large
ERIC Systems - Risk Manager
An integrated suite of programs for the administration of worker compensation and property & casualty claims. [Learn more]
Business Size Served: Small - Large
Everest Automation - Claims Automation
Enhance collaboration between claims and legal teams while tracking litigation files and dates. [Learn more]
Business Size Served: Mid - Large
Fadata - INSIS
Information system for all fields of insurance; policy administration and claims settlement. [Learn more]
Business Size Served: Mid
FINEOS - FINEOS Claims
Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management. [Learn more]
Business Size Served: Mid - Large
Garvin-Allen Solutions - Advanced Insurance System
Modular policy, quoting, billing and claim administration application. [Learn more]
Business Size Served: Mid - Large
GenSource Integrated Risk Technologies - GenIRIS
Suite of claims administration applications covering workers' compensation, property and casualty and non-occupational disability. [Learn more]
Business Size Served: Mid - Large
Hawkins Research - PowerClaim
Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more. [Learn more]
Business Size Served: Mid - Large
Managed care software designed to pay medical claims, process referrals, track eligibility & monitor medical benefits. [Learn more]
Business Size Served: Small - Mid
Hi-Tech Health - Series 3000
Claims processing solution with unlimited system variables that can be programmed to meet your specific needs. [Learn more]
Business Size Served: Mid - Large
IDP - IDP::Claims
Manage everyday claims requirements, including salvage, subrogation and litigation processing, coverage limits editing and more. [Learn more]
Business Size Served: 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. [Learn more]
Business Size Served: Mid - Large
Infoton - Insure
For brokerages handling sales, billing and claims for household goods, transit, cargo, marine and storage. [Learn more]
Business Size Served: Small - Mid
Isoft - ClaimAdept
System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven. [Learn more]
Business Size Served: Mid - Large
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]
Business Size Served: Small - Mid
JDi Data - Claims Manager
Claims management system for insurance company claims departments and TPAs with emphasis on complex litigation. [Learn more]
Business Size Served: Mid - Large
Jopari Solutions - JopariPay
Comprehensive claim disbursement automation and interactive Payment Portal services. [Learn more]
Business Size Served: Mid - Large
Web based claims management system that handles lines including property, casualty, auto, marine, liability. [Learn more]
Business Size Served: Small - Large
Fully integrated customized claims processing solution for TPAs, self insured, claims administrators. [Learn more]
Business Size Served: Small - Mid
Linnaeus - TheSys
Flexible, effective and proven product for nearly any claims payment situation. [Learn more]
Business Size Served: Mid - Large
Managed Care Systems - Impact
Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality. [Learn more]
Business Size Served: Small - Mid
Mandon Software - mPACS
Provides a complete solution for managing your database of quotations and policies. [Learn more]
Business Size Served: Small - Mid
Marshall & Swift / Boeckh - IntegriClaim Suite
Helps insurers and adjusters prioritize, implement and follow through with property claims. [Learn more]
Business Size Served: Small - Mid
Mastek - Claim Processing Engine
Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems. [Learn more]
Business Size Served: Large
Medical Administrators International - SIGMA
Online multicurrency multilingual claims adjudication. [Learn more]
Business Size Served: Small - Large
MedVision - QuickCap
Advanced software to process claims, capitation, eligibility, referrals, authorizations, case management, etc. [Learn more]
Business Size Served: Mid - Large
Merimen - Merimen IFE
Claims management with document imaging, communication management and risk management. [Learn more]
Business Size Served: Mid - Large
Mitchell International - Mitchell WorkCenter
Platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently. [Learn more]
Business Size Served: Small - Large
MountainView Software - ClaimZone Enterprise Edition
Covers all commercial lines, including workers' compensation, general liability and auto liability. [Learn more]
Business Size Served: Small - Mid
Novin HPA - Electronic Staff
Replicates any manual operation activity performed by a human operator for processing claims. [Learn more]
Business Size Served: Mid - Large
Occusoft - RiskPRO On-line Reporting
Browser application for direct entry of incident reports into a database. [Learn more]
Business Size Served: Small - Large
Pac Total Solutions - ClaimsTracker
Allows insurers, policy owners, brokers, and agents to have instant knowledge of the status of the claims. [Learn more]
Business Size Served: Mid
Patriot Managed Care Solutions - Patriot
Effectively manage all phases of managed care, claims and TPA administration. [Learn more]
Business Size Served: Small - Mid
PCMI - SCS Administration System
Policy claim administration for manufacturer, retailer/dealer and third party administrators. [Learn more]
Business Size Served: Large
Peak Performance Solutions - RiskEnvision
Supports risk management and claims functions including payments, reserve management, correspondence, policies, diary, reporting. [Learn more]
Business Size Served: Small - Mid
Medical Claims Processing Software that streamlines and automates claims payment and medical case management. [Learn more]
Business Size Served: Small - Large
ppoONE - WebDM/WebCR
Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing. [Learn more]
Business Size Served: Mid - Large
