Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Gathering accurate patient information can be quite challenging when filing a claim to an insurer, especially if you aim for a successful outcome on the first attempt. Our service allows clients to securely request and obtain summary data related to Workers' Compensation Appeals Board (WCAB) cases through electronic transmissions. We maintain a secure user interface that efficiently synchronizes data between the WCAB and end users using a relational database structure. This service is utilized by a variety of stakeholders, including insurers, employers, defense and applicants' attorneys, medical providers, interpreters, and other ancillary service professionals, as well as those outside the realm of Workers' Compensation insurance. With our customized portal, users can easily access essential information such as patient demographics, details about injuries, and parties involved in cases. Inquiries can be made using either the Social Security Number or the WCAB Case Number, simplifying the process of obtaining necessary information. This streamlined access not only enhances efficiency but also minimizes delays in the claims process.
Description
The FACTS® suite of products caters to various business sectors through a unified information system, including Health, Indemnity, TPA, PPO, HMO, PHO, IPA, MSO, Group Administration, COBRA, Section 125-Integrated Flexible Benefits, and Workers' Compensation with Integrated Managed Care, ensuring comprehensive 24-hour coverage. Since the establishment of HIPAA, the architecture of the FACTS® system has been rooted in solutions that adhere to HIPAA standards. Committed to facilitating a straightforward and efficient journey toward HIPAA compliance, FACTS® prioritizes readiness well in advance of the required federal deadlines. The fully integrated, interactive systems provided by FACTS®—accessible via the Internet and voice—equip healthcare professionals and administrators with around-the-clock access to vital claims and benefit information, in addition to enabling real-time transactions like EDI claim submissions online. By utilizing these tools, organizations can significantly enhance their risk management and insurance oversight capabilities. Furthermore, FACTS® remains dedicated to continuously improving its offerings to better serve its users.
API Access
Has API
No
API Access
Has API
No
Integrations
Gradelink SIS
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
$25000 one-time payment
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
No
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
Yes
Mac
No
Linux
Yes
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
Yes
Webinars
No
Live Training (Online)
No
In Person
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
No
In Person
Yes
Vendor Details
Company Name
EdexCloud
Country
United States
Website
www.edexcloud.com/edex.html
Vendor Details
Company Name
Ebix
Founded
1989
Country
United States
Website
www.ebix.com/facts
Product Features
Electronic Data Capture
Audit Trail
No
CRF Tracking
No
Data Entry
No
Data Verification
No
Distributed Capture
No
Document Imaging
No
Document Indexing
No
Forms Management
No
Remote Capture
No
Study Management
No
Electronic Medical Records (EMR)
Appointment Management
No
Charting
No
Compliance Tracking
No
E-Prescribing
No
E/M Coding
No
HIPAA Compliant
No
Handwriting Recognition
No
Integrated Telehealth
No
MIPS Certified
No
Meaningful Use Certified
No
ONC-ATCB Certified
No
Patient Portal
No
Self Service Portal
No
Voice Recognition
No
Product Features
Claims Processing
Adjustor Management
Yes
Case Management
No
Claim Resolution Tracking
Yes
Co-Pay & Deductible Tracking
Yes
Compliance Management
Yes
Customer Management
Yes
Electronic Claims
Yes
Forms Management
Yes
Paper-Based Claims
Yes
Payor Management
Yes
Policy Administration
Yes