Claims Processing Software

Find the best Claims Processing Software for your business. Compare product reviews and features to build your list.

What is Claims Processing Software?

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Virtual Benefits Administrator

by Virtual Benefits Administrator

One solution for all benefits administration. Any benefits plan can be built and managed: medical, dental, vision, life and disability, Medicaid, Medicare, Medicare Supplement, care management and long-term care health benefits, flexible spending accounts (FSAs), health savings accounts (HSAs), health reimbursement accounts (HRAs) and COBRA. All transactions are real time, including integrated online payments, cost containment, fraud and abuse edits, provider matching and pricing. Learn more about Virtual Benefits Administrator

Manage all Health Care benefits including Medical, Dental, Life, Disability, Vision, FLEX, COBRA, Medicaid/Medicare/MedSupp on 1 system Learn more about Virtual Benefits Administrator

Waystar, the combination of ZirMed and Navicure, empowers healthcare organizations to optimize their revenue cycle with end-to-end, cloud-based RCM solutions, including hospital & healthcare systems, physician groups, DMEs, billing services, clinics, labs & more! You'll get the best technology and cloud-based software solutions available, combined with fast, flexible architecture and award-winning client support. And as industry developments occur, we'll be here helping you stay ahead. Learn more about Waystar

Waystar offers end-to-end revenue cycle management tools to improve payer reimbursement and patient collections. Learn more about Waystar

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. Learn more about PLEXIS Payer Platforms

PLEXIS delivers trusted enterprise core administration and claims management software to leading payer organizations across the globe. Learn more about PLEXIS Payer Platforms

We pride ourselves on making simple, affordable claims management software. We've had enough of the insurance industry lagging behind in the technology front, with often expensive, complicated and bloated software. At Claimable, we believe that details matter, and our software has been carefully crafted to provide the tools necessary for timely and efficient claims management. Learn more about Claimable

Customer-first claims management software for your business. Streamline your workflow, go paperless and settle more claims! Learn more about Claimable

Patch is an online insurance assistant that helps healthcare providers and patients understand out-of-network benefits in minutes and submit claims online. No more dealing with insurance companies by phone or submitting claims by paper. Using Patch, healthcare providers can let patients know the exact reimbursement amount to expect and automatically submit an optimized claim on their behalf. Learn more about Patch

Healthcare professionals can now leverage insurance benefits while avoiding the constraints of being in-network Learn more about Patch

A1 Tracker

by A1 Enterprise

Highly customizable and user-friendly claims management software with custom reports, workflow, notices, letters, notifications, reminders, document management, & web portal. Claim types include medical, insurance, injury, auto, asset, 3rd party, class action, litigation, taxi, occupational workers compensation, OSHA, and more. Track subrogation, litigation, approval history, expenses, costs, payments, and reserves. Fully hosted or self hosted with professional support & training. Learn more about A1 Tracker

New generation claims software designed to meet unique business needs, bring value to your business, & streamline claims management. Learn more about A1 Tracker

Claims

by ClaimVantage

The Claim management software solution is state-of-the-art. Designed to process both group and individual life and health claims on one digital platform. Supporting a broad range of policy benefits, the software leverages a claimant-centric approach to help you deliver superior customer service with efficiency and accuracy. The Claim software solution is hosted on the secure Salesforce Lightning Platform, built by industry experts that will change the way you process claims forever. Learn more about Claims

The ClaimFirst Solution provides full life cycle claims management, for Life and Health claims Learn more about Claims

DataCare provides software solutions for the workers' compensation industry to better manage medical treatment and billing. Our Medical Process Manager and UR platforms help integrate a medical aspect to the claims workflow and expedite the communication process between the URO and requesting physician. While our Care++ mobile application was created for patients to communicate with their nurses, adjusters and claims staff can also send/receive messages to/from the application. Learn more about Ahshay

Web-based SaaS medical case management, utilization review, and claims enhancement software. Learn more about Ahshay

FileHandler Enterprise is an intuitive claims administration system designed to help streamline and automate workflows for the claims and risk management market. Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software. Learn more about FileHandler

FileHandler Enterprise will transform your companys data into rich visuals built and defined by you. Learn more about FileHandler

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. Learn more about Incident Management System

Claims & risk management system for P&C, workers comp, auto and general liability. In- house enterprise systems and cloud services. Learn more about Incident Management System

