Average Ratings 0 Ratings
Average Ratings 0 Ratings
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.
Description
MyEZClaim™ stands out as the sole web-based solution that offers a variety of robust business tools specifically designed for efficient cargo claim management. Focused on user experience, MyEZClaim™ simplifies the process of managing and filing claims, ensuring optimal claim oversight. The platform boasts the most advanced work management capabilities available in the transportation sector. It features an expanded navigation bar for quick access to frequently used functions, alongside a comprehensive search tool that streamlines the entry of claim information in an organized manner. Built from the ground up to leverage Internet technology, MyEZClaim™ provides a wealth of feature-rich claim data that is essential for thorough reporting and analysis, crucial for the successful management and recovery of your cargo claim funds. Additionally, we will incorporate all relevant data record lookup addresses, including carriers, shipping locations, customers, and claimants, along with your product files to enhance functionality. This comprehensive approach ensures that users have everything they need at their fingertips to manage claims efficiently.
API Access
Has API
No
API Access
Has API
No
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
No
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
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
No
Live Rep (24/7)
Yes
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)
No
In Person
Yes
Vendor Details
Company Name
Complete Health Systems
Website
completehealthsys.com/claims/
Vendor Details
Company Name
TranSolutions
Country
United States
Website
www.transolutionsinc.com/myezclaim-tm
Product Features
Claims Processing
Adjustor Management
No
Case Management
No
Claim Resolution Tracking
No
Co-Pay & Deductible Tracking
No
Compliance Management
No
Customer Management
No
Electronic Claims
No
Forms Management
No
Paper-Based Claims
No
Payor Management
No
Policy Administration
No
Product Features
Freight
3PL
Yes
Barcoding / RFID
No
Billing & Invoicing
No
Customer Management
No
Customer Portal
No
Import / Export Management
No
International Forwarders
No
LTL Management
No
Local Forwarders
No
Rate Management
Yes
Shipment Tracking
No
Truckload Management
No
Warehouse Management
No
Waybills
No
Logistics
3PL
Yes
Barcoding / RFID
No
CRM
No
Container Tracking
No
Cross Docking
No
Fleet Management
No
Inventory Management
No
Order Management
No
Purchasing
No
Scheduling
Yes
Shipping Management
No
Transportation Management
No
Shipping
Air Shipping
No
Bills of Lading
No
Container Shipping
No
Freight Shipping
Yes
Ground Shipping
No
Import / Export
No
Ocean Shipping
No
Parcel Shipping
No
Quotes / Estimates
No
Shipment Tracking
No
Warehouse Management
No