Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
CaseworksPro is a cost-effective online claims management system tailored to meet diverse claims processing needs. Created by Insurance Technology Solutions, this platform is specifically designed for the claims departments of insurance carriers, self-insured retentions (SIRs), and third-party administrators (TPAs). With its user-friendly interface, CaseworksPro incorporates a variety of functionalities, such as workflows centered around SIR clients, the ability to capture policy data, options for both one-off and scheduled payments, customizable user access permissions, check printing capabilities, electronic reporting features, and the ability to capture NCCI and ISO statistical codes. Additionally, its comprehensive approach ensures that all stakeholders can efficiently manage claims while maintaining compliance with regulatory standards. This makes CaseworksPro an invaluable tool in the claims administration landscape.
Description
CoverSelf has developed an advanced, cloud-native claims accuracy platform tailored specifically for the healthcare sector, utilizing cutting-edge software development practices. This innovative solution supports users in achieving sustained success by adapting seamlessly to the continual changes in claims and payment inaccuracies, thereby minimizing challenges and administrative expenses. By allowing open collaboration among all partners focused on tackling claims discrepancies and operational inefficiencies, the platform enables faster customization, innovation, and deployment. Additionally, CoverSelf’s payment integrity system leverages contemporary technologies to resolve payment leaks and inaccuracies while maintaining a high level of transparency and accessibility for payers. The platform fosters the creation of novel scenarios and data mining algorithms, driving product innovation and accelerating customization efforts, all within a specialized framework that enhances the speed of innovation. Furthermore, it automates the correction and processing of claims, eliminating the need for further human intervention or effort, thus streamlining operations even more efficiently. This comprehensive approach not only optimizes the claims process but also significantly contributes to improving overall healthcare operations.
API Access
Has API
No
API Access
Has API
Yes
Integrations
Litify
No
Pricing Details
$25000.00/one-time
Free Trial
Yes
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
Yes
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
Yes
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
No
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
Insurance Technology Solutions
Founded
2000
Country
United States
Website
www.caseworkspro.com
Vendor Details
Company Name
CoverSelf
Country
United States
Website
www.coverself.com
Product Features
Claims Processing
Adjustor Management
Yes
Case Management
No
Claim Resolution Tracking
Yes
Co-Pay & Deductible Tracking
Yes
Compliance Management
No
Customer Management
No
Electronic Claims
No
Forms Management
Yes
Paper-Based Claims
No
Payor Management
No
Policy Administration
No