163 results
Why Capterra is free
PLEXIS delivers trusted enterprise core administration and claims management software to leading payer organizations across the globe. Learn more about PLEXIS Payer Platforms
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 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...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
This fully-customizable online app allows storage & management of information about claims, patients, staff and claim processing stages Learn more about TeamDesk
Preconfigured web-based database application that allows the storage and management of information about claims, patients, staff (e.g. claims processor, manager), claim processing stages and dispute areas. The system is fully customizable: you can manage your data the way you want to and modify the application any time you need to reflect each and every detail important in your business. TeamDesk provides unlimited records, unlimited storage, unlimited support, stable rates and free trial. Learn more about TeamDesk
Preconfigured web-based database application that allows the storage and management of information about claims, patients, staff (e.g. claims processor, manager), claim processing stages and dispute ar...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Comprehensive benefit administration system and claims processing software solution designed for Medicaid and Medicare health plans. Learn more about HEALTHsuite
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
HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans administering Medicaid and / or Medicare Advantage benefits. HEALTHsuite ...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Cloud-based solution to manage claims, capitation, eligibility, referrals, authorizations, case management and communication. Learn more about QuickCap
QuickCap is an advanced platform designed for IPAs, PHOs, MSOs, TPAs and Risk Based Organizations managing Medicare, Medicaid and Commercial LOBs. It is EDI 5010 compliant in claims, capitation, eligibility, referrals, authorizations, premium billing, case management and related auto routing and workflow processes. QuickCap is a seamless, highly efficient, cost effective, and comprehensive product set today. For more information, please call or contact us through our website. Learn more about QuickCap
QuickCap is an advanced platform designed for IPAs, PHOs, MSOs, TPAs and Risk Based Organizations managing Medicare, Medicaid and Commercial LOBs. It is EDI 5010 compliant in claims, capitation, eligib...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Web-based modular clinic and hospital management system which caters financial, operational and clinical needs of healthcare providers. Learn more about Insta
Insta by Practo is a clinic and hospital management software, empowering providers since 2008, with 18K+ active daily users, at 1250+ centers and across 22 countries boasts of a very high customer retention rate. Insta is highly scalable, cloud-ready and supports multi-centre operations, tightly integrated; and easily configurable for report creation, forms design for EMR recording; and optimized for easy implementation. Learn more about Insta
Insta by Practo is a clinic and hospital management software, empowering providers since 2008, with 18K+ active daily users, at 1250+ centers and across 22 countries boasts of a very high customer rete...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Claims processing solution with unlimited system variables that can be programmed to meet your specific needs. Learn more about Series 3000
Series 3000 is a complete turnkey claims administration solution designed using unlimited system variables which can be programmed to meet your companies specific needs. You won't have to change the way you do business to utilize our software, because we'll partner with your company to ensure that our software is customized to work for you the way you want it to. Learn more about Series 3000
Series 3000 is a complete turnkey claims administration solution designed using unlimited system variables which can be programmed to meet your companies specific needs. You won't have to change the wa...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Trusted by over 60,000 mental health professionals, TherapyNotes EHR software helps therapists manage their practices more efficiently.
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.
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, s...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
DrChrono cloud-based all in one mobile EHR with PM that includes live claims feed, real time eligibility checks, custom appt reminders.
DrChrono EHRs robust practice management side of our all-in-one cloud-based mobile EHR comes with speech-to-text and custom templates/forms to chart effectively. With DrChronos PM software you get a live claims feed for billing and payment processing, HCFA/Superbill generation, and e-fax integration. Real-time eligibility checks helps you check patients informat, and custom appointment reminders that can go through email, SMS, or phone in any order. For students please visit DrChrono University.
DrChrono EHRs robust practice management side of our all-in-one cloud-based mobile EHR comes with speech-to-text and custom templates/forms to chart effectively. With DrChronos PM software you get a li...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Medical practice management solution that helps businesses with insurance billing, CMS 1500 forms filling, payment tracking, and more.
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. Try us free for 30 days!
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...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Hospital management solution that helps verify insurance coverages, submit claims, collect payments, get patient insights, and more.
