Top Claims Processing Software Products

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Form.com is an enterprise platform designed for automating claims processing operations in the field for mid to large organizations. Everything is customizable. The platform's flexible technology lets you manage the onboarding and integration of claims data, online or offline. Features include: complex form logic, tasks, workflow, data models, API integration and offline data synchronization. Work with our team of solution experts from start to implementation. View Profile

SpyGlass

by Beacon Technologies

SpyGlass Health Claims Management System helps claims payers improve accuracy and automation via a remarkably easy to use and powerful application. Completely WEB based and built for HIPPA, SpyGlass cuts training and manual processes, helping customers gain a competitive advantage and focus on their higher value personal skills. Everything you would expect from a Google-era system. Create correspondence via Word templates, & export reports and screen search results to Excel via 1 clic View Profile

Virtual Benefits Administrator

by Virtual Benefits Administrator

View a FREE online demo to see how VBA reduces overhead and risk for all Health Care Plan and 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. View Profile

ClaimVantage Suite

by ClaimVantage

ClaimVantage provides a software solution that automates the claim process by utilizing unique business rules and workflows. Its modules eliminate manual processes and workarounds. It brings legacy systems into the 21st century, which creates a greener, more accurate, and efficient operation from intake to adjudication. Automating your claims operation gets your people focused on critical decisions, dramatically adds to capacity, and brings you best practices with industry leading data. View Profile

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. View Profile

HEALTHsuite

by RAM Technologies

HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans administering Medicaid and / or Medicare Advantage benefits. HEALTHsuite is a rules-based auto adjudication software solution designed to automate all aspects of enrollment / eligibility, benefit administration, provider contracting / reimbursement, premium billing, medical management, care management, claims adjudication, customer service, reporting and more. View Profile

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. View Profile

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. View Profile

Ahshay

by DataCare

Web-based medical case management and workers' comp software. View Profile

FileTrac

by Online Reporting

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

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

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. View Profile

A1 Tracker

by A1 Enterprise

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

OASIS

by Delphi Technology

Component based, fully integrated, insurance processing system. View Profile

Advanced Insurance System

by Garvin-Allen Solutions

Modular policy, quoting, billing and claim administration application. View Profile

Advanced Resolution Systems

by Cost Management Technology

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

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

Alyce

by Brightwork

Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security. View Profile

AquariumClaims

by Aquarium Software

Processes claims and takes cases through from information capture to invoicing. View Profile

AutoMatch

by Unicomp Corp. of America

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

BrightOffice | ClaimsCRM

by BrightOffice

Case Processing for Financial & many other Matter/Case Types View Profile

CAMS

by AdvanTec Information Systems

Simplifies management, record keeping and reporting. View Profile

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

ClaimAble

by ClaimAble

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

ClaimAdept

by Isoft

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

CLAIMExpert

by Acrometis

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

Claims Administration

by CS STARS

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

Claims Management System

by Quick Internet Software Solutions

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

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

Claims Manager

by JDi Data

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

Claims Processing

by Atrient

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

ClaimScape

by ClaimScape

Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution. View Profile

ClaimsPoint

by Anodas Software

Improving customer service and satisfaction, streamlining business processes, and reducing costs. View Profile

ClaimsTracker

by Pac Total Solutions

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

ClaimSuite

by Whitespace Software

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

ClaimsVision

by P&C Insurance Systems

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

ClaimZone Enterprise Edition

by MountainView Software

Covers all commercial lines, including workers' compensation, general liability and auto liability. View Profile

Improving efficiencies within the healthcare billing process through automation and seamless integration. View Profile

Code Evolution

by Virtual Claims Adjuster

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

Complete Claims

by Complete Health Systems

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

Copernicus SS/G

by TCP LifeSystems

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

CyberSource

by ComCom Systems

Medical claims forms scanning solution that provides data recognizing, validating and formatting. View Profile

D&R Manager

by MedFORCE Technologies

D&R Manager is a powerful denial management and reimbursement tool. View Profile

Eclipse WC

by Startech Software

Total environment designed to manage the needs of workers' compensation claims. View Profile

EdgeWise

by Employers Edge

Unemployment claims processing system for submitting claims online with real time notification functionality. View Profile

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. View Profile

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

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

FACTS

by Ebix

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

FileHandler

by JW Software

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

FINEOS Claims

by FINEOS

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

GeneralClaim

by eBaoTech

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

HealthRules Payor

by HealthEdge Software

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

HIPAA Claim Master

by Martin Scholl Consulting

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

I-CAPS

by W.O. Comstock & Associates

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

ICMS

by SPI Software Solutions

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

IDP::Claims

by IDP

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

Impact

by Managed Care Systems

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

INGENIUM

by Hewlett-Packard

A fully integrated insurance processing solution that provides comprehensive client-focused support. View Profile

