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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

The flagship claims processing solution from Acrometis provides exceptional workflow management by utilizing a configurable rules engine to automatically route documents. This system is built around various elements such as claim assessment scoring, matching body parts to claim compensability, adhering to jurisdictional directives, and scoring relatedness, all aimed at minimizing both the duration and costs associated with claims. Notably, CLAIMExpert can autonomously process 65 percent of incoming medical bills and non-medical documents without requiring any user intervention. Documents that need adjuster review are efficiently flagged and organized to facilitate straightforward decision-making, ensuring that the process remains streamlined. With no need for adjuster involvement for the initial processing, clients often experience an improvement ranging from 11 to 23 points in medical loss within the first year. Furthermore, CLAIMExpert is equipped with rules addressing over 190 different document types, enabling it to swiftly manage whitemail and any other documentation that may arrive at an adjuster’s desk. This comprehensive approach not only enhances efficiency but also significantly impacts the overall claims handling process.

Description

The system incorporates configurable workflow elements that are seamlessly integrated throughout its framework. These elements, which include data pre-population, navigation shortcuts, dynamic fields, and task load management tools, collaborate effectively with adjustors, teams, and supervisors to create an intuitive and highly efficient user experience. A distinguishing feature of any system is its ability to facilitate the easy transfer of accurate data, whether for interfacing or reporting purposes, both internally and externally. To enhance this capability, PCIS has made significant investments in a proprietary B2B interface layer designed to standardize, stage, and ensure the accuracy of the data entering and exiting the database. This strategic move results in more cost-effective and flexible integration options, alongside improved accuracy in BI reporting. Furthermore, the reporting platform is designed with the end user in mind, offering over 100 pre-built reports, the ability to drag and drop for customized dashboards, a dedicated reporting database, and much more, ensuring that users can access and analyze data effortlessly. Consequently, these features collectively empower users to make informed decisions quickly and effectively.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial Yes 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows Yes 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) Yes 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person Yes 

Vendor Details

Company Name

Acrometis

Founded

2002

Country

United States

Website

www.acrometis.com/our-solutions/claimexpert-and-associated-services/

Vendor Details

Company Name

PCIS

Founded

2001

Country

United States

Website

www.pcisvision.com/solutions/claimsvision/

Product Features

Claims Processing

Adjustor Management Yes 
Case Management Yes 
Claim Resolution Tracking Yes 
Co-Pay & Deductible Tracking Yes 
Compliance Management Yes 
Customer Management Yes 
Electronic Claims Yes 
Forms Management Yes 
Paper-Based Claims No 
Payor Management Yes 
Policy Administration Yes 

Product Features

Claims Processing

Adjustor Management Yes 
Case Management Yes 
Claim Resolution Tracking Yes 
Co-Pay & Deductible Tracking Yes 
Compliance Management Yes 
Customer Management No 
Electronic Claims Yes 
Forms Management Yes 
Paper-Based Claims Yes 
Payor Management Yes 
Policy Administration Yes 

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