Waystar provides market-leading technology that simplifies and unifies the revenue cycle. Their cloud-based platform streamlines workflows and improves financials for healthcare providers of all kinds and brings more transparency to the patient financial experience. Waystar has been ranked Best in KLAS for the Claims & Clearinghouse segment every year since 2010, earned #1 rankings in Black Book surveys since 2012 and received the Frost & Sullivan North America Customer Value Leadership Award
Waystar provides market-leading technology that simplifies and unifies the revenue cycle. Their cloud-based platform streamlines workflows and improves financials for healthcare providers of all kinds ...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Web Based Practice Management and RCM billing services servicing providers nationwide for over 28 years. We get results!
DuxWare, Cloud Based Practice Management, EHR and RCM. Our users have grown with us for over 28 years enabling us to 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 your shoes. Call us to become part of the DuxWare family today!
DuxWare, Cloud Based Practice Management, EHR and RCM. Our users have grown with us for over 28 years enabling us to make DuxWare perfect for their practices. Perfect because DuxWare allows them to mov...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
A1 Tracker features custom reporting, automation, metrics, portals, & notifications to streamline management & control processes.
Servicing corporations, government, & non-profits around the world with claim workflow automation, dashboard analytics, custom reports, notifications, reminders, document management, & claim portals. Tracks All Claim Types, Incidents, & Events. Featuring subrogation, litigation, costs, expenses, payments, and reserves. Supports multiple languages and currencies. Offered fully hosted or on-premise. Professional support & training.
Servicing corporations, government, & non-profits around the world with claim workflow automation, dashboard analytics, custom reports, notifications, reminders, document management, & claim portals. T...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Intelligent Medical Software (IMS) by Meditab, is an award-winning, all-in-one EHR, practice management, and billing platform.
IMS caters to every step of the patient care delivery process, from patient engagement to Telehealth, practice analytics, automated check-in, care coordination, reporting, and more. Its multi-specialty features, modules, and templates were built from the ground-up to adapt to the exact needs of over 40 specialties.
IMS caters to every step of the patient care delivery process, from patient engagement to Telehealth, practice analytics, automated check-in, care coordination, reporting, and more. Its multi-specialty...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
As Global Leaders in Claims Management Technology for nearly 2 decades, we provide secure online claims management software worldwide.
Virtual Claims Adjuster is a web based claims management system designed using the latest software development techniques and interface methodologies to ensure a smooth implementation into your business. As you conduct your day to day business, we work in the background, finding ways to make you more efficient and effective. Our business specialists analyze trends, maintain key industry relationships, & employ advanced techniques to evolve your toolset in a way that exceeds your business needs.
Virtual Claims Adjuster is a web based claims management system designed using the latest software development techniques and interface methodologies to ensure a smooth implementation into your busines...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
FileTrac is the next generation CMS that will provide you with an all encompassing Business Platform.
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 Hover, Outlook, Quick Books, Xactimate, Xactanalysis, Symbility, NFIP/NFS, LEDES and Google Maps. FileTrac also offers a Personnel Manager that allows you to track licenses, certificates and so many other criteria's. Best suited for all size companies.
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 Us...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
ABILITY Network helps providers and payers simplify the administrative and clinical complexities of healthcare with workflow tools.
ABILITY Network provides leading applications and analytics that are integral to revenue cycle management, including pre-authorization, eligibility, claims processing and tracking, and ERAs. These web-based applications are built on a powerful, integrated platform that offers connectivity between and among payers and providers. ABILITY serves thousands of providers and processes more than a billion transactions every year. It was named to the Forbes 100 Best Cloud Companies List in 2016.
ABILITY Network provides leading applications and analytics that are integral to revenue cycle management, including pre-authorization, eligibility, claims processing and tracking, and ERAs. These web-...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Collaborative software for facilities, maintenance and services
Urbest simplifies group communication, jobs tracking, rating and payment for facility management and project works. The interface is intuitive which reduces the time spent to onboard new users. Urbest can adjust to any type of building or organisation. Choose to work in standalone with Urbest or link it with your ERP or Asset Management system. Last point, after few months, you get access to analytics of behaviors with suggested action plans.
Urbest simplifies group communication, jobs tracking, rating and payment for facility management and project works. The interface is intuitive which reduces the time spent to onboard new users. Urbest ...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Claim Leader is a cloud-based workflow software solution for auto and property inspection companies.