INSIS

by Fadata

Information system for all fields of insurance; policy administration and claims settlement. View Profile

Insur-Claim

by HealthAxis

Claims processing, benefits administration, and self-service portals for health care benefits administration. View Profile

Insurance Management System

by Concord Information Systems

Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable. View Profile

Web-based solution for policy management, claims processing and insurance agency administration. View Profile

InsurancePlus Software Series

by United Systems and Software

Software for underwriting, new business processing, policy services, insurance billing, agent commissions. View Profile

Insure

by Infoton

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

IntegriClaim Suite

by Marshall & Swift / Boeckh

Helps insurers and adjusters prioritize, implement and follow through with property claims. View Profile

JopariPay

by Jopari Solutions

Comprehensive claim disbursement automation and interactive Payment Portal services. View Profile

Fully integrated customized claims processing solution for TPAs, self insured, claims administrators. View Profile

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. View Profile

MediClaims

by WLT Software

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

MedNeXt+

by MedNet International

Specialized software for the international health insurers business with back-office functionality, BI, and mobile applications. View Profile

Merimen IFE

by Merimen

Claims management with document imaging, communication management and risk management. View Profile

Mitchell WorkCenter

by Mitchell International

Platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently. View Profile

mobile claims

by Symbility Solutions

Estimating platform and workflow management application for property and casualty claims. View Profile

mPACS

by Mandon Software

Provides a complete solution for managing your database of quotations and policies. View Profile

Navicure

by Navicure

Internet-based medical claims clearinghouse that helps physician practices increase profitability through improved claims reimbursement View Profile

NavRisk

by DAVID

Streamlines claims, policy, reporting and overall business process management needs. View Profile

Panoramis

by ClaimBase

Claims management system specifically for the insurance industry. View Profile

Patriot

by Patriot Managed Care Solutions

Effectively manage all phases of managed care, claims and TPA administration. View Profile

PayorLink

by CMEwww SB

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

PBM Express

by Laker Software

Modular adjudication software designed to achieve accurate processing results. View Profile

Plexis Claims Manager

by Plexis Healthcare Systems

Medical Claims Processing Software that streamlines and automates claims payment and medical case management. View Profile

Polygonal

by City Computers

Insurance software system with underwriting, claims, accounting and reporting functions. View Profile

PowerClaim

by Hawkins Research

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

PowerSuite Claims

by StoneRiver

P&C claims management software for personal & commercial lines of business View Profile

Products Framework

by Tropics Software Technologies

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

Pyramid

by Clear Data Strategies

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

Risk Management Systems

by American Technical Services

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

Risk Manager

by ERIC Systems

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

RL6

by RL Solutions

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

Salient Suite 5.0 for Healthcare

by Salient Healthcare

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

Sapiens INSIGHT

by Sapiens International

P&C and Reinsurance policy administration and expert underwriting systems. View Profile

Policy claim administration for manufacturer, retailer/dealer and third party administrators. View Profile

SEcureCard

by StoneEagle Group

Provides vehicle service contract administrators a real-time approach to handle claim payments. View Profile

Series 3000

by Hi-Tech Health

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

SIGMA

by Medical Administrators International

Online multicurrency multilingual claims adjudication. View Profile

SIMS Claims

by Systema Software

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

Simsol Software

by Simultaneous Solutions

Simsol Software provides estimating and claims management solutions to the insurance industry. View Profile

Speedy Claims

by SpeedySoft USA

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

TIA

by TIA Technology

Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance. View Profile

TrackAbility

by Recordables

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

Transactor

by Transactor Global Solutions

Transactor offers a suite of insurance software products to cover every facet of the policy lifecycle. View Profile

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. View Profile

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

V3

by Vitech Systems Group

Software and for retirement, health and group benefit administration. View Profile

Venue Claims Management

by KLJ Computer Solutions

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

Vision for Claim Management

by Vitera Healthcare Solutions

A free web-based application for viewing and correcting existing claims. View Profile

W5

by Burkitt Computer

Features for: claim recording, time and expense recording, billing, reserve and payment control, and more. View Profile

WebDM/WebCR

by ppoONE

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

Wynsure

by Wyde

Life insurance solution; product and policy management, billing, payments, compensation. View Profile

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