Trusted by over 60,000 mental health professionals, TherapyNotes helps behavioral health therapists manage their practices more efficiently through an easy-to-use, secure platform for notes, billing, scheduling, and more. TherapyNotes simplifies administrative work, giving practitioners more time and energy to focus on providing effective care for their clients. Learn more about TherapyNotes.com

Trusted by over 60,000 mental health professionals, TherapyNotes EHR software helps therapists manage their practices more efficiently. Learn more about TherapyNotes.com

PDSpectrum

by Priority Data

PDSpectrum is a robust modern policy processing system for P&C Insurance Companies, MGAs, and Program Administrators. PDSpectrum includes: administration, accounting, billing, claims, rating, underwriting, document management, and agent inquiry & quoting. It provides full data connections and integrations to major risk assessment partners. PDSpectrum is hosted, supported and maintained by Priority Data and accessed by company staff, agents and their partners via a secure web-browser connection. Learn more about PDSpectrum

PDSpectrum is a cloud-based policy administration system that easily manages your business such sales, accounting, billing, and more. Learn more about PDSpectrum

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. Learn more about CaseworksPro

Web based Claims Administration System supporting a wide range of claim processing requirements. Learn more about CaseworksPro

Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs. Learn more about Us4U

Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs. Learn more about Us4U

This is a secure, standards based, cloud-based electronic claims processing and low volume adjudication Software. This Software is suitable for TPAs, ASOs, IPAs & BPOs. Features include claims validation, claims adjudication, aggregated data access and handling of denials & rejections. The software provides both Provider access and TPA administrator access to process claims. The Software is available for monthly subscription. Learn more about expEDIum Claims Portal

This is a secure, standards based, cloud-based electronic claims processing and low volume adjudication Software. Learn more about expEDIum Claims Portal

FileTrac

by Online Reporting

The # 1 ranked Claim management system for independent adjusters, TPA's, MGA's, & Mutual Ins. Co.'s. System does not apply to Public Adjusters. 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. Best suited for companies with 85+ claims per month. Learn more about FileTrac

The # 1 ranked Claim management system for independent adjusters. Integrates with QuickBooks, Outlook and all estimating software. Learn more about FileTrac

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. Learn more about HEALTHsuite

Comprehensive benefit administration system and claims processing software solution designed for Medicaid and Medicare health plans. Learn more about HEALTHsuite

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. Learn more about QuickCap

Advanced software to process claims, capitation, eligibility, referrals, authorizations, case management, etc. Learn more about QuickCap

The Origami Risk RMIS and claims management platform was designed by industry veterans committed to helping clients streamline the collection, analysis and reporting of risk information. Our innovative, web based software is designed with the latest technology and is focused on ease-of use, performance and dependability. Each client is managed by a service team member with years of experience who supports the client from implementation to ongoing maintenance. Learn more about Origami Risk

RMIS and claims management platform helps clients streamline the collection,analysis and reporting of risk and claims data. Learn more about Origami Risk

bestPT

by Billing Dynamix

Billing Dynamix has invested the past decade improving and automating the "Straight Through Process" to reduce billing delays, remove the potential causes of denials, and monitor for underpayments. This leads to reduced collection times, greater compliance and higher reimbursements. It provides you complete transparency and control over your billing processes. Reduce the risk of errors and delays by integrating with your EHR. In-house or Full Service programs available. Learn more about bestPT

The most powerful and customizable billing and RCM system available. Integrates with your EHR. Inhouse of Full Service options. Learn more about bestPT

DuxWare

by Medical Practice Software

DuxWare was "cloud based" before the term was even invented. Our users have grown with us for over 26 years and in the process taught us how to support and make DuxWare perfect for their practices. Perfect because DuxWare allows them to move efficiently through their daily routine in clinics large and small. Perfect because, at the end of the day, the PROVIDERS GET PAID. Why? DuxWare gets it right and our support team has been in their shoes. Call us to become part of the DuxWare family today! Learn more about DuxWare

Web Based Practice Management Software incorporating an effective Clinical Claim Scrubber. Learn more about DuxWare