ProForma Document Management Services - ProForma StaffR
Hosted document management solution that integrates with your current software securely and remotely. [Learn more]
Business Size Served: Mid
Workers' compensation, safety, and OSHA claims management software. [Learn more]
Business Size Served: Mid - Large
Quick Internet Software Solutions - Claims Management System
Web-based insurance claims management software service for insurance adjusting firms, TPA's, and more. [Learn more]
Business Size Served: Mid
Radix - Insurance Management Software System
Web-based solution for policy management, claims processing and insurance agency administration. [Learn more]
Business Size Served: Mid - Large
Software solution to automate all aspects of claims processing/benefits administration. [Learn more]
Business Size Served: Small - Mid
Recordables - TrackAbility
Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability. [Learn more]
Business Size Served: Mid - Large
Remedysoft - RemedyRoute
Auto dealer warranty submission system. [Learn more]
Business Size Served: Mid - Large
Sapiens International - Sapiens INSIGHT
P&C and Reinsurance policy administration and expert underwriting systems. [Learn more]
Business Size Served: Mid - Large
Scott Insurance - MODEL
MODEL (Managing, Organizing and Documenting Every Loss) is a comprehensive Claims Management System. [Learn more]
Business Size Served: Mid
Simsol - Simsol for Adjusters
Provides adjusters and carriers with complete solution for assignment, estimating, documentation, data management for property claims. [Learn more]
Business Size Served: Mid - Large
Smart-Insurer - SAVANT Virtual Insurer
Web-based front end system for insurance agencies; includes policy, broker, agent, claims and client administration. [Learn more]
Business Size Served: Small
SPI Software Solutions - Insurance Claims Management System
Gives your adjusters and other personnel access to comprehensive customer, policy, claims and management information. [Learn more]
Business Size Served: Mid
Startech Software - Eclipse WC
Total environment designed to manage the needs of workers' compensation claims. [Learn more]
Business Size Served: Small - Large
StoneEagle Group - SEcureCard
Provides vehicle service contract administrators a real-time approach to handle claim payments. [Learn more]
Business Size Served: Mid - Large
StoneRiver - PowerSuite Claims
P&C claims management software for personal & commercial lines of business [Learn more]
Business Size Served: Mid - Large
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]
Business Size Served: Mid - Large
Support Systems International - CompSupport
Comprehensive workers' compensation policy and claims administration system. [Learn more]
Business Size Served: Mid - Large
Symbility Solutions - mobile claims
Estimating platform and workflow management application for property and casualty claims. [Learn more]
Business Size Served: 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. [Learn more]
Business Size Served: Mid - Large
TCP LifeSystems - Copernicus SS/G
Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing. [Learn more]
Business Size Served: Mid - Large
The SSI Group - ClickON Claims Processing Tools
Improving efficiencies within the healthcare billing process through automation and seamless integration. [Learn more]
Business Size Served: Mid
TIA Technology - TIA
Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance. [Learn more]
Business Size Served: Mid - Large
Transactor Global Solutions - Transactor
Manages all insurance business processes from new business to claims. [Learn more]
Business Size Served: Mid - Large
Tropics Software Technologies - Products Framework
Workers' compensation software system with policy and claims administration, document management and email alerts. [Learn more]
Business Size Served: Mid - Large
Unicomp Associates - AutoMatch
Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs. [Learn more]
Business Size Served: Mid - Large
United Systems and Software - Life and Health Administration System
Software for underwriting, new business processing, policy services, insurance billing, agent commissions. [Learn more]
Business Size Served: Mid
Verbatim Claim Services - VS Investigator
Software product line for accident and crime scene reconstruction. [Learn more]
Business Size Served: Mid - Large
View Links - Insurify
Provides real time decision support along the entire process of underwriting, claims processing and claims investigation. [Learn more]
Business Size Served: Mid - Large
Can independently or collectively administer Medical, Dental, FSA, Disability, Vision and Medicaid/Medicare lines of business. [Learn more]
Business Size Served: Small - Mid
VS Visual Statement - FX3 Claims
Provides claims adjusters, investigators and reconstructionists with a simple to use program tailored to meet their needs. [Learn more]
Business Size Served: Mid - Large
Whitespace Software - ClaimSuite
Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies. [Learn more]
Business Size Served: Mid - Large
WLT Software - MediClaims
Benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs and Self Administered Groups. [Learn more]
Business Size Served: Small - Large
Wyde - Wynsure
Life insurance solution; product and policy management, billing, payments, compensation. [Learn more]
Business Size Served: Mid
Xactware - XactValue
Web-based claims estimation program for residential, commercial, and agricultural structures. [Learn more]
Business Size Served: Mid
ZirMed - Claims Management System
Provides users power over the electronic claim filing process for both professional (HCFA-1500) and institutional (UB92) claims. [Learn more]
Business Size Served: Mid - Large
Zylog Systems - ClaimsPoint
Web-based claims management software. [Learn more]
Business Size Served: Mid - Large
