Alternatives to OneShield Billing

Macaw AMS can be used to sell Insurance. Macaw AMS can be used by brokers, MGAs or MGUs, Program Managers, and Lloyds Coverholders to automate their operations. Macaw AMS was built with a customer-centric approach. It supports CRM, Sales and Underwriting. Customers, producers, and service providers can access self-service portals. Macaw AMS has built-in Document Management and Task Management capabilities. It is equipped with adaptors that allow for integrated and in-flow services such as eSignature, Payments, OFAC checks, Mass Emailing, Computer Telephony, and Mass Emailing, using 3rd Party Services. The data analytics part of Macaw AMS offers powerful data visualization with predefined dashboards, allowing users to easily upload datasets and view dynamic charts for clear, multi-dimensional insights. Interactive, real-time visualizations help uncover trends and insights, driving informed decision-making. Macaw AMS is hosted on cloud and tested for cybersecurity. The database is relational, and the core components of the Java-based application are written in Java. Macaw AMS is capable of processing 500-1000 policies per day at its peak. Macaw AMS is expected reduce per policy costs by 30%.

Elation Health is the leading platform for primary care, empowering 32,000 clinicians to deliver personalized care to over 16 million patients. With a clinical-first EHR, integrated billing, and AI-powered tools, Elation simplifies care workflows to help independent practices thrive.

InsureCert, a cloud-based insurance policy management system, is suitable for brokers, general agents, insurers, and managing general agents. InsureCert offers a central platform that allows users to create online shops, manage quotes, collect payments, and even issue property and casualty policies. InsureCert allows users to create white-label websites with custom landing pages. InsureCert offers a multi-rater pricing engine that allows users to create quotations and send invoices to customers instantly.

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.

Our cloud-based offerings encompass a diverse range of standalone, subscription, and As-a-Service products, featuring top-tier policy management, billing, claims processing, rating, product configuration, business intelligence, and advanced analytics. OneShield's solutions cater to all sectors and are meticulously crafted for mid to large-sized property and casualty insurers, as well as specialty markets, providing essential technology for policy, billing, claims, rating, and business analytics. Tailored specifically for the property and casualty insurance industry, this enterprise-grade solution prepares your organization for upcoming challenges and opportunities. It has been designed to fulfill the particular requirements of niche financial service sectors, such as Managing General Agents (MGAs), Third Party Administrators (TPAs), regional insurers, workers’ compensation, and risk pools. In this rapidly evolving landscape, the millennial generation stands out, as their unique purchasing behaviors and interactions with companies prompt insurers to rethink their strategies and embrace transformation. Understanding the impact of millennials on the insurance sector is crucial for driving innovation and staying competitive.

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.

Functional Finance serves as the engine for insurance billing and payments, managing the flow of money once a policy decision is finalized. Positioned between the policy management system and the general ledger, it processes policy events such as bindings, endorsements, cancellations, and reinstatements, executing the corresponding financial commitments with precision. The system adeptly oversees billing, invoicing, payment collection, cash application, treasury routing, and the payables for distribution partners, accommodating various models like agency bill, direct bill, installments, and premium financing. Payments are systematically applied at both the policy and line-item levels, ensuring that commissions and remittances remain aligned while maintaining an auditable trail for every transaction. Consequently, this results in a financial operations system that is aware of policy details, replacing the need for manual reconciliation with streamlined and scalable processes that enhance operational efficiency. Ultimately, the integration of these functionalities fosters a more reliable and transparent financial environment within the insurance sector.

BillingPro is an innovative and adaptable billing solution crafted to equip Property & Casualty (P&C) insurers with personalized billing experiences, leveraging flexible low-code technologies. It manages the entire lifecycle for various P&C lines of business and billing types, accommodating customizable payment plans that can be modified with ease. The platform enhances customer satisfaction by enabling omni-channel payment options and communication methods. Featuring top-tier configurability and rules-driven capabilities, BillingPro simplifies billing processes through the automation of billing and payment tasks, real-time transaction tracking, and precise management of costs such as premiums, taxes, commissions, discounts, surcharges, and additional fees. This level of automation not only mitigates billing leakage but also shortens collection periods, thereby boosting operational efficiency. Furthermore, sophisticated accounting dashboards provide comprehensive insights into billing, collection, and payment processes, ensuring that insurers have the necessary data to make informed decisions. Ultimately, BillingPro empowers insurers to deliver a seamless financial experience to their clients, fostering stronger relationships and greater trust.