Mize Warranty software enables global manufacturers to streamline all warranty processes including inspections, registrations, service plans, claims, returns, supplier recovery, and warranty analysis. Mize warranty help companies to improve customer satisfaction, reduce warranty costs, and improve product quality. Mize warranty software is easy to use, configure, and integrate. Request a demo now to learn how you can optimize warranty management and maximize service contract sales. Learn more about Mize Warranty Software

Mize Warranty software enables manufacturers to streamline warranty processes, reduce warranty costs, and improve product quality. Learn more about Mize Warranty Software

NextGen Population Health

by NextGen Population Health

Our population health solutions enable collaborative care that help you enhance care quality. Learn more about NextGen Population Health

Our population health solutions enable collaborative care that help you enhance care quality. Learn more about NextGen Population Health

Speedy Claims

by SpeedySoft USA

Very easy to use software for insurance billing, CMS 1500 forms filling, payment tracking and patient billing. Learn more about Speedy Claims

Very easy to use software for insurance billing, CMS 1500 forms filling, payment tracking and patient billing. Learn more about Speedy Claims

The All-in-One EHR, Practice Management, and Billing Solution that Adapts to Your Practice. Custom built for over 25 specialties! Learn more about Intelligent Medical Software

The All-in-One EHR, Practice Management, and Billing Solution that Adapts to Your Practice. Custom built for over 25 specialties! Learn more about Intelligent Medical Software

As the industry leaders in claim management software for over a decade, we provide secure on-line claims software to clients worldwide. Learn more about Virtual Claims Adjuster

As the industry leaders in claim management software for over a decade, we provide secure on-line claims software to clients worldwide. Learn more about Virtual Claims Adjuster

Orchestra One

by Orchestra One

Orchestra One is a practice management platform made for chiropractors. Learn more about Orchestra One

Orchestra One is a practice management platform made for chiropractors. Learn more about Orchestra One

Record360

by Record360

Record360 offers industry leading software for digital condition documentation, asset condition management, and claims management. Learn more about Record360

Record360 offers industry leading software for digital condition documentation, asset condition management, and claims management. Learn more about Record360

HIPAAsuite

by HIPAAsuite

HIPAAsuite, a market leader in HIPAA EDI transactions. We have products for every HIPAA transaction including CORE Certified solutions. Learn more about HIPAAsuite

HIPAAsuite, a market leader in HIPAA EDI transactions. We have products for every HIPAA transaction including CORE Certified solutions. Learn more about HIPAAsuite

Simsol Software

by Simultaneous Solutions

Simsol Software provides software solutions to create construction estimates and claims documentation for the property insurance and co Learn more about Simsol Software

Simsol Software provides software solutions to create construction estimates and claims documentation for the property insurance and co Learn more about Simsol Software

HealthQx

by Change Healthcare

Improve company's reimbursement plan with analytics system that includes specific network analysis and budget planning capabilities. Learn more about HealthQx

Improve company's reimbursement plan with analytics system that includes specific network analysis and budget planning capabilities. Learn more about HealthQx

Mitchell WorkCenter

by Mitchell International

Platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently. Learn more about Mitchell WorkCenter

Platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently. Learn more about Mitchell WorkCenter

CaseBlocks

by EmergeAdapt

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

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

System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven. Learn more about ClaimAdept

System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven. Learn more about ClaimAdept

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. Learn more about ClickClaims

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

INSIS

by Fadata

Information system for all fields of insurance; policy administration and claims settlement. Learn more about INSIS

Information system for all fields of insurance; policy administration and claims settlement. Learn more about INSIS

Claims management with document imaging, communication management and risk management. Learn more about Merimen IFE

Claims management with document imaging, communication management and risk management. Learn more about Merimen IFE

RL6

by RL Solutions

Healthcare claims management solution that designed to track financial transactions, capture and analyze detailed insurance coverage. Learn more about RL6

Healthcare claims management solution that designed to track financial transactions, capture and analyze detailed insurance coverage. Learn more about RL6

SmartSimple CMS360

by SmartSimple Software

Accident benefit claims and referral management solution used by insurers, health care providers and independent medical examiners. Learn more about SmartSimple CMS360

Accident benefit claims and referral management solution used by insurers, health care providers and independent medical examiners. Learn more about SmartSimple CMS360

Claims management system for insurance company claims departments and TPAs with emphasis on complex litigation. Learn more about Claims Manager

