Alternatives to Inovalon Payer Cloud

Service 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.

APP 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.

Creatio is a global vendor of a no-code platform to automate workflows and CRM with a maximum degree of freedom. Featuring an intuitive no-code UI builder, a drag-and-drop business process builder, and a variety of built-in tools for workflow automation, the Creatio platform allows you to create business applications of any complexity and scale - addressing both structured and unstructured industry workflows, rich reporting, diverse machine learning use cases, and flexible analytical dashboards. With Creatio, the development effort for such applications is reduced by up to 10 times! Additionally, Creatio provides a marketplace of ready-to-go solutions, connectors, and templates for popular business needs and use cases. The Creatio platform is built on a modern technology stack, which offers maximum degree of freedom to integrate the platform within your organization’s digital ecosystem. Creatio CRM is a full-fledged suite of products for marketing, sales, and service automation integrated on one no-code platform. Creatio products can be deployed as a single CRM bundle or as standalone solutions to fit your company’s exact needs.

Duck Creek Claims offers a robust solution for managing the claims process, aimed at optimizing each stage of the lifecycle for insurance providers. It automates workflows from the first report through to the final settlement, while also simplifying data analysis via integrated analytics and ensuring compatibility with current systems. Notable features encompass advanced first notice of loss (FNOL) capabilities, automated assignments that consider adjuster expertise and current workloads, immediate access to policy and coverage information, and streamlined workflows for adjusters. This innovative platform significantly boosts operational efficiency and minimizes manual tasks, thus facilitating quicker claims resolutions and enhancing customer satisfaction, all while adhering to the latest regulatory standards. With its comprehensive tools and features, Duck Creek Claims positions insurers to effectively respond to the evolving demands of the insurance landscape.

Guidewire ClaimCenter stands out as a premier claims management platform aimed at optimizing the complete claims lifecycle for property and casualty (P&C) insurers. It encompasses a wide array of functionalities, spanning from the initial claim intake phase to final resolution, which empowers insurers to handle claims both swiftly and with precision. Among its notable features are automated workflows, integrated analytics, real-time performance tracking, and fraud detection capabilities, all of which work together to enhance operational effectiveness while boosting customer satisfaction levels. ClaimCenter caters to multiple insurance sectors, such as personal, commercial, and workers' compensation, and can be utilized independently or as a component of the Guidewire InsuranceSuite. By utilizing ClaimCenter, insurers not only expedite the claims process but also gain insights for informed decision-making and remain agile in response to shifting market conditions. Its implementation can lead to significant improvements in both efficiency and overall service delivery for insurers.

Property and casualty insurers require a solution that allows for personalized engagement, unrestricted innovation, and efficient growth. At Guidewire, our dedication to your success is unwavering. We integrate digital solutions, core operations, analytics, and AI to provide our platform as a cloud-based service. With the industry's largest research and development team, service team, and partner ecosystem, we continuously adapt and innovate to serve your evolving needs. This commitment has led over 450 insurers, ranging from startups to the most intricate organizations globally, to rely on Guidewire. We prioritize authentic relationships with customers, potential clients, partners, and investors, fostering communication through well-reasoned arguments and a focus on quality product development, making informed decisions based on solid evidence. Recognized as the most reliable platform in the industry, Guidewire has been the preferred choice for over 450 insurers worldwide, illustrating our strength in the market. With our comprehensive support and innovative solutions, we empower insurers to navigate their challenges effectively.

Insly offers a comprehensive range of software solutions that can be tailored with your own custom modules, allowing you to streamline and fully automate all the processes necessary for operating a thriving insurance enterprise. It includes everything required: forms, workflows, a rating engine, a document template editor, an endorsement library, capacity management, and much more. The platform provides built-in support for broker channels, enabling seamless integration. APIs grant access to all functionalities, facilitating the creation of an ideal Direct-to-Consumer experience. You can automate standard cases for new sales, policy adjustments in the middle of terms, and renewals without hassle. Additionally, all premium accounting tasks are efficiently managed, and you can generate bordereaux and management reports with a single click. The system allows you to design your custom reports and incorporate third-party data to enhance the decision-making process for your underwriters. Furthermore, it easily integrates with your entire technology stack, whether it's legacy or cutting-edge. This flexibility ensures that your insurance operations run smoothly and effectively.