UrbanStat offers an extensive suite of over 20 modules designed to enhance portfolio management, streamline underwriting processes, improve risk selection, and refine pricing strategies with the aid of geospatial data and machine learning techniques. Ranging from comprehensive portfolio analytics to detailed transaction-level assessments, UrbanStat serves as a comprehensive platform for property underwriting applicable to both personal and commercial lines. With more than 30 data points available for each property across the United States, Canada, and Europe, users can effectively manage their portfolios on a single, cohesive platform that spans international borders. The integration process with UrbanStat can be accomplished in as little as four weeks, accommodating various methods including database connections, file system interactions, or modern API integrations. Ready-made integrations with platforms like Duck Creek, OneShield, and Guidewire facilitate a seamless transition to our fully automated mode. Users can establish their exposure alerts one time and rely on our advanced technology to monitor and notify them of any regions experiencing increased exposure levels, ensuring they stay informed and in control. This proactive approach allows for timely adjustments to risk management strategies, ultimately promoting more effective decision-making and enhanced portfolio performance.

The Sapiens Platform for Property & Casualty offers a comprehensive, cloud-based or on-premise suite of software solutions equipped with cutting-edge digital functionalities. This platform can be deployed either as an integrated system or as independent modules. Its wide-ranging offerings cater to the diverse requirements of P&C carriers, supporting various lines of business and distribution channels while providing an extensive array of digital tools. The Sapiens CoreSuite for Property & Casualty features several key components, including Sapiens PolicyPro for Property & Casualty, which oversees the entire policy administration process from the initial quote to rating and policy issuance; Sapiens BillingPro for Property & Casualty, which guarantees the accurate collection of premiums, management of claims payments, and processing of agent commissions; and Sapiens ClaimsPro for Property & Casualty, which manages claims processing and the settlement procedures. Additionally, the platform encompasses a reinsurance solution, enhancing its robustness and functionality. This comprehensive approach ensures that carriers can efficiently streamline their operations and improve overall service delivery.

Capsule serves as an innovative software solution for enrollment and billing, aimed at improving the services offered by Third-Party Administrators (TPAs), insurance providers, and associations. Created by MPB Solutions LLC, this software leverages cutting-edge development technologies to set the standard in enrollment processes and integrated billing and remittance functions. It generates invoices for multiple insurance premiums by merging enrollment information with specific business logic tailored to the demands of billing management. Designed to prioritize reliability, precision, and ease of use, Capsule has maintained its core code for almost seven years, successfully producing over 1,000 invoices each month while supporting close to 80,000 employees and their dependents, which underscores its effectiveness with minimal errors or service interruptions. The platform also introduces a revamped user interface that aims to significantly streamline the monthly billing operations, further enhancing efficiency and user satisfaction. Overall, Capsule represents a significant advancement in enrollment and billing software, positioning itself as a critical tool for organizations in the insurance sector.

William, the advanced automated premium billing and payments platform by Certifi, streamlines membership accounting, payment management, collections, and remittance specifically for digital benefits-based billing. With William, users can enjoy the convenience of fully electronic billing transactions across intricate billing situations, which include payer-sponsored marketplaces catering to both group and individual demographics, as well as specialized segments like Medicare Advantage and Medicaid. This robust enterprise-class accounting system ensures compliance with GAAP standards while providing clear audit trails for effective general ledger management. Additionally, all customer-facing invoices, reports, portals, and tools are customized to align seamlessly with your organization's branding. The platform also features rules-driven communications for managing delinquency and policy terminations, facilitating everything from initial notifications to eventual policy suspension or termination. Moreover, both consumers and employers benefit from the flexibility to establish either one-time or recurring payments, utilizing their preferred methods of payment. This comprehensive approach not only enhances user experience but also reinforces the importance of maintaining financial accuracy and transparency within the billing process.

Our premier offering, AgencyPro™ for Windows, equips you with a complete suite of tools essential for managing a nearly "paperless" insurance agency. With its optional Download Module, you can seamlessly obtain client and policy data directly from your Carriers or rating vendors in ACORD® Level 3 format, significantly reducing the need for manual data entry and minimizing the risk of E&O claims. AgencyPro stands out as one of the most all-encompassing agency billing and insurance accounting solutions available in the market today. This robust system covers all aspects of agency accounting, including managing client accounts receivable, handling representative and company payables, reconciling direct bill transactions, and generating invoices and receipts. It operates on both cash and accrual accounting methods, producing essential financial statements such as a Balance Sheet, Income and Expense Report, and Trial Balance. Additionally, it incorporates all the functionalities of EZAgent, providing even greater value. Furthermore, our team of agency accounting specialists is renowned for delivering exceptional support, ensuring you receive the best guidance in the industry. This unparalleled service commitment sets us apart and enhances the overall user experience.

