Top Claims Processing Software Products

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FEATURED PRODUCTS

PLEXIS Payer Platforms

by PLEXIS Healthcare Systems

PLEXIS Healthcare Systems is a leading payer technology company that delivers trusted enterprise core administration and claims management solutions to healthcare payers and delivery systems around the globe. PLEXIS ignites growth, innovation, and efficiencies across diverse business lines for payer organizations such as health plans, dental plans, vision plans, TPAs, cost containment companies, specialty groups, government healthcare, and international insurers. 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

Logikcull helps you process insurance claims by making documents and data easily searchable and understandable. It is easy to use and zero cost to implement and maintain. Simply drag and drop your files into Logikcull and they are uploaded securely to Logikcull's Discovery Automation platform. Files are processed and organized for review automatically. Start a project in 5 minutes on any device from anywhere. No hardware, software or vendors needed. Powerful simplicity is the name of the game. View Profile

Speedy Claims is possibly the easiest to use software available anywhere for billing your patients and insurance companies whether by paper or electronically. An easy to use point and click interface showing the actual CMS 1500 form on the screen makes filling out a claim simple and coupled with our error checking scrubber makes it accurate and powerful. Speedy Ledger makes it easy to track insurance payments and create patient statements. Try us free for 30 days! 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

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

Us4U

by Us4U

Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs. View Profile

QuickCap

by MedVision

QuickCap is an advanced healthcare claim processing system 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

Browser-based multi-line claims administration system designed to support carriers, third-party administrators, public entities and self insured organizations in administering claims for all lines of business including workers compensation, auto, liability and property. View Profile

FileTrac

by Online Reporting

The # 1 ranked Claim management system for independent adjusters, TPA's, MGA's, & Mutual Ins. Co.'s. Entire system is based on the input from our 1000's of Users. . Integrates with Outlook, Quick Books, Xactimate, Xactanalysis, Symbility, NFIP/NFS, LEDES and Google Maps. FileTrac also offers an Adjuster Database module that allows you to track licenses, certificates and so many other criterias. View Profile

A1 Tracker

by A1 Enterprise

New generation web-based claims software, ever evolving and creating new value for businesses to help them save both time and money. Claims software covers a vast array of claims business systems, including liability claims, insurance claims, natural disaster claims, employee injury and workplace claims, asset claims, automobile claims, 3rd party claims, class action claims, and litigation claims. Fully hosted and self hosted deployment models, technical support, training, and data migrations. 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

Cloud based complete claims management system that support a number of industries worldwide. Call us today at (416) 855 9317 View Profile

Ahshay

by DataCare

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

ClickClaims

by E-Claim.com

Carriers, TPAs and IA Firms choose ClickClaims over the competition because it fits every user's expectation and business requirement. View Profile

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

A web-based automated medical claims solution that has a variety of features including online referrals & authorizations management. View Profile

OASIS

by Delphi Technology

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

Act-isure

by Activus

Act-isure is a medical and protection insurance system supporting products, policy, enrolment & billing, claims & accounts management. 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

BizFlow Insurance

by BizFlow

Solutions for Sales, New Business, Underwriting, Policy Maintenance, Billing, Collections, Commissions, Customer Service, and Claims. View Profile

BrightOffice | ClaimsCRM

by BrightOffice

Case Management Software with Workflow-Processing for many different Case Types. View Profile

BriteCore

by Intuitive Web Solutions

All-in-one policy administration and insurance processing system designed for small to mid-sized insurance companies. View Profile

CAMS

by AdvanTec Information Systems

Simplifies management, record keeping and reporting. View Profile

CaseBlocks

by EmergeAdapt

CaseBlocks for Claims Management provides a platform for managing the end-to-end claims process. 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

Claimable is a powerful, web based claims management system which offers an array of innovative tools to help you manage your claims. 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

ClaimFirst

by ClaimVantage

The ClaimFirst Solution provides full life cycle claims management, for Life and Health claims View Profile

ClaimPilot

by Quick Internet

Web-based claims management system with features such as functional security and reporting. View Profile

Claims Administration

by CS STARS

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

ZirMed provides users power over the electronic claim filing process for both professional and institutional 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

Claims Software

by Claim Ruler

A complete claims management software solution for insurance Claims, Property Claims, Workers Compensation Claims. 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 PCIS

ClaimsVision PCIS' multi-line claims management solution. SaaS deployed, leveraging latest technology to optimize the claims process. 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

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

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 EDI Smart Reader

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

Emdeon Office Suite

by Change Healthcare

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

EvoClaim

by 3Sixty Systems

Leading claims management system to optimise your claims handling. Exceptional reporting and automation help reduce claims burden. View Profile

FACTS

by Ebix

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

FBCS is a powerful software solution that simplifies the administration and tracking of claims. View Profile

FINEOS Claims

by FINEOS

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

Robust software for underwriting, new business processing, policy services, billing, agent commissions, and claims adjudication. View Profile

Intellect Claims

by intellectSEEC

Intellect Claims provides comprehensive proactive claim management for life, annuity, disability, critical illness and long term care. 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 Suite

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

multi-platform enabled field estimating solution View Profile

Navicure

by Navicure

Cloud-based healthcare billing and payment solutions to help organizations of all sizes collect more and stress less. View Profile

NavRisk

by DAVID

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

Origami Risk

by Origami Risk

RMIS and claims management platform helps clients streamline the collection,analysis and reporting of risk and claims data. 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 PayorLink

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

PCRS

by PCMI

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

Progressclaim.com

by Progressclaim.com

A mobile collaboration tool suitable for all contractors designed to streamline the claims processing procedure. 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

Sapiens INSIGHT

by Sapiens International

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

SEcureCard

by StoneEagle

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

SpyGlass

by Beacon Technologies

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

Teamworks IRO

by IRO Solutions

Teamworks software for IRO, peer review, and insurance companies. 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

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

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