Streamline revenue cycle management, care quality oversight, and workforce optimization through a unified, user-friendly portal featuring single sign-on capabilities. Over 47,000 provider locations depend on our cutting-edge tools to ease the complexities of the patient care experience. Transform the financial experience for patients while alleviating administrative and clinical challenges with the Inovalon Provider Cloud, eliminating the need for fragmented workflows. Our SaaS offerings are designed to enhance both financial and clinical results throughout the patient journey, facilitating improved revenue cycle processes for enhanced reimbursement and ensuring optimal staffing levels for high-quality care. This all-in-one portal enables your organization to elevate its performance, boosting revenue, staff satisfaction, and care standards. By enhancing operational efficiency, productivity, and overall effectiveness, you can unlock the full potential of your organization. Explore the transformative capabilities of the Provider Cloud today.

LexisNexis® MarketView™ provides medical claims-based insights tailored for healthcare payers, providers, life sciences enterprises, and health IT organizations throughout the United States. This platform offers actionable intelligence designed to enhance competitiveness, enabling businesses to uncover valuable insights and visualize transformative strategies. Regardless of whether you represent a life sciences firm, a health insurance plan, a healthcare system, or a health IT service provider, MarketView can significantly enhance critical business processes such as marketing, sales, strategic planning, physician engagement, outreach, market research, network optimization, talent acquisition, pricing strategies, contracting, and clinical management, among others. To stay ahead in the competitive landscape, your organization requires the most relevant insights available. However, determining the right areas to focus on can be challenging when the overall picture lacks clarity. MarketView addresses this issue by providing insights into various aspects such as referral trends, strategies for aligning with physicians, the performance of clinically integrated networks, and patient volume metrics, ultimately empowering organizations to make informed decisions. By leveraging these insights, businesses can drive innovation and improve their operational effectiveness.

Oracle's Digital Insurance Platform equips insurance companies with the tools needed to create cutting-edge solutions and outstanding digital experiences for customers. This all-encompassing system simplifies everything from sales channels to back-office functions, allowing for quick introduction of new products and easy adaptation to changes. By leveraging real-time analytics, insurers can acquire critical insights that support better decision-making processes. The platform accommodates both individual and group life insurance, as well as annuities, by integrating underwriting, policy management, billing, and claims handling into one streamlined system. Health insurance providers experience enhancements in enrollment procedures, premium billing, and claims processing, which leads to greater member satisfaction thanks to clear and tailored services. Furthermore, the platform improves the bancassurance process by facilitating immediate connectivity between banks and insurance firms, which guarantees efficiency, uniformity, and trust. This interconnected approach fosters a more dynamic insurance environment, ultimately benefitting both providers and their clients.

Claims Workspace serves as an all-encompassing solution aimed at optimizing the management of property claims through the integration of data, automation, and collaborative tools. This platform enhances workflows, leading to improved results for both insurers and restoration experts. With the ability to seamlessly connect to various data sources, Claims Workspace ensures that users have real-time access to critical property information, assessments of damages, and repair cost estimates. The automation capabilities significantly minimize manual work, thus speeding up the claims process and increasing precision. Furthermore, the collaboration features promote effective communication among all parties involved, fostering transparency and efficiency throughout the entire claims process. By utilizing sophisticated analytics and user-friendly interfaces, Claims Workspace not only empowers users to make well-informed decisions but also boosts customer satisfaction and optimizes overall operational performance. Additionally, this comprehensive approach to claims management positions businesses to respond more effectively to client needs and market changes.

Five Sigma embarked on a quest to empower claims organizations to embrace innovation. Their collection of claims management tools and distinctive platform equips insurers with what is necessary to adapt their claims operations to an ever-evolving environment. By offering a suite of Claims-First Cloud-Native and User-Centric products, Five Sigma enhances the capabilities of adjusters, enabling them to manage claims more effectively and swiftly. Through the automation of routine administrative tasks, adjusters can concentrate on making informed decisions while the system efficiently manages the rest. Introducing Clive™ by Five Sigma, the first AI-driven claims adjuster in the industry, is revolutionizing the claims processing landscape for insurers, MGAs, and TPAs. By harnessing cutting-edge AI and automation, Clive optimizes the entire claims lifecycle, from the First Notice of Loss (FNOL) to the final settlement. This AI agent not only boosts the efficiency of claims handling but also improves accuracy and reduces costs by automating various tasks, ultimately leading to a more streamlined and effective process for all stakeholders involved. In this way, Five Sigma is setting a new standard for the future of claims management.