EIS offers a contemporary and well-designed billing and invoicing SaaS platform that empowers insurers to manage billing cycles comprehensively across various customer categories and product lines. Discover the capabilities of EIS BillingCore, which is specifically designed for ambitious insurance providers, as it automates essential billing tasks to transform them into standard procedures requiring minimal agent involvement. By facilitating a seamless end-to-end billing process, BillingCore not only enhances operational efficiency and transparency in cash flow for insurance companies, but it also simplifies the payment experience for all involved parties. Whether it integrates with the broader EIS Suite or other core systems for claims and policy management, BillingCore boasts several key features that position it as the premier solution for insurance billing management. Gain complete oversight of billing life cycles across all customer segments and product offerings, while ensuring that each bill adheres to policy stipulations for consistency and compliance. This innovative platform significantly reduces manual effort, allowing insurance teams to focus on delivering exceptional customer service.

Scaling a business presents numerous challenges, and dealing with disconnected systems should not add to that burden. A comprehensive, cohesive lineup of insurance software solutions can eliminate concerns about inconsistencies, ineffective integration, and lack of clarity for carriers. Duck Creek Technologies offers a fully integrated platform that enhances agility by streamlining management across various solutions. When modifications are made in one area, those changes are instantly reflected throughout the entire suite, ensuring consistency. The Duck Creek Technologies suite delivers the advanced features and capabilities essential for driving business transformation while providing a competitive edge. With this natively-integrated suite, you gain complete visibility into all aspects of your relationships. One cohesive suite comprises four robust, industry-leading solutions. Do you struggle with multiple customer records leading to errors? The Duck Creek Suite allows you to easily correct and synchronize all records across both your Duck Creek software and any third-party integrations, ensuring accuracy and reliability in your data management. Thus, with such a powerful suite, your operational efficiency and customer satisfaction can notably improve.

Mercury, developed by Quick Silver Systems, enables insurance providers in the Automobile, Property, and Casualty sectors to efficiently rate, quote, bind, process payments, and manage claims through an online platform. It reduces the volume of customer service inquiries by offering online access to documents, bill payments, and initial loss notifications. This API-driven modular system facilitates smooth integration with both new and existing data sources. The fully digital document generation and completely web-based platform ensure compatibility across all devices. Users can design tailored, event-driven workflows using our intuitive visual workflow designer. Stay informed with the latest data on Written, Earned, and Unearned premiums, while all pages, cards, reports, emails, and more are automatically saved for easy review and sharing with colleagues. Additionally, it supports currency collection in various digital formats, including ACH, EFT, electronic checks, credit cards, and bank cards. A robust information technology framework within an insurance organization must prioritize a system that not only ensures broad accessibility but also enhances operational efficiency. Furthermore, Mercury’s capabilities empower insurers to streamline processes, offering a competitive edge in the evolving insurance landscape.

Majesco stands out as the premier software partner for both Property & Casualty (P&C) and Life & Annuity (L&A) insurance sectors, facilitating rapid modernization, optimization, and innovation in their operations. With over 330 clients, including greenfield ventures, startups, managing general agents (MGAs), and some of the largest insurers, reinsurers, and brokers, Majesco's advanced SaaS platform solutions encompass core systems, data analytics, digital interfaces, distribution, absence management, and a vast ecosystem of both established and InsurTech partners, all aimed at shaping the future of the insurance industry. Our technology and expertise empower insurers to transform and innovate, ensuring they remain agile and competitive in a fast-paced market. By leveraging cutting-edge technologies like cloud computing, microservices, and API integration, we go beyond mere industry jargon. At Majesco, we actively implement these innovations, enabling carriers to adapt swiftly to market changes, generate substantial business value, and provide their customers with enhanced, quicker innovations tailored to their needs. Our commitment to driving the future of insurance is unwavering, as we continuously evolve our offerings to meet the dynamic demands of the industry.

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.

