Average Ratings 0 Ratings
Average Ratings 0 Ratings
Similar Products
-
Cloud ClaimsAPP Tech pioneered the incident-based approach to claims and risk management. Since 2003, we’ve delivered integrated technology solutions to hundreds of customers across North America — to improve claims-management efficiency and scalability, increase visibility, shorten response times, lower premiums, and prevent risk events. Cloud Claims by APP Tech is a top-rated risk management and claims software solution. IMS is a purpose-built software solution for self-insureds, TPAs, and companies who want to track their claims and losses. It helps users manage the entire claim lifecycle, from the initial incident report to issuing payments and collections. It offers a variety of features that allow users to have complete control over their claims, as well as risk information. These include incident management and claims management, workgroup tools as well as reporting, insurance tracking, and many other features. We’re proud of our 100 percent implementation-success rate and excellent customer-retention rate, a result of our commitment to understanding our clients’ needs and rolling out solutions that work for them.
-
Service CenterService Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status online, and receive remittance advice. Accepting standard ANSI formats, data entry, and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers.
-
HiBobHiBob, a premier provider of HR solutions, offers a robust HCM named Bob to empower HR teams and streamline operations. From onboarding and performance management to employee engagement and automation, Bob equips HR leaders with the resources necessary to foster a positive workplace culture, drive employee development, and focus on strategic initiatives that propel organizational growth. HiBob’s platform, Bob, simplifies HR processes and ensures ease of use with customizable workflows tailored to different roles. It automates paperwork and seamlessly integrates with existing systems to save time and ensure data accuracy. The user-friendly approach empowers HR professionals to manage company-wide HR tasks effectively and efficiently. Bob Performance Management provides tools for goal setting, feedback, and performance reviews. Real-time tracking and data insights enable timely interventions, fostering a culture of accountability and continuous improvement and boosting employee engagement and retention. Bob’s employee engagement tools foster connection and collaboration among employees through channels for feedback, recognition, and communication, boosting morale and productivity.
-
Union.DevIntroducing the sole contemporary, cloud-based platform for unions. Our comprehensive suite comprises two fully customizable systems dedicated to union management and benefits administration, seamlessly integrated with a cutting-edge website and secure member portal. We've revolutionized the landscape by crafting a unified system for expanding unions, liberating you from the burden of paperwork, tedious back-and-forth, and the complexities of running multiple systems, putting an end to administrative pains. Experience a smooth transition as we seamlessly implement your union's processes, rules, and bargaining agreements, enabling you to concentrate on what truly matters – the member. Our platform boasts a modern user interface, eradicating uncertainty. Unlike one-size-fits-all solutions, we tailor the system to align precisely with your workflows and processes. Whether you're processing dues, entering remittances, managing grievances, facilitating communications (via email and text), dispatching jobs, or updating member files, our Union Management platform has you covered. For those seeking cutting-edge union Benefits Administration, explore our Pension Reporting System.
-
APS PayrollAPS has a mission: to make payroll and HR easier. We design our unified solution to simplify workforce management tasks for mid-market organizations. We provide our clients and partners with personalized service and support to accomplish their goals. Streamline payroll processing, automate HR workflows, and elevate the employee lifecycle with a single-system platform. We are APS, your workforce partner. Mid-sized businesses choose APS as their workforce partner because of our focus on the customer experience. As a result, we continually maintain a 98% customer satisfaction rate. With APS, mid-market companies get a better system, better support, and better outcomes.
-
Macaw AMSMacaw AMS can be used to sell Insurance. Macaw AMS can be used by brokers, MGAs or MGUs, Program Managers, and Lloyds Coverholders to automate their operations. Macaw AMS was built with a customer-centric approach. It supports CRM, Sales and Underwriting. Customers, producers, and service providers can access self-service portals. Macaw AMS has built-in Document Management and Task Management capabilities. It is equipped with adaptors that allow for integrated and in-flow services such as eSignature, Payments, OFAC checks, Mass Emailing, Computer Telephony, and Mass Emailing, using 3rd Party Services. The data analytics part of Macaw AMS offers powerful data visualization with predefined dashboards, allowing users to easily upload datasets and view dynamic charts for clear, multi-dimensional insights. Interactive, real-time visualizations help uncover trends and insights, driving informed decision-making. Macaw AMS is hosted on cloud and tested for cybersecurity. The database is relational, and the core components of the Java-based application are written in Java. Macaw AMS is capable of processing 500-1000 policies per day at its peak. Macaw AMS is expected reduce per policy costs by 30%.