Safeguard the reliability of your health plan while pinpointing precise pricing with the Context4 Health Plans Suite, our versatile and cloud-centric technological framework. Experience immediate and actionable insights for detecting Fraud, Waste, and Abuse (FWA), developed by our skilled team of certified experts in clinical, dental, and health benefits. By leveraging accurate data and state-of-the-art cloud technology, we deliver a robust and defensible Medicare reference-based pricing (RBP) solution. Our platform comprises over 100 healthcare data sets, complemented by professional guidance to enhance operational efficiency and ensure regulatory compliance. Additionally, our sophisticated medical coding software is tailored to streamline claim submissions and reduce the likelihood of denials. Furthermore, the cloud-based Payment Integrity Platform harnesses our unique analytics engine to uncover coding mistakes, assess medical necessity, address unbundling, detect fraud, waste, and abuse, evaluate audit risks, and identify pricing discrepancies, all of which can significantly influence your organization's performance. This comprehensive approach not only safeguards your financial health but also positions you for sustainable success in the ever-evolving healthcare landscape.

Daisee develops technology to give you deep insight into the behavioural, emotional, and commercial dynamics of your customers. Daisee automatically scores all customer interactions using a digital quality scorecard that is the first of its kind. This automatically identifies quality assurance issues that need human intervention in areas such as compliance, communication, and conduct. Daisee allows you to see beyond words and uncover the emotion deep within your interactions. It reveals what your customers really think, feel, and are saying. Daisee is software that can be easily deployed across any telephony system and can help organisations immediately create business value. Globally Daisee is available in Australia, New Zealand, and the USA.

Claims Signal™ represents a revolutionary open claims quality solution developed by Aon and Athenium Analytics, designed to help insurers detect high-risk claims at an earlier stage. By improving the experience for policyholders, this platform can lead to a significant enhancement in claims indemnity and expenses, estimated between 4% to 6%. In today's fast-paced insurance environment, claims teams face mounting pressure to elevate customer satisfaction, streamline operations, and minimize financial leakage. While routine quality audits can effectively highlight root causes and deviations from optimal practices, the feedback from these audits may not be accessible for weeks or even months post-claim closure. Imagine having the ability to continuously monitor open claims and resolve quality concerns before they negatively impact results. The Claims Signal platform leverages advanced artificial intelligence to scrutinize open claims, identify potential problems, and send immediate alerts, empowering front-line managers to take action before a claim reaches conclusion. With the integration of predictive analytics and timely alerts, insurers can achieve a reduction in claims leakage of up to 4%, ultimately transforming the claims management process. This proactive approach not only enhances operational efficiency but also fosters a culture of continuous improvement within claims teams.

An automated claims platform that operates seamlessly from start to finish, leveraging AI-driven decision models for tasks such as data collection, policy and coverage verification, medical coding, and consistency assessments. Our advanced AI models are designed to minimize losses and enhance your loss ratios by effectively detecting fraud, waste, and abuse in health and life insurance sectors. Qantev empowers insurers globally by improving operational efficiency, curbing losses, and elevating client satisfaction. By integrating artificial intelligence with deep medical knowledge, our dedicated team of data scientists and engineers has created cutting-edge solutions that streamline the claims management process while identifying fraudulent activities. Our specialized AI tools are adept at capturing, cleansing, enhancing, and digitizing data from a variety of claims documents in multiple languages. Additionally, we bolster the performance of your medical provider network with automated insights, identifying pricing gaps, recommending strategies, simulating different scenarios, and much more to optimize outcomes. This holistic approach ensures that insurers not only respond to claims effectively but also proactively prevent potential issues before they arise.

eOxegen is an innovative claims management system powered by artificial intelligence, aimed at improving the efficiency of health insurance operations. By automating the claims process through a Straight Through Process (STP), it minimizes the need for manual intervention, resulting in quicker claim settlements and higher accuracy. The system features sophisticated fraud detection capabilities, leveraging AI algorithms to detect and flag potentially fraudulent activities at an early stage. Furthermore, eOxegen includes functionalities such as provider contracting and empanelment, management of pre-authorizations and adjudication, as well as comprehensive reporting through business intelligence analytics dashboards. Its AI-driven workflow automation guarantees consistent task execution, reduces repetitive activities, and boosts overall productivity. In integrating these diverse functionalities, eOxegen enables insurance providers and third-party administrators to refine their claims management processes while also lowering operational costs. Ultimately, the platform serves as a transformative tool for the health insurance industry, fostering a more efficient and reliable claims handling environment.