VeterinaryGate is a comprehensive software solution designed for veterinary practices, encompassing features such as a user-friendly Windows interface and integration of Animal & Pet Medical Records, appointment scheduling, billing, receivables tracking, expense management, and the generation of tailored reports and visual data presentations. This networked and multi-user system caters to both small and large veterinary clinics, seamlessly integrating all necessary financial, clinical, and operational aspects to ensure the efficient management of a thriving veterinary practice. With capabilities for managing medical records, vaccination histories, laboratory test results, prescription writing, appointment scheduling, insurance billing claims, invoicing, expense tracking, receivables, tax management, and pharmacy orders, VeterinaryGate consolidates diverse functionalities into a single application, streamlining operations for both single and multiple veterinary practices. By offering such an extensive array of tools, VeterinaryGate enhances the overall productivity and effectiveness of veterinary care facilities.

daisyBill is a digital medical billing platform for workers’ compensation. With a proprietary network of electronic connections to payers and their clearinghouses, daisyBill ensures faster, smoother billing and payment. The system uses a task-based model that tracks each bill through every stage of the reimbursement cycle, prompting administrative teams in handling bills, authorization requests, payments, and appeals for accurate reimbursement. Additionally, daisyBill features daisyWizard, a tool that accurately calculates reimbursements in accordance with state-specific fee schedules, further supporting efficient revenue management. daisyBill’s primary goal is to improve injured workers’ access to healthcare by minimizing billing friction and ensuring that workers’ comp is financially viable for medical providers.

Pysquel represents a cutting-edge solution for insurance billing, collections, and practice management tailored specifically for mental health professionals. This robust software platform not only enhances the efficiency of mental health practices but also significantly boosts their profitability through its extensive range of features. Among its primary functionalities are claims management, appointment scheduling, Electronic Data Interchange (EDI), billing and invoicing, as well as tools for creating assessment and treatment plans, progress notes, and a patient portal. Additionally, Pysquel includes personnel management capabilities, making it a comprehensive tool for mental health service providers looking to streamline their operations. Overall, Pysquel stands out as an essential resource for practitioners aiming to improve both administrative tasks and patient care.

InsureBill serves as an all-encompassing billing solution tailored to effectively oversee the revenue aspects of insurance companies. It accommodates both individual and multiple policy accounts, facilitates various payers for policies, and includes non-premium billing elements such as deductibles, claim payments, recoveries, and subrogation. The platform boasts an extensive range of features that enhance cash flow while delivering timely, comprehensive, and seamless reports that boost overall efficiency and productivity levels. With its remarkable flexibility and user-friendly design, InsureBill streamlines operational cycles, resulting in increased productivity among internal staff and lowered operational expenses. The system enables teams to manage a greater volume of transactions without increasing headcount, achieving a higher level of efficiency in the process. Furthermore, InsureBill's exceptional scalability and adaptability ensure that it can grow alongside organizations, making it a crucial consideration when assessing potential returns on investment. This adaptability not only meets current demands but also prepares businesses for future challenges in the ever-evolving insurance landscape.

Insuresoft's Diamond Billing solution aims to equip insurers with precise, instantaneous data and self-service features tailored for agents and policyholders alike. This system empowers agents to efficiently oversee their operations while allowing policyholders to manage their coverage whenever they choose. By automating routine processes, it ensures that tasks are handled correctly and supports real-time adjustments to payment plans across various options. Additionally, it adeptly manages scenarios like non-paid cancellations and reinstatements, which streamlines service delivery and boosts overall policyholder satisfaction. Its customizable design meets the specific requirements of both agents and policyholders, facilitating the adoption of flexible pay plans that align with clients' needs and enabling mid-term changes to payment arrangements. Moreover, Diamond Billing supports an extensive range of payment methods, including mobile transactions, online payments, credit cards, electronic funds transfers, checks, or cash, ensuring convenience for all users. This comprehensive approach not only enhances user experience but also fosters stronger relationships between insurers and their clients.

