KMR Medical Claims Manager
by KMR Systems
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
- Accounting Integration
- ACH Payment Processing
- Adjustor Management
- Assign Claims
- Case Management
- Claim & Customer Account History
- Claim Resolution Tracking
- Co-Pay & Deductible Management
- COBRA Administration
- Compliance Management
- CRM Integration
- Custom User Interface
- Customer Service Integration
- Customizable Fields
- Customizable Functionality
- Customizable Reporting
- Data Import/Export
- Electronic Submission
- Forms Management
- HIPAA Compliance
- HMO Management
- Legacy System Integration
- Membership Management
- Mobile Access
- Multi-Currency
- Multi-Language
- Multiple Benefit Programs Support
- Paper-Based Claims
- Payor Management
- Policy Administration
- PPO Management
- Premium Billing
- Provider Credentialing
- Reporting
- Self-Insured Management
- Serves Dental Insurance
- Serves Disability Insurance
- Serves Health / Medical Insurance
- Serves Public Adjusters
- Serves Workers' Compensation
- TPA Management
- Workflow Management
- X12 EDI Translation
Available on the following platforms: Windows, Web Based, Open Source, Other
Support available: Regular Business Hours, Online/Self Service