Imagine happy, efficient claim handlers, fast, accurate claims resolution, and 5-star rating from policyholders. Our platform is flexible and future-ready, enabling your employees to perform like rockstars and equipping your company with scalable, intuitive processes that will fuel profitable growth. Our clients can reduce the cost of claims by up to 30% by automating and simplifying the process. VCA Software is a highly scalable and integrated platform. VCA Software is a favorite among TPAs as well as adjusting firms due to its robust features at a moderate price point.

Enhance your operational effectiveness and automate processes confidently by integrating timely and dependable insights into your claims management system. Utilize Claims Compass, a versatile platform that connects multiple solutions seamlessly, to incorporate these crucial insights directly into your system. By leveraging this platform, you can accelerate cycle times and refine the claims handling workflow, all while minimizing costs through access to comprehensive data and analytics. Streamlining your workflows allows for the application of advanced analytics, providing valuable intelligence that fosters improved decision-making throughout the claims process. Additionally, bolster your fraud prevention efforts by utilizing predictive analytics, sophisticated investigation techniques, and effective medical provider management tools. Ultimately, ensure a quicker restoration of your customers’ satisfaction by harnessing a claims management system that offers unmatched processing capabilities. This comprehensive approach not only benefits your organization but also enhances the overall experience for your clients.

The FINEOS Platform stands out as the sole comprehensive end-to-end SaaS core product suite for clients, featuring FINEOS AdminSuite for managing everything from quote to claim, alongside add-on products such as FINEOS Engage to enhance digital interaction, and FINEOS Insight for advanced analytics and reporting capabilities. It serves as a cornerstone for your digital insurance approach. By integrating FINEOS AdminSuite, FINEOS Engage, FINEOS Insight, and robust platform capabilities, the FINEOS Platform establishes itself as the most contemporary single core insurance solution tailored for Life, Accident, and Health sectors. In contrast to outdated legacy core systems that relied on a 'one size fits all' technology model, which is no longer suitable for dynamic businesses, modern consumers, employers, and brokers now benefit from sophisticated SaaS solutions and software that elevate expectations for an insurer's digital initiatives. The previous monolithic insurance software systems primarily concentrated on the intricacies of insurance contracts, overlooking the need for flexibility and adaptability in today's fast-paced market. Embracing the FINEOS Platform means adopting a future-ready approach that aligns with current consumer demands and technological advancements.

Klear.ai stands out as a cutting-edge software solution tailored for claims and risk management, leveraging the power of native artificial intelligence. This all-encompassing platform integrates various aspects such as risk management, claims administration, analytics, auditing, and policy management, with the goal of optimizing operations and bolstering decision-making capabilities. Through its AI-driven predictive analytics, Klear.ai empowers organizations to foresee potential challenges, uncover hidden risks, and receive actionable recommendations, leading to more informed decisions and favorable results. The user-friendly interface and adaptable features of Klear.ai ensure that it can be customized to meet the specific needs of different businesses, creating a seamless user experience. By employing sophisticated machine learning algorithms, the software automates various workflows, minimizes manual tasks, and continuously enhances its processes by learning from new information. Furthermore, Klear.ai includes powerful fraud detection tools that significantly aid organizations in reducing unnecessary financial losses, strengthening their overall risk management strategies. Ultimately, Klear.ai positions itself as an indispensable tool for businesses seeking to enhance their operational efficiency and risk management prowess.

Damco's InsureEdge Insurance Software is an all-in one software designed to help insurance companies gain maximum value from its extensive modules. This highly configurable and customizable software features the best insurance processing functions in the industry. InsureEdge is suitable for multiple insurance lines and can efficiently and effectively manage and streamline workflows to increase profitability, performance, and accuracy. It supports a variety daily operations via back office automation and other modules such as customer relationship management, policy administration and claims processing. InsureEdge, an insurance software that is flexible and scalable, is the key to future-proofing your business.

Insurance Systems Inc. (ISI), established in 1997 by Terry Neilson, emerged from the recognition of a pressing need for contemporary IT solutions that could transform the operations and interactions of insurers with their policyholders and stakeholders. Based on this insight, ISI initiated the development and deployment of tailored software solutions specifically for Property & Casualty insurers. As our organization expanded and the insurance landscape progressed, the technological requirements of insurers also advanced significantly. To stay competitive, insurers sought sophisticated graphical user interfaces (GUI) that allowed for the integration of new products and business modifications through configuration rather than extensive software coding. In 2010, we launched ISI Enterprise, a comprehensive, end-to-end solution designed to be flexible, configurable, and scalable to accommodate all P&C insurers. Since that initial launch, our dedicated team of business analysts, architects, and quality assurance professionals has been actively engaged in the continuous design and implementation of innovative features within its advanced architecture, ensuring that it adapts to the dynamic demands of the marketplace. This ongoing commitment to enhancement reflects our understanding that the insurance industry is always evolving and that our solutions must evolve alongside it.

Reduce expenses by managing claims with unmatched precision and effectiveness. Ventiv stands out as a top contender in the realms of risk management, insurance claims, and advanced analytics, serving over 500 clients worldwide and still growing. We support some of the largest brands globally with our leading-edge risk analytics solutions, ensuring they have the tools necessary to navigate complexities with confidence.

Accelerate your scoping, estimating, and overall cycle times significantly. Produce intricate 3D, 360° photo tours in less than 20 seconds for each room, and create precise floor plans in as little as five hours. Obtain scope of work reports effortlessly with just a few taps on your mobile device. Enhance your financial performance with estimates that comply with insurance standards. Everything you require and even more is at your fingertips to effectively document, sketch, scope, and estimate. Experience low initial costs while enjoying substantial time savings and enhanced profitability. You can get started in no time, as there is no complicated onboarding or extensive training required; simply pick it up and dive right in. A dedicated team of professionals is readily available by phone, including a 24-hour emergency hotline for immediate assistance. Our camera captures data with greater accuracy and a reduced margin of error compared to smartphone usage. Backed by years of industry experience, our products are designed to propel your business to new heights. DocuSketch revolutionizes restoration companies with innovative solutions, dramatically shortening cycle times, increasing profitability, and streamlining claims to foster growth and support. Additionally, the seamless integration of our technology into your workflow will ensure you stay ahead of the competition.

Introducing the revolutionary insurance claim automation system, which is enhanced by innovative blockchain technology. The claims process represents a critical juncture for insurance providers, and our solution is meticulously engineered to streamline claims for both policyholders and insurers, ensuring unparalleled precision and rapid processing—from pre-claim assessments to final payment settlements. MediConCen stands at the forefront of insurance technology, leveraging Hyperledger Fabric blockchain to transform the claims landscape for insurance firms, medical networks, and healthcare facilities. Our platform equips claims adjusters with sophisticated AI algorithms and advanced decision-making tools to swiftly identify fraudulent activities while allowing legitimate claims to be processed without delay, ensuring optimal management of claim costs and remarkable operational efficiency. Additionally, we provide insightful analytics that enhance underwriting processes and drive product innovation, empowering stakeholders with the information they need to succeed in a competitive marketplace. This comprehensive approach not only simplifies the claims experience but also fosters trust and reliability in the insurance industry.

We believe you can build modern applications that deliver digital experiences and drive business growth without having to write any custom code. That's why it's our mission to empower enterprises in complex and regulated industries to re-imagine application development by enabling them to be connected, innovative, quick, and nimble. Backed by leading investors including Everstone Capital and Paulson & Co, Innoveo’s cloud based, AI enabled no-code platform is currently in production globally at over 30 industry leaders across insurance, financial services, healthcare and real estate. With Innoveo, you’ll get the solutions and industry expertise you want, plus a little extra: a thoughtful, no-nonsense experience delivered with a refreshing dose of honesty.

WaterStreet’s platform for property and casualty insurance, along with its policy administration services, empowers your organization to achieve greater efficiency. This comprehensive suite not only provides business process outsourcing for insurance but also enhances the customer experience through advanced technology and streamlined procedures. By improving visibility and interactions with policyholders, your agents can more effectively pinpoint cross-selling opportunities and offer proactive support when customers are in need. The integration of process automation, along with real-time access to documents and data, guarantees prompt delivery of accurate information that fosters accountability and transparency. The WaterStreet P&C Insurance Suite consolidates all your data and operational processes, thus removing the necessity of juggling multiple software systems for your business. This seamless integration exemplifies outstanding customer service, providing a robust link between clients and agents, as well as between agents and insurance companies. Ultimately, this holistic approach not only increases efficiency but also enhances overall satisfaction for all parties involved.

Our advanced technology, driven by artificial intelligence, accelerates and enhances the precision of claims decisions, allowing you to improve your customer service experience significantly. By customizing specific features and integrating various data sources, we have created a versatile solution that caters to all insurance sectors, including health, life, motor, and property insurance. Sprout.ai ensures speedy and precise claims decisions across different industries. Our system can process a wide range of claim documents, extracting pertinent information from sources such as handwritten notes from doctors, call transcripts, and prescription records. Each claim is further validated using external data points, which include treatment codes, provider network guidelines, and medication details, ensuring comprehensive accuracy by cross-referencing with policy documents. Utilizing deep learning AI algorithms, we not only predict the optimal next steps for each claim but also provide a transparent rationale behind those recommendations, enhancing trust in the claims process even further.

AdvantageGo delivers innovative commercial insurance and reinsurance management solutions that offer insurers the IT agility they need to create an intelligent digital strategy in partnership with a leading IT provider. With over 25 years’ experience, we harness the power of proven, functionally-rich core solutions and augments it with the energy and culture of being an InsurTech leader. AdvantageGo enables insurers and reinsurers worldwide to fuse the traditional with digital, helping them rapidly adapt, drive change, and succeed with agile software and Microservices. Enhance your digital landscape and open up the possibility of true risk mitigation with our pioneering technologies.

A comprehensive mobile and AI platform designed to significantly lower the costs associated with insurance claims and to expedite the claim process from several days to mere hours. Utilizing the MotionsCloud estimation engine, the damages are assessed in real-time, ensuring swift and accurate evaluations. Evidence collected is of exceptional quality and encompasses a variety of media formats, such as text, audio, photographs, and videos. This evidence is securely stored in accordance with high security standards, effectively preventing any potential fraud. Claims specialists collaborate closely with customers through voice and video communication to facilitate the completion of the claim settlement process. By streamlining the procedure, customer satisfaction is notably enhanced. A positive claims experience not only aids in client retention but also has the potential to turn claimants into loyal customers, reinforcing the importance of efficient service in the insurance industry. Ultimately, this innovative approach ensures that clients receive timely support while maintaining the integrity of the claims process.

NSURE breaks new ground as the first AI-powered insurance management system tackling all aspects of core operations. From handling policy administration and claims to automating tasks, it empowers both Life and Non-Life insurers. This web-based system seamlessly integrates everything, allowing customers and agents to create policies online. By harnessing the power of digital solutions and automation, NSURE boosts business performance, efficiency, and overall productivity

Businesses and governmental entities of various scales rely on Aithent's knowledge and innovative solutions to address their operational hurdles and fulfill their digital transformation requirements. By enhancing operational workflows, Aithent aids in reducing risks linked to fraud, anti-money laundering (AML), and disputes. The company has significantly improved operational efficiency and overall performance through the innovative development and implementation of technology. Furthermore, the Aithent Dispute Manager facilitates collaboration among branches and call centers located in different regions, ensuring a consistent investigation process for every dispute and safeguarding the integrity of your institution's brand. This unified approach not only strengthens brand reputation but also enhances customer trust and satisfaction across all platforms.

Seamlessly incorporate insurance into your digital platforms within days via a straightforward API and commercial agreement. Our adaptable technology layer enhances both new and established insurance initiatives. We offer versatile solutions that accommodate any insurer, allowing you to select from our reliable network of risk carriers or continue with your existing partners. You can effortlessly introduce insurance across various business lines, no matter your operational scope. Qover holds licenses to distribute digital insurance products in 32 European countries, enabling us to integrate smoothly with your current insurance offerings or collaboratively develop a tailored product that meets the needs of you and your customers. We prioritize your clients as if they were our own, ensuring that while the user experience is yours, our efficient digital claims processing, prompt payouts, and comprehensive multilingual support result in a reported 90% customer satisfaction rate. Additionally, we provide a transparent performance dashboard that equips you with the insights necessary for making informed, data-driven choices regarding your program. Our team of experts is dedicated to working alongside you, offering guidance to enhance revenue and deliver greater value to your business while fostering long-term partnerships.