Claims management system for insurance company claims departments and TPAs with emphasis on complex litigation. Learn more about Claims Manager

Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management. Learn more about FINEOS Claims

Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management. Learn more about FINEOS Claims

Healthaxis

by HealthAxis

Claims processing, benefits administration, and self-service portals for health care benefits administration. Learn more about Healthaxis

Claims processing, benefits administration, and self-service portals for health care benefits administration. Learn more about Healthaxis

Cases CRM

by BrightOffice Cloud CRM

Case Management Software, a cloud based software which allows the users to manage their cases from start to finish Learn more about Cases CRM

Case Management Software, a cloud based software which allows the users to manage their cases from start to finish Learn more about Cases CRM

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

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

Advanced Insurance System

by Garvin-Allen Solutions

Modular policy, quoting, billing and claim administration application. Learn more about Advanced Insurance System

Modular policy, quoting, billing and claim administration application. Learn more about Advanced Insurance System

Advanced Resolution Systems

by Cost Management Technology

Fully automated healthcare claims negotiation and repricing systems customized to meet any client's needs. Learn more about Advanced Resolution Systems

Fully automated healthcare claims negotiation and repricing systems customized to meet any client's needs. Learn more about Advanced Resolution Systems

All Payer Exchange

by All Payer Exchange

Web-based claims processing solution that helps with managing revenue cycle and scheduling patient appointments online. Learn more about All Payer Exchange

Web-based claims processing solution that helps with managing revenue cycle and scheduling patient appointments online. Learn more about All Payer Exchange

Alyce

by Brightwork

Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security. Learn more about Alyce

Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security. Learn more about Alyce

AquariumClaims

by Aquarium Software

Processes claims and takes cases through from information capture to invoicing. Learn more about AquariumClaims

Processes claims and takes cases through from information capture to invoicing. Learn more about AquariumClaims

AutoMatch

by Unicomp Corp. of America

Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs. Learn more about AutoMatch

Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs. Learn more about AutoMatch

Solutions for Sales, New Business, Underwriting, Policy Maintenance, Billing, Collections, Commissions, Customer Service, and Claims. Learn more about BizFlow Insurance

Solutions for Sales, New Business, Underwriting, Policy Maintenance, Billing, Collections, Commissions, Customer Service, and Claims. Learn more about BizFlow Insurance

BriteCore

by Intuitive Web Solutions

All-in-one policy administration and insurance processing system designed for P&C carrier, MGA, and InsureTech companies. Learn more about BriteCore

All-in-one policy administration and insurance processing system designed for P&C carrier, MGA, and InsureTech companies. Learn more about BriteCore

CAMS

by AdvanTec Information Systems

Simplifies management, record keeping and reporting. Learn more about CAMS

Simplifies management, record keeping and reporting. Learn more about CAMS

Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems. Learn more about Claim Processing Engine

Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems. Learn more about Claim Processing Engine

ClaimBook

by Attune Technologies

ClaimBook helps hospitals by accelerating the overall discharge process of insured patients, enhances Hospital revenue collection. Learn more about ClaimBook

ClaimBook helps hospitals by accelerating the overall discharge process of insured patients, enhances Hospital revenue collection. Learn more about ClaimBook

Cutting-edge technology platform, proprietary workflows, and unique rules-driven engine completely automates the claim handling process Learn more about CLAIMExpert

Cutting-edge technology platform, proprietary workflows, and unique rules-driven engine completely automates the claim handling process Learn more about CLAIMExpert

ClaimPilot

by Quick Internet

Web-based claims management system with features such as functional security and reporting. Learn more about ClaimPilot

Web-based claims management system with features such as functional security and reporting. Learn more about ClaimPilot

Claims management and processing solution to help reduce business costs and the time spent during the insurance claims process. Learn more about Claims Management Software

Claims management and processing solution to help reduce business costs and the time spent during the insurance claims process. Learn more about Claims Management Software

Modular software with claim scrubbing, dashboard, eligibility verification, electronic remittance advice for large practice providers. Learn more about Claims Processing

Modular software with claim scrubbing, dashboard, eligibility verification, electronic remittance advice for large practice providers. Learn more about Claims Processing

A complete claims management software solution for insurance Claims, Property Claims, Workers Compensation Claims. Learn more about Claims Software

A complete claims management software solution for insurance Claims, Property Claims, Workers Compensation Claims. Learn more about Claims Software