InsurePay stands out as an innovative payment platform that transforms the way insurance companies handle the calculation, collection, transmission, and reconciliation of payments. By facilitating seamless connections between carriers, managing general agents, and policyholders, InsurePay creates a vibrant ecosystem that significantly boosts both efficiency and transparency in financial dealings. The platform accommodates a variety of payment options such as ACH transfers, debit cards, and all major credit cards, ensuring it meets the varied preferences of its clients. Its unique feature, Payment Links, enables insurance organizations to swiftly solicit payments through reusable links sent via email or SMS, offering policyholders a straightforward and secure payment method. Additionally, InsurePay introduces pay-as-you-go workers' compensation billing, which allows for real-time premium calculations derived from live payroll data, thereby enhancing accuracy and optimizing cash flow management. For agents and brokers, the platform provides a cohesive solution that simplifies premium collections and payables, making it a comprehensive tool in the insurance payment landscape. Furthermore, InsurePay continuously seeks to adapt its offerings to meet the evolving needs of the insurance industry, reinforcing its commitment to innovation and client satisfaction.

Transform and enhance every element of your benefits program using PlanSource. Reach your employees through personalized messaging and communication initiatives that can be tailored by group and automatically disseminated via email, text, mobile app, and additional platforms. With integrated self-billing and invoice reconciliation, you'll spend less time auditing and correcting insurance bills monthly, allowing for a more productive workflow. Our comprehensive compliance solutions provide reassurance regarding ACA measurement and reporting, COBRA administration, eligibility criteria, and much more. Efficient workflows and immediate integrations offer an enrollment process crafted to increase engagement and participation in plans. Our fully mobile experience—available on both our app and website—simplifies the process of exploring benefits, making it as easy as online shopping. By removing manual tasks and countless hours of HR administrative duties, you can achieve genuine end-to-end automation for your benefits system. This not only elevates employee satisfaction but also enhances the overall effectiveness of your benefits administration.

Engagement AdvantageSM from Fiserv provides a comprehensive solution that allows your business to present the billing and payment options that your customers are looking for, enhance engagement to foster growth, and improve your competitive edge in customer experience. In today’s market, individuals anticipate tailored interactions and easy choices in every encounter. Cater to their varied preferences and efficiently compete on customer experience by leveraging innovative technologies and expertise, all while avoiding unnecessary costs and complications in your operations. There are multiple methods to distribute bills and numerous ways to connect with the recipients of those bills. Regardless of the delivery method, customers dedicate considerable time to reviewing their monthly bills; our findings indicate that, on average, individuals spend around two to four minutes per paper bill, and somewhat less on electronic versions. By utilizing highly personalized and branded bills, businesses can engage customers effectively, enable cross-selling opportunities, and ensure a seamless experience across various channels, ultimately leading to stronger customer relationships. This approach not only meets customer expectations but also supports sustainable business growth.

In the competitive landscape of today’s insurance sector, having the right tools is essential. Whether you are overseeing the entire product life cycle, introducing innovative offerings, or analyzing your commercial data, our management system is designed to help you achieve your goals efficiently, dependably, and within your budget. Underwriting can range from straightforward to exceptionally intricate, and it’s crucial to determine which risks you prefer your underwriters to assess. Our policy administration platform empowers you to create nearly any insurance product, utilizing an extensive library of bureau content as a foundation while allowing you to customize rates, regulations, and forms to your specifications. This is a policy administration system that stands by its commitments, ensuring quick turnaround times, consistent performance, and an affordable entry point. Furthermore, Instec offers an adaptable billing solution that accurately handles a variety of payment plans, billing types, and commission structures, enabling you to maintain a robust cash flow by providing seamless access to your commercial data. With these capabilities, you can confidently navigate the complexities of the insurance market and focus on growing your business.

We provide a wide range of cloud-centric solutions tailored for the property and casualty (P&C) sector. Our Atlas platform enables insurers to focus on their offerings, clients, and agents, confident that their software needs are expertly managed. As a prominent supplier of IT solutions and services within the P&C insurance market, PCMS delivers extensive administrative software tools suitable for carriers of various sizes, utilizing the most advanced Microsoft development technologies available. Our guiding principle is straightforward: develop exceptional products, drive meaningful results, and ensure customer satisfaction. With a wealth of experience in P&C software development, our team possesses the expertise necessary to create and implement solutions that empower carriers to excel. PCMS stands out as a key player in providing information technology and software for the Property and Casualty insurance field. The Atlas system features a holistic suite of administrative software functionalities, which encompass underwriting, policy management, claims processing, billing, as well as data warehousing and reporting capabilities, ensuring all aspects of insurance operations are efficiently covered. Ultimately, our mission is to foster long-term partnerships with our clients by consistently delivering innovative solutions that adapt to their evolving needs.

Applied Pay serves as an all-encompassing digital payments platform tailored for the insurance sector. It integrates effortlessly with systems like Applied Epic, Applied CSR24, and EZLynx, allowing for the automation of payment collection, processing, and reconciliation tasks. This integration empowers agencies to provide clients with a secure and user-friendly method for making premium payments online, accessible from any device. Supporting a range of payment options, including ACH transfers, credit and debit cards, and eWallet solutions, Applied Pay offers insureds ample flexibility in how they settle their dues. The platform enhances the payment experience with features like next-day funding, the ability to pay multiple invoices at once, and options for setting up recurring payments. Additionally, it provides real-time insights into all payment transactions via an intuitive dashboard, which aids in the effective management of accounts receivable. By streamlining workflows through automation, Applied Pay minimizes the risk of manual errors, maintains compliance with PCI and NACHA standards, and mitigates the liability faced by agencies. Furthermore, its comprehensive capabilities allow agencies to focus more on their core business activities while ensuring a smooth payment process for clients.

Practo Insura is an innovative modular platform for property and casualty insurance, designed to manage the entire policy, billing, and claims lifecycle for insurers, managing general agents, and reinsurers. By utilizing this platform, teams can expedite the launch of new insurance products, upgrade outdated processes, ensure compliance across different states, and minimize manual tasks while alleviating operational barriers. Key functionalities of Practo Insura include: • Comprehensive policy administration covering everything from issuance to renewal • Efficient billing and payment processes, including premium billing and collections • Integrated claims management that streamlines the entire process from first notice of loss to final settlement • Advanced rating engine and quote management features • User-friendly portal for insured individuals and a consumer point of sale interface • A dedicated agent portal equipped with quote-to-bind functionalities • Robust compliance and filing workflows to facilitate state expansion and governance of rates/forms • Detailed reporting and operational analytics capabilities This platform not only enhances operational efficiency but also empowers insurance professionals to focus on delivering exceptional customer service.

Steer clear of practice management software that locks you into an electronic health record system. At BrickMed, our primary goal is to enhance the success of your business. Enjoy the flexibility of scheduling patient appointments, including the management of recurring visits and the option to export data to third-party reminder systems. Improve the efficiency of front desk payments and checkouts by utilizing integrated credit card and check processing support. Regardless of whether you operate a fully insurance-based practice, an ambulatory surgery center, or a cosmetic practice that occasionally provides reconstructive services, the landscape of consumer-driven healthcare necessitates a practice management solution that equips your team to adeptly manage everything from retail operations and product sales to conventional insurance billing. In today's environment, billing centers must evolve past mere claim processing to become reliable consulting partners for healthcare providers, especially amid the rapid transformations in the medical industry. BrickMed solutions are designed to empower billing centers with the tools they need to succeed. Our commitment is to ensure that your practice thrives in a competitive marketplace.

Your ABA practice requires a Practice Management Solution tailored to its specific billing, scheduling, and compliance needs. AccuPoint, a product of Therapy Brands, provides two distinct solutions to address all your administrative and billing challenges. Whether your practice is just starting out, is mid-sized, or has grown larger, AccuPoint offers advanced ABA software that caters to your requirements. For emerging ABA practices, it features permission-based scheduling and calendaring tools. It also includes enhanced calendaring functionalities for handling complex schedules involving staff and clients. The solution supports insurance billing with authorization tracking, alongside advanced reporting and billing options. For simpler needs, basic insurance billing tools with authorization tracking are also available. AccuPoint’s experienced team ensures thorough implementation to help you get started smoothly. Additionally, there are managed billing services and integrated data collection options, such as Catalyst, to streamline your operations. Furthermore, AccuPoint also provides services like a Telehealth Portal and credit card processing to enhance your practice's efficiency and accessibility. With these comprehensive features, your practice can thrive in a competitive landscape.

AI Insurance is a cutting-edge, cloud-based platform that leverages artificial intelligence to enhance and automate insurance management workflows for program managers, captives, third-party administrators, and risk retention groups. By integrating multiple functionalities into a unified interface, the platform facilitates claims management, financial tracking, digital portals, application processes, premium billing, policy issuance and signatures, rating engines, and data management. Among its standout features is AI-driven automation for tasks like invoice auditing, where defense counsel invoices are meticulously analyzed against established guidelines to thwart unauthorized legal fees, as well as application parsing that efficiently gathers data from received applications to fill out forms automatically. Furthermore, the platform boasts indemnity prediction capabilities, asserting a 25% increase in accuracy compared to traditional adjusters after one year of use, which aids in generating cost predictions and actionable recommendations for claims. This innovative solution not only enhances operational efficiency but also empowers users with valuable insights to improve decision-making in the insurance field.