ScoutWorks stands as an innovative service platform designed to allow users to effortlessly access, manage, and monitor a diverse range of solutions, from field inspections to AI-enhanced claims processing. This versatile platform boasts more than 30 distinct service types, including field inspections and appraisals for various sectors such as automotive, heavy machinery, specialty services, and real estate. In addition, it offers features like photo inspections through applications like Scout and Scout Snap, as well as virtual inspections and appraisals, underwriter assessments, and on-demand desk adjusters for various tasks, including desk evaluations, subrogation assessments, and claim analysis. By combining cutting-edge technology with a nationwide network of professionals, ScoutWorks delivers its comprehensive services throughout all 50 states and Canada. With a rich history of over two decades in operations, the platform prioritizes transparency, accountability, and consistency in both claim management and its outsourcing solutions, ensuring a reliable experience for all users. Ultimately, ScoutWorks stands out as a multifaceted tool for organizations seeking to streamline their operational processes in a rapidly changing environment.

Achieving significant advancements in both clinical and administrative outcomes, Evolent Care Partners, a healthcare system in the Midwest, has earned the distinction of being ranked third nationally for both total shared savings and the percentage of savings against benchmarks. By providing independent primary care physicians with essential capital and resources, Evolent Care Partners empowers them to engage in and thrive under two-sided payer contracts while mitigating their financial exposure. New Century Health enhances cost-effectiveness and quality of care in oncology and cardiology by leveraging clinical evidence to inform care decisions, a process that enjoys support from both payers and providers alike. Furthermore, Evolent Health Services streamlines health plan operations through a suite of comprehensive services backed by a modern, integrated platform and a genuine model of strategic partnership. Additionally, the organization encourages exploration of insights and news related to value-based care, population health, health plan administration, and various topics concerning the transformation of healthcare. Through these initiatives, Evolent aims to foster a more efficient and effective healthcare landscape.

RiskVille empowers businesses to streamline essential tasks in policy, claims, and risk management, allowing for efficient handling of daily operations such as customer interactions, claims processing, and risk assessments all within a single platform. This cloud-based solution caters to various types of insurance companies, recognizing the significance of having a comprehensive view of business performance while executing daily tasks with precision. By automating repetitive tasks, RiskVille frees up your staff from mundane duties, enabling them to focus on more valuable activities. With a commitment to compliance, we ensure that your audit processes are smooth and straightforward, allowing you to approach audits with confidence and assurance. Our platform is fully compliant with GDPR regulations and is hosted on the trusted Microsoft Azure infrastructure, guaranteeing the safety and security of your sensitive data. Additionally, RiskVille enhances client satisfaction by offering straightforward online access to policies and claims, along with friendly reminders for renewals, ensuring that you not only meet but exceed client expectations in service delivery. Ultimately, RiskVille is designed to make insurance operations more efficient and effective, creating a seamless experience for both businesses and their clients.

Crunchwork is designed for insurers that want to gain an edge in the market with a customer-centric, fast claims process. Crunchwork, a cloud-based software for insurance claim management, has everything your supply chain needs to triage, complete, and process claims. In one platform. This is the easiest way to transform all aspects of your claim lifecycle. Crunchwork, unlike other platforms for managing claims, is flexible and powerful enough to run your entire business the way you prefer.

HealthAxis provides integrated solutions to payers, providers, and health organizations. These integrated solutions include an advanced claims processing system, TPA services, and actionable analytics. We simplify operations and improve patient and client outcomes. Healthcare is becoming more technologically connected, but it is still hindered by legacy technology, coordination problems, and information management. We aim to bring innovation to those who are struggling with these issues. Our client philosophy is to be a complete business partner. HealthAxis believes that our success is not based on selling our solutions, but rather on our business partners' continued success and growth. We empower our partners to bring value to the communities that they serve. We thrive with them as they grow their membership and expand their scope. Each member of our team is aware of their responsibility to help our partners realize their potential.