Claims.io

by Claims.io

Claims management software for loss adjusters, claims managers, fleet managers, smash repairers, brokers & insurers. Learn more about Claims.io

Claims management software for loss adjusters, claims managers, fleet managers, smash repairers, brokers & insurers. Learn more about Claims.io

ClaimScape

by DataGenix

Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution. Learn more about ClaimScape

Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution. Learn more about ClaimScape

CLAIMSplus

by Addiox Technologies

Our robust electronic claims administration systems are tried and true, giving our clients the type of transparency Learn more about CLAIMSplus

Our robust electronic claims administration systems are tried and true, giving our clients the type of transparency Learn more about CLAIMSplus

ClaimSuite

by Whitespace Software

Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies. Learn more about ClaimSuite

Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies. Learn more about ClaimSuite

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

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

ClaimZone Enterprise Edition

by MountainView Software

Covers all commercial lines, including workers' compensation, general liability and auto liability. Learn more about ClaimZone Enterprise Edition

Covers all commercial lines, including workers' compensation, general liability and auto liability. Learn more about ClaimZone Enterprise Edition

Complete Claims

by Complete Health Systems

Claims processing and payment software with unlimited plans, on-line repricing and PPO fee schedules capabilities. Learn more about Complete Claims

Claims processing and payment software with unlimited plans, on-line repricing and PPO fee schedules capabilities. Learn more about Complete Claims

Conexia

by Conexia

Real-time healthcare administration solution designed to make administrative tasks easier. Learn more about Conexia

Real-time healthcare administration solution designed to make administrative tasks easier. Learn more about Conexia

CyberSource

by ComCom Systems

Medical claims forms scanning solution that provides data recognizing, validating and formatting. Learn more about CyberSource

Medical claims forms scanning solution that provides data recognizing, validating and formatting. Learn more about CyberSource

Delphi Claims

by Delphi Technology

Reduce losses via integrated claims tracking system that offers data capture capability for FNOL, NOL, and FROI. Learn more about Delphi Claims

Reduce losses via integrated claims tracking system that offers data capture capability for FNOL, NOL, and FROI. Learn more about Delphi Claims

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. Learn more about EDI Smart Reader

Simple yet powerful Electronic Response File Reader that translates Medicare HIPAA 5010 277CA and 999 responses into a readable format. Learn more about EDI Smart Reader

Delivers the information, insight and action insurance companies need to get the most out of their claims payment processors. Learn more about Enkata for Healthcare Claims Processing

Delivers the information, insight and action insurance companies need to get the most out of their claims payment processors. Learn more about Enkata for Healthcare Claims Processing

eobXL

by Optiform

Minimize costs associated with processing paper EOB forms using the best components in pattern recognition technology. Learn more about eobXL

Minimize costs associated with processing paper EOB forms using the best components in pattern recognition technology. Learn more about eobXL

EvoClaim

by 3Sixty Systems

Leading claims management system to optimise your claims handling. Exceptional reporting and automation help reduce claims burden. Learn more about EvoClaim

Leading claims management system to optimise your claims handling. Exceptional reporting and automation help reduce claims burden. Learn more about EvoClaim

Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims. Learn more about FACTS

Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims. Learn more about FACTS

FBCS is a powerful software solution that simplifies the administration and tracking of claims. Learn more about Fee Basis Claims System

FBCS is a powerful software solution that simplifies the administration and tracking of claims. Learn more about Fee Basis Claims System

HealthRules Payor

by HealthEdge Software

Claims and benefits administration solution for health plans managing & processing. Provides the patented configuration feature. Learn more about HealthRules Payor

Claims and benefits administration solution for health plans managing & processing. Provides the patented configuration feature. Learn more about HealthRules Payor

I-CAPS

by W.O. Comstock & Associates

Claims adjudication and processing system that includes payee accounting, automated correspondence, anesthesia pricing capabilities. Learn more about I-CAPS

Claims adjudication and processing system that includes payee accounting, automated correspondence, anesthesia pricing capabilities. Learn more about I-CAPS

Impact

by Managed Care Systems

Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality. Learn more about Impact

Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality. Learn more about Impact

Insurance Management System

by Concord Information Systems

Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable. Learn more about Insurance Management System

Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable. Learn more about Insurance Management System