Claim Leader is a cloud-based management workflow software solution for auto and property inspection companies. System enables users to auto-import new assignments, and dispatch to field inspectors in seconds. Rapidly monitor assignments, pin-point delayed inspections, access files, manage billing and inspector payroll. This all in one integrated platform allows flexible delivery methods of final files, and keeps open communication throughout the cycle of the inspection.
Claim Leader is a cloud-based management workflow software solution for auto and property inspection companies. System enables users to auto-import new assignments, and dispatch to field inspectors in ...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Healthcare professionals can now leverage insurance benefits while avoiding the constraints of being in-network
Anagram, formerly 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 Anagram, healthcare providers can let patients know the exact reimbursement amount to expect and automatically submit an optimized claim on their behalf.
Anagram, formerly 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 insur...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
DAVID Corporation is the developer of NAVRISK VISION the alternative risk markets most powerful management automation solution.
NAVRISK VISION is a comprehensive administration tool for General Liability, Medical Practice Liability, and Workers Compensation Claims with additional solutions for Analytics, RMIS, Policy Issuance, Safety and Property Appraisal. We serve clients in the alternative risk market including Self-Insureds, Public Risk Pools, Insurance Brokers, and TPAs.
NAVRISK VISION is a comprehensive administration tool for General Liability, Medical Practice Liability, and Workers Compensation Claims with additional solutions for Analytics, RMIS, Policy Issuance, ...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
FileHandler Enterprise will transform your companys data into rich visuals built and defined by you.
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.
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...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
ClaimRemedi offers powerful claim processing, cutting-edge scrubbing technology, real-time claim editing, tracking and management.
Improve the efficiency of your claim lifecycle from start to finish with ClaimRemedi. This solution offers powerful claim processing, cutting-edge scrubbing technology, real-time claim editing, tracking and management.
Improve the efficiency of your claim lifecycle from start to finish with ClaimRemedi. This solution offers powerful claim processing, cutting-edge scrubbing technology, real-time claim editing, trackin...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Claims Submission, Claims Review and Approval, Parts and Labor submit, Tickets, RMAs - easily configures to your processes and data
Claims Management for manufacturers for product service and repair work. With warranty checking, serial number checking, claims submission, tickets, knowledge base and customer portal. Dealers and customers can submit claims through the online customer portal, add parts and labor codes to their claim, and see the status of their claims. Claims managers can review claims for approval. RenewityRMA is a complete online portal for claims management and product service for manufacturers.
Claims Management for manufacturers for product service and repair work. With warranty checking, serial number checking, claims submission, tickets, knowledge base and customer portal. Dealers and cust...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs.
Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs.
Us4U was designed to provide employers a simple, cost effective, efficient software tool to manage their unemployment costs....
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Customer-first claims management software for your business. Streamline your workflow, go paperless and settle more claims!
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.
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 bloa...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Claims & risk management system for P&C, workers comp, auto and general liability. In- house enterprise systems and cloud services.
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.
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 c...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Designed for growth. Mercury One is a concise application which puts the fundamentals of RCM into the medical billing process.
Mercury One is a Medical Practice Management solution that puts the fundamentals of Revenue Cycle Management at your fingertips; it acts as a stepping stone from intermediate billing to advance billing. Mercury One is offered exclusively on the cloud, with the highest level of security. A new product with big functionality, Mercury One includes: patient portal, payment portal, demographics input, charge input, full history of patient activity, ERA posting, reporting and so much more.
Mercury One is a Medical Practice Management solution that puts the fundamentals of Revenue Cycle Management at your fingertips; it acts as a stepping stone from intermediate billing to advance billing...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Claims Manager®'s 25 years P & C experience with risk managers, TPAs, and insurers provides a comprehensive RIMS solution.
Claims Manager is a comprehensive, integrated RIMS system built to streamline your process from FNOL to settlement. A unique, configurable business rules engine that automates workflow, reduces manual & duplicate work, saves time, and improves outcomes for all stakeholders. Core Functions: Reserves, Check Processing, Document Management, Policy Tracking, Notes & Diaries, Role-Based Security, Dashboards, BI & Configurable Reporting. Enhanced Options: Claims Scoring, Touchless Claims Processing
Claims Manager is a comprehensive, integrated RIMS system built to streamline your process from FNOL to settlement. A unique, configurable business rules engine that automates workflow, reduces manual ...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Manage all Health Care benefits including Medical, Dental, Life, Disability, Vision, FLEX, COBRA, Medicaid/Medicare/MedSupp on 1 system
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.