We collaborate with private insurance providers to ensure that your therapy sessions are consistently covered. Dealing with mental health billing and health insurance should not feel like navigating a maze without a light. Nirvana simplifies the entire insurance experience, from determining eligibility to securing reimbursement, allowing you and your therapist to focus on what truly matters—your well-being. Instead of wasting precious time on lengthy phone calls with insurance companies to clarify your benefits, you can effortlessly access a comprehensive overview of your coverage right after you sign up. With Nirvana, you can easily oversee the entire claims process, tracking everything from submission to processing and adjudication. Additionally, you can filter your claims by session and date ranges to gain valuable insights into the reimbursement amounts related to your therapy sessions, ensuring you stay informed every step of the way. This way, you not only save time but also enhance the efficiency of your overall therapy experience.

IBSuite supports the entire insurance cycle, from initial quotes to binding, while also managing comprehensive policy administration, effective claims processing, and billing, empowering clients to operate a robust insurance enterprise and swiftly launch innovative customer experiences and digital business models in a cost-effective manner. Engage in a tailored consultation with our specialists in insurance technology, where we will investigate your specific challenges, identify potential opportunities, and formulate a plan for how IBSuite can drive your insurance business toward growth and prosperity. By optimizing the sales process and enhancing decision-making through real-time analytics and external integration, IBSuite equips insurers to swiftly respond to evolving market dynamics while ensuring compliance with industry regulations. Additionally, IBSuite offers genuine multi-channel capabilities and a customer-focused approach to designing new products and sales avenues, catering to direct sales, sub-agencies, and white-label solutions. As a result, insurance providers can elevate their service offerings and drive greater customer satisfaction. This comprehensive platform not only boosts operational efficiency but also fosters innovation in an ever-changing marketplace.

Claims representatives now have the opportunity to work hand in hand with policyholders like never before. Engaging policyholders more thoroughly in the claims process not only enhances customer satisfaction but also helps in lowering the expenses associated with claims handling. Today’s policyholders anticipate a high standard of service that aligns with their schedules rather than the representatives'. When policyholders are actively involved throughout the entire claims process, their satisfaction with the experience tends to increase significantly. By utilizing ClaimXperience video collaboration, you can gain the advantage of "eyes-on-site" directly from your desk, allowing for effective triage and evaluation of damage severity. This increased precision enables more claims to be settled directly, eliminating the costs tied to on-site visits. Moreover, when an on-site assessment is truly required, you can ensure that the right expert is dispatched from the very beginning, thereby streamlining the process even further. Ultimately, this approach fosters a more efficient and customer-centric claims experience.

Wisedocs offers a document processing platform that empowers insurance companies, independent medical evaluation firms, and legal entities to handle claims more quickly, accurately, and efficiently. The platform automatically organizes medical records by various criteria such as date, service provider, title, and category. Additionally, it features automated page duplication, which can save up to 30% in both time and costs associated with processing redundant pages. Navigating the administrative challenges of reviewing and sorting medical records can often be daunting, but Wisedocs simplifies this process for insurance, legal, and medical organizations. By creating a tailored medical record index, Wisedocs provides valuable insights that cater to specific requirements. Users can easily access critical information through records that are searchable and indexed, resulting from the medical record review and intelligent summary features. This streamlined approach not only enhances productivity but also helps firms make more informed decisions based on comprehensive data.

ClickClaims is ideal for small to medium-sized property and casualty insurers, independent claims adjusters firms, and third-party administrators who require advanced technologies to drive a competitive market. ClickClaims SaaS model is fast and cost-effective. It offers a scalable, flexible, secure, and performance that legacy systems simply cannot match. Your investment will appreciate over time because it is built to adapt to new technologies.

The most popular insurance software platform. SchemeServe rates and underwrites complex schemes with speed and accuracy. We deliver a responsive service to your customers. Your business will grow faster. SchemeServe is flexible and responsive and can adapt to market changes immediately, rather than waiting weeks. Rapid delivery of products to the market. Technology that is customer-focused. Our features allow you to offer seamless digital journeys to customers to purchase insurance. There's less hassle. We will help you take control of your company's growth. You can build your own products. SchemeServe is intuitive and easy to use, with technical support. SchemeServe understands that every second of downtime can mean lost revenue. We make it a priority for you to continue trading. Uptime is a priority at SchemeServe. Subscribe online to our uptime metrics. Let us show you how SchemeServe can help you grow your insurance business.