-
Velocity GlobalVelocity Global makes it easy to expand into new markets quickly, without costly infrastructure or local entities. Our AI-powered platform, unmatched compliance expertise, full cost transparency with all-in-one pricing package, and custom HR solutions allow companies to hire, pay, and manage their workforce across 185+ countries—while staying ahead of complex global challenges. Velocity Global is recognized as Market leader in in Global EOR Services by NelsonHall and Everest Group. With Velocity Global, you can: ● Ensure global operations stay compliant with local laws and regulations in every market. ● Your employees are taken care of by our network of in-country HR, payroll, tax and legal experts. ● Manage your entire global workforce from one platform—reliable, seamless, and efficient. ● From startups to enterprises, our solutions scale as your business grows, adapting to your evolving needs. ● Cost Transparency: No hidden fees. Upfront, all-in-one pricing package with all services included and demonstrable lower total cost of ownership.
-
QuaerisBased on your interests, history, and role, you will receive personalized and recommended results. QuaerisAI provides near-real-time data access for all data. QuaerisAI enhances your data and document workload with AI. To increase knowledge sharing and track performance, teams can share insights and pinboards. Our advanced AI engine transforms your inquiry to a database-ready language within micro-seconds. Data is nothing without context, just like life. Our cognitive AI engine interprets search terms, interests, roles, and past history to provide ranks results that allow further exploration. You can easily add filters to search results to dig into the details and explore relevant questions.
-
Predict360Predict360, by 360factors, is a risk and compliance management and intelligence platform that automates workflows and enhances reporting for banks, credit unions, financial services organizations, and insurance companies. The SaaS platform integrates regulations and obligations, compliance management, risks, controls, KRIs, audits and assessments, policies and procedures, and training in a single cloud-based SaaS platform and delivers robust analytics and insights that empower customers to predict risks and streamline compliance. Happy with your current GRC but lacking a true analytics and BI tool for intuitive executive and Board reports? Ask about Lumify360 from 360factors - a predictive analytics platform that can work alongside any GRC. Keep your process management workflows intact while providing stakeholders with the timely reports and dashboards they need.
-
BambooHRBambooHR is an award-winning HR platform that helps your growing organizations automate, centralize, and connect your people data all in one place. It gives you a one stop shop to manage data, hire talent, run payroll, and help employees grow.
Description
Founded in 2000, DataGenix is dedicated to delivering innovative claims processing solutions to third-party administrators, adjusters, and insurance firms. Recognizing the complexities that can arise in claims processing and health benefits management, our team has developed the sophisticated ClaimScape software designed to streamline the entire adjudication process, ensuring your business remains unaffected by potential losses. Our mission is to tackle the challenges that prevent an exceptional customer experience for your clientele. By aligning our offerings with current trends and demands, we are committed to facilitating your organization's growth through our software solutions. Trusted by leading TPAs nationwide, we are eager to expand our services to a broader audience. As we continue to evolve, we aim to set new standards in the industry.
Description
Claims adjudication services cover a range of areas including medical, dental, vision, and prescription claims, as well as short and long-term disability cases. These services can be accessed either on-site with a license or through a hosted application model (ASP). Utilizing Microsoft technology, the system is powered by an SQLServer database paired with a Windows front end. Our customer service is highly regarded, staffed by healthcare claims professionals who boast a minimum of 12 years of industry experience. All support inquiries are recorded, and their statuses can be monitored online. The system features a plan copy and modification tool that facilitates rapid plan implementation. Auto-adjudication is achieved through benefit codes that are constructed using business rules derived from over 25 variables connected to both the claims and the claimants, which are then processed by the adjudication engine. Claims can be submitted in various formats, including scanned images, EDI, or paper submissions. The system is compliant with HIPAA EDI 5010 transaction sets, ensuring secure and efficient processing. Additionally, re-pricing fees and UCR schedules can be pre-loaded into the system prior to their effective dates, while the date-driven logic ensures that re-pricing occurs based on the service date, optimizing the claims processing workflow. The comprehensive nature of this system allows for a more streamlined and efficient claims management experience.
API Access
Has API
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
DataGenix
Founded
2003
Country
United States
Website
datagenix.com
Vendor Details
Company Name
Complete Health Systems
Website
completehealthsys.com/claims/
Product Features
Benefits Administration
COBRA Administration
Claims Management
Deduction Management
Disability Insurance Administration
Employee Benefits Administration
FMLA Administration
FSA Administration
Flexible Spending Accounts
For Brokers
For Employers
HIPAA Compliant
Health Insurance Administration
Life Insurance Administration
Online Benefits Enrollment
Premium Billing
Provider Management
Retiree Administration
Retirement Plan Management
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration