Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

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.

Description

This software streamlines the process of adjusting claims pricing within a web-based platform. WebCR confirms both the participation of providers and the eligibility of patients, checks the validity of service dates, and detects potential duplicate claims. It is backed by a dedicated data management team and system, WebDM, which is responsible for maintaining data accuracy and relevance. In addition, it offers enhanced features that improve user experience and operational efficiency.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Gradelink SIS Yes 

Integrations

Gradelink SIS No 

Pricing Details

$25000 one-time payment
Free Trial No 
Free Version No 

Pricing Details

$1000.00/month
Free Trial No 
Free Version 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 

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 No 
Live Rep (24/7) Yes 
Online Support Yes 

Customer Support

Business Hours Yes 
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 No 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

Ebix

Founded

1989

Country

United States

Website

www.ebix.com/facts

Vendor Details

Company Name

ppoONE

Founded

1996

Country

United States

Website

www.ppoone.com

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 

Product Features

Claims Processing

Adjustor Management No 
Case Management No 
Claim Resolution Tracking Yes 
Co-Pay & Deductible Tracking No 
Compliance Management No 
Customer Management Yes 
Electronic Claims Yes 
Forms Management No 
Paper-Based Claims Yes 
Payor Management No 
Policy Administration No 

Alternatives

MediClaims Reviews

MediClaims

WLT Software

Alternatives

CyberSource Medical Reviews

CyberSource Medical

ComCom Systems
Complete Claims Reviews

Complete Claims

Complete Health Systems
Hi-Tech Series 3000 Reviews

Hi-Tech Series 3000

Hi-Tech Health
ClaimsControl Reviews

ClaimsControl

Claims Control
SpyGlass Reviews

SpyGlass

Beacon Technologies
IMPACT Reviews

IMPACT

Managed Care Systems
Complete Claims Reviews

Complete Claims

Complete Health Systems