Web-based solution for policy management, claims processing and insurance agency administration. Learn more about Insurance Policy Administration

Web-based solution for policy management, claims processing and insurance agency administration. Learn more about Insurance Policy Administration

InsurancePlus

by United Systems and Software

Robust software for underwriting, new business processing, policy services, billing, agent commissions, and claims adjudication. Learn more about InsurancePlus

Robust software for underwriting, new business processing, policy services, billing, agent commissions, and claims adjudication. Learn more about InsurancePlus

Intellect Claims

by intellectSEEC

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

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

JopariPay

by Jopari Solutions

Comprehensive claim disbursement automation and interactive Payment Portal services. Learn more about JopariPay

Comprehensive claim disbursement automation and interactive Payment Portal services. Learn more about JopariPay

Fully integrated customized claims processing solution for TPAs, self insured, claims administrators. Learn more about KMR Claims Manager

Fully integrated customized claims processing solution for TPAs, self insured, claims administrators. Learn more about KMR Claims Manager

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. Learn more about LMS Suite

Loan management platform for secondary markets. A true end-to-end platform for managing all loan processes from acquisition to exit. Learn more about LMS Suite

MediClaims

by WLT Software

Benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs and Self Administered Groups. Learn more about MediClaims

Benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs and Self Administered Groups. Learn more about MediClaims

MedNeXt+

by MedNet International

MedNeXt+ with its Operational and BI systems and its 6 interfaces is a complete, enterprise-wide health insurance solution Learn more about MedNeXt+

MedNeXt+ with its Operational and BI systems and its 6 interfaces is a complete, enterprise-wide health insurance solution Learn more about MedNeXt+

mobileClaims

by Symbility Solutions

Symbility Mobile Claims is a multi-platform enabled field estimating solution used to document, estimate, and close a claim quickly. Learn more about mobileClaims

Symbility Mobile Claims is a multi-platform enabled field estimating solution used to document, estimate, and close a claim quickly. Learn more about mobileClaims

MyClaimStatus

by Medical Payment Exchange

Automated process for interrogating payor portals to identify denied, pending or unprocessed claims in real time for fast reimbursement Learn more about MyClaimStatus

Automated process for interrogating payor portals to identify denied, pending or unprocessed claims in real time for fast reimbursement Learn more about MyClaimStatus

Payapps

by Payapps

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

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

PayorLink

by PayorLink

Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality. Learn more about PayorLink

Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality. Learn more about PayorLink

PBM Express

by Laker Software

Modular adjudication software designed to achieve accurate processing results. Learn more about PBM Express

Modular adjudication software designed to achieve accurate processing results. Learn more about PBM Express

Policy claim administration for manufacturer, retailer/dealer and third party administrators. Learn more about PCRS

Policy claim administration for manufacturer, retailer/dealer and third party administrators. Learn more about PCRS

PlanXpand

by Acero Health Technologies

Platform manages real-time, shared benefit accumulators; ACA cost-sharing reduction subsidies; CDH plan designs (HRA) for payors. Learn more about PlanXpand

Platform manages real-time, shared benefit accumulators; ACA cost-sharing reduction subsidies; CDH plan designs (HRA) for payors. Learn more about PlanXpand

Polygonal

by City Computers

Insurance software system with underwriting, claims, accounting and reporting functions. Learn more about Polygonal

Insurance software system with underwriting, claims, accounting and reporting functions. Learn more about Polygonal

PowerClaim

by Hawkins Research

Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more. Learn more about PowerClaim

Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more. Learn more about PowerClaim

P&C claims management software for personal & commercial lines of business Learn more about PowerSuite Claims

P&C claims management software for personal & commercial lines of business Learn more about PowerSuite Claims

Pyramid

by Clear Data Strategies

An online claims processing and policy administration solution for P & C / workers compensation policies. Learn more about Pyramid

An online claims processing and policy administration solution for P & C / workers compensation policies. Learn more about Pyramid

Risk Management Systems

by American Technical Services

Web-based claims management system; worker's comp, multi-line liability, FROI, EDI, bill review, group health. Learn more about Risk Management Systems

Web-based claims management system; worker's comp, multi-line liability, FROI, EDI, bill review, group health. Learn more about Risk Management Systems