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...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
The most powerful and customizable billing and RCM system available. Integrates with your EHR. Inhouse of Full Service options.
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.
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. Thi...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Mutual Expert: an insurance ecosystem created for mutual insurance companies; designed to drive growth for you and the next generation.
Mutual Expert is the insurance management ecosystem created for mutual insurance companies to drive growth by elegantly integrating all aspects of business between the carrier, the agent and the insured. SYSTEM FEATURES Quoting; Claims; Financials; Reports; Third Party Interfaces; Agency Access; Insured Access; Mobile Access; Responsive Web Design
Mutual Expert is the insurance management ecosystem created for mutual insurance companies to drive growth by elegantly integrating all aspects of business between the carrier, the agent and the insure...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Healthcare claims management solution that designed to track financial transactions, capture and analyze detailed insurance coverage.
Healthcare claims management solution that designed to track financial transactions, capture and analyze detailed insurance coverage.
Healthcare claims management solution that designed to track financial transactions, capture and analyze detailed insurance coverage....
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Accident benefit claims and referral management solution used by insurers, health care providers and independent medical examiners.
SmartSimple CMS360 is a platform for designing and deploying solutions that help insurers, health care providers and independent medical examiners gather the right content, make more accurate decisions, and take action to advance business outcomes. Some of the world's largest accident benefit claims and referral management firms look to CMS360 to automate their structured, repeatable processes and centralize case content - giving a complete picture of file history.
SmartSimple CMS360 is a platform for designing and deploying solutions that help insurers, health care providers and independent medical examiners gather the right content, make more accurate decisions...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Improve company's reimbursement plan with analytics system that includes specific network analysis and budget planning capabilities.
Improve company's reimbursement plan with analytics system that includes specific network analysis and budget planning capabilities.
Improve company's reimbursement plan with analytics system that includes specific network analysis and budget planning capabilities....
HIPAAsuite, a market leader in HIPAA EDI transactions. We have products for every HIPAA transaction including CORE Certified solutions.
Our software is tailored for all areas of electronic healthcare transactions and developed with the user in mind. Work smarter, not harder to gain efficiency. Claim Master - is an advanced application that manages all aspects of healthcare claims and processes your 837 transactions. Enrollment Master - seamlessly transmits 834 files to plan sponsors, insurance companies, or TPAs. EDI Exchange - securely transports EDI files, manages trading partners, and performs HIPAA compliance checks.
Our software is tailored for all areas of electronic healthcare transactions and developed with the user in mind. Work smarter, not harder to gain efficiency. Claim Master - is an advanced application ...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Carriers, TPAs and IA Firms choose ClickClaims over the competition because it fits every user's expectation and business requirement.
ClickClaims is ideally suited for small to mid-size property and casualty insurance carriers, independent claims adjusting firms, and third party administrators who need the advanced technologies that drive a competitive market. ClickClaims SaaS model allows for rapid deployment, unlimited scalability, performance, security and versatility that legacy systems cannot match, at a fraction of the cost. Built to evolve as technologies emerge, your investment appreciates over time.
ClickClaims is ideally suited for small to mid-size property and casualty insurance carriers, independent claims adjusting firms, and third party administrators who need the advanced technologies that ...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Web-based e-commerce platform that enables businesses to automate payment processing, manage chargebacks and verify billing address.
For businesses that need a more flexible and friendly payments partner, Payline offers products for however you need to accept payments. We offer emcommerce integrations, hardware, invoicing, ACH, and a virtual terminal. Payline is headquartered in Chicago, IL and built on a foundation of providing opportunities for employees and customers to achieve their greatest potential, and giving to those in need.
For businesses that need a more flexible and friendly payments partner, Payline offers products for however you need to accept payments. We offer emcommerce integrations, hardware, invoicing, ACH, and ...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
This is a secure, standards based, cloud-based electronic claims processing and low volume adjudication Software.
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.
