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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

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 

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 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 

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