Risk Manager

by ERIC Systems

An integrated suite of programs for the administration of worker compensation and property & casualty claims. Learn more about Risk Manager

An integrated suite of programs for the administration of worker compensation and property & casualty claims. Learn more about Risk Manager

Sapiens INSIGHT

by Sapiens International

P&C and Reinsurance policy administration and expert underwriting systems. Learn more about Sapiens INSIGHT

P&C and Reinsurance policy administration and expert underwriting systems. Learn more about Sapiens INSIGHT

ScanNStore

by DocuStream

Claim scanning and document storage solution for healthcare industry. Works with a variety of scanners and databases. Learn more about ScanNStore

Claim scanning and document storage solution for healthcare industry. Works with a variety of scanners and databases. Learn more about ScanNStore

SEcureCard

by StoneEagle

Provides vehicle service contract administrators a real-time approach to handle claim payments. Learn more about SEcureCard

Provides vehicle service contract administrators a real-time approach to handle claim payments. Learn more about SEcureCard

Series 3000

by Hi-Tech Health

Claims processing solution with unlimited system variables that can be programmed to meet your specific needs. Learn more about Series 3000

Claims processing solution with unlimited system variables that can be programmed to meet your specific needs. Learn more about Series 3000

SIGMA

by Medical Administrators International

Online multicurrency multilingual claims adjudication. Learn more about SIGMA

Online multicurrency multilingual claims adjudication. Learn more about SIGMA

SIMS Claims

by Systema Software

Web-based modular claims management system that integrates with Bing Maps and MS Office, offers notepad templates, mobile access. Learn more about SIMS Claims

Web-based modular claims management system that integrates with Bing Maps and MS Office, offers notepad templates, mobile access. Learn more about SIMS Claims

Solar Eclipse

by Startech Software

Total environment designed to manage the needs of workers' compensation claims. Learn more about Solar Eclipse

Total environment designed to manage the needs of workers' compensation claims. Learn more about Solar Eclipse

SpyGlass

by Beacon Technologies

Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication. Learn more about SpyGlass

Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication. Learn more about SpyGlass

SS/G

by TCP LifeSystems

Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing. Learn more about SS/G

Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing. Learn more about SS/G

Improving efficiencies within the healthcare billing process through automation and seamless integration. Learn more about SSI Claims Management

Improving efficiencies within the healthcare billing process through automation and seamless integration. Learn more about SSI Claims Management

Teamworks IRO

by IRO Solutions

Teamworks software for IRO, peer review, and insurance companies. Learn more about Teamworks IRO

Teamworks software for IRO, peer review, and insurance companies. Learn more about Teamworks IRO

TIA

by TIA Technology

Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance. Learn more about TIA

Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance. Learn more about TIA

TrackAbility

by Recordables

Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability. Learn more about TrackAbility

Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability. Learn more about TrackAbility

Tropics Claims System

by Tropics Software Technologies

Workers' compensation software system with policy and claims administration, document management and email alerts. Learn more about Tropics Claims System

Workers' compensation software system with policy and claims administration, document management and email alerts. Learn more about Tropics Claims System

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. Learn more about 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 about Truck Insurance Form Automation

Software suite that offers healthcare payers a total claims management solution to validate payment integrity and maximize savings. Learn more about TrueClaim Payment Integrity

Software suite that offers healthcare payers a total claims management solution to validate payment integrity and maximize savings. Learn more about TrueClaim Payment Integrity

V3

by Vitech Systems Group

Enterprise-class software for hedge fund, private equity and alternative asset administration. Learn more about V3

Enterprise-class software for hedge fund, private equity and alternative asset administration. Learn more about V3

Venue Claims Management

by KLJ Computer Solutions

Web based claims management system that handles lines including property, casualty, auto, marine, liability. Learn more about Venue Claims Management

Web based claims management system that handles lines including property, casualty, auto, marine, liability. Learn more about Venue Claims Management

W5

by Burkitt Computer

Features for: claim recording, time and expense recording, billing, reserve and payment control, and more. Learn more about W5

Features for: claim recording, time and expense recording, billing, reserve and payment control, and more. Learn more about W5

Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing. Learn more about WebDM/WebCR

Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing. Learn more about WebDM/WebCR

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What is Claims Processing Software?

Claims Processing software automates insurance claims management, electronic submission and collections.


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