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 validati...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Simsol Software provides software solutions to create construction estimates and claims documentation for the property insurance and co
Simsol Software provides software solutions to create construction estimates and claims documentation for the property insurance and construction industry. It was one of the original pioneers of computer estimating for property adjusters and was the first software vendor to automate all of the most frequently used functions of the professional property adjuster into a single software application.
Simsol Software provides software solutions to create construction estimates and claims documentation for the property insurance and construction industry. It was one of the original pioneers of comput...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Web-based platform that allows auto-insurers to manage physical damage claims with collaboration, database administration and more.
Mitchell WorkCenter is a truly universal platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently through a powerful interconnected workspace that incorporates performance modules to create a simplified workflow for claims settlement staff and trading partners.
Mitchell WorkCenter is a truly universal platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently through a powerful interconnected workspa...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Payapps makes progress claims made easy for builders and subcontractors.
Payapps is a simple yet powerful collaboration tool suitable for all contractors that saves needless time and money wasted on payment submission and approval. Built specifically for the construction industry it is designed to eliminate errors associated with manual processing. Its cloud based, can be accessed anywhere on any device, and is simple to use. Payapps reduces risk, saves time & money, improves cash flow and is Security Of Payments Act compliant.
Payapps is a simple yet powerful collaboration tool suitable for all contractors that saves needless time and money wasted on payment submission and approval. Built specifically for the construction i...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
CaseBlocks for Claims Management provides a platform for managing the end-to-end claims process.
CaseBlocks for Claims Management provides a platform for managing your end-to-end claims process. CaseBlocks enables you to rapidly adapt your claims process in order to keep up with new regulations, changes in working practices of 3rd parties and as process efficiencies are identified.
CaseBlocks for Claims Management provides a platform for managing your end-to-end claims process. CaseBlocks enables you to rapidly adapt your claims process in order to keep up with new regulations, c...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Web-based SaaS medical case management, utilization review, and claims enhancement software.
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.
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 ...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Claims management software for Captives, RRG's, Self-Insured Organizations and Risk Pools.
Claims management software for Captives, RRG's and Self-Insured Organizations. This solution offers customized industry pages and other custom features to optimize claims and litigation management. The solution is heavily oriented toward claim workflow including investigation, coverage analysis and liability analysis. It facilitates thinking and analysis of simple and complex claims. Contact us for a free demo.
Claims management software for Captives, RRG's and Self-Insured Organizations. This solution offers customized industry pages and other custom features to optimize claims and litigation management. Th...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Web Based Modular end to end P&C Policy and Claims Administration System. includes everything an insurance carrier, MGA, or TPA needs.
Web Based Modular end to end P&C Policy and Claims Administration System. Designed from the ground up for P&C Insurance lines. Modular systems allows implementation of end-to-end solution or integration into or with existing 3rd party modules as needed. Full API allows bi-directional communication with the core system and various modules. Full customization is available utilizing the INCLUDED web based drag and drop screen designer and the forms/report designers.
Web Based Modular end to end P&C Policy and Claims Administration System. Designed from the ground up for P&C Insurance lines. Modular systems allows implementation of end-to-end solution or integrati...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven.
System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven.
System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven....
Cloud-based solution that assists with claims processing through customer engagement, business intelligence, data management and more.
Cloud-based solution that assists with claims processing through customer engagement, business intelligence, data management and more.
Cloud-based solution that assists with claims processing through customer engagement, business intelligence, data management and more....
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management.
Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management.
Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management....
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
Claims processing solution that provides progress updates, reports, transaction tracking, and more.
Claims processing solution that provides progress updates, reports, transaction tracking, and more.
Claims processing solution that provides progress updates, reports, transaction tracking, and more....
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management
PCMI offers a modular package of software solutions for the administration of F&I Products, Service Contracts, and Extended Warranties.
PCMI Corporation offers a modular package of software solutions for the administration of F&I Products, Service Contracts, and Extended Warranties. Our modular platform, Policy Claim and Reporting Solutions (PCRS), supports and automates the full lifecycle of all aftermarket products.
PCMI Corporation offers a modular package of software solutions for the administration of F&I Products, Service Contracts, and Extended Warranties. Our modular platform, Policy Claim and Reporting Solu...
  • Forms Management
  • Customer Management
  • Claim Resolution Tracking
  • Co-Pay & Deductible Tracking
  • Electronic Claims
  • Paper-Based Claims
  • Case Management