Our cloud-based Practice Management solution allows for seamless billing management, enabling your practice to swiftly determine and verify patient insurance benefit eligibility and copay amounts. This system works in conjunction with various clearinghouses and facilitates efficient accounting book management. It simplifies the reconciliation process for patient accounts and insurance billing and supports quick online patient payments along with EOB/ERA processing. The robust task management feature of our healthcare practice management system allows users to efficiently locate and assign claims for review through an intuitive filter-based search function. Users can filter outstanding claims utilizing approximately 100 different criteria, such as the responsibility of payment between patient and insurance, payer classification, provider details, service dates, aging buckets, and reasons for denial. Additionally, the filters can be saved for future use, enhancing workflow efficiency and organization in managing claims. This integrated approach not only streamlines operations but also significantly reduces administrative burden.

The Property & Casualty Scenario Generator features stochastic models for assets and calibration tools designed to track the progression of various economic and financial variables. It serves as an essential component in capital models, investment strategies, and claims analysis. This tool enables insurers, asset managers, and institutional consultants to engage in diverse risk management and asset-liability modeling (ALM) practices. Users can access scenarios that deliver realistic distributions of asset returns and associated risk factors. These scenarios can be tailored for short durations, ranging from 1 to 5 years, or extend over 50 years and beyond. Furthermore, users can benefit from an extensive calibration service that encompasses a variety of economies and asset categories, developed by a dedicated team of economists and calibration specialists, ensuring that the output aligns with current market dynamics. This comprehensive approach enhances decision-making processes within the financial landscape.

Maximize your revenue, streamline automation, and gain immediate insights while ensuring compliance with ease. Start your transition to an automated future today with BFLOW®. Distinct from other solutions, BFLOW® is specifically tailored for DME businesses, providing all necessary forms and tools to keep your cash influx steady and your operations compliant. Avoid the pitfalls of DME platforms that complicate processes, leading to frequent errors in medical claims and diminished cash flow. Our innovative cloud-based DME software offers operators an intuitive interface at significantly lower costs. With the BFLOW Performance Management Dashboard, you can simplify your operations through multi-channel billing from a single, cohesive application. This includes features for retail POS, insurance billing, patient billing, and B2B invoicing—all integrated into a comprehensive solution that comes with our standard pricing plan. Experience the difference of a software designed specifically for your needs and watch your business thrive.

For over three decades, Prime Clinical has been offering expert services alongside their proven practice management software tailored for healthcare providers. Their ICD-10 compliant system, Intellect, efficiently handles various administrative processes including appointment setting and insurance claims, allowing healthcare teams to dedicate their efforts to providing exceptional patient care. Furthermore, Intellect seamlessly integrates with electronic health records (EHR), ensuring secure and smooth data transfer across all patient management systems within healthcare organizations. Users can send appointment notifications through various channels such as email, phone, or text, and meticulously track reimbursements for each CPT code on every invoice. The software also facilitates the generation of comprehensive reports on a monthly, quarterly, or yearly basis, which can be scheduled at any chosen time. Additionally, it supports shared scheduling and billing tasks across multiple practice locations, enhancing collaborative efficiency among healthcare teams. With such features, healthcare providers can maintain a high level of organization and patient engagement.

Capitola’s platform enhances distribution efficiency by automating placement processes and utilizing AI to match risk appetites, allowing broker teams to concentrate on their core strengths: nurturing client relationships, broadening their market reach, and closing more transactions. With support for property, casualty, and specialty coverage lines, Capitola ensures your broker teams are well-equipped both now and as your business evolves over time. The user-friendly tools and technologies not only please users but also require minimal training and can seamlessly integrate with current systems. Enhanced by superior AI-driven market intelligence, your team is empowered to identify the most suitable markets for every opportunity. By simplifying the marketing process, Capitola removes redundant tasks and manual data entry, alleviating the challenges associated with managing intricate programs. This holistic approach ultimately fosters a more productive and efficient working environment for brokers.

Trusted by over 100 insurers across North America, BriteCore provides P&C insurers with a cloud-native core insurance platform designed to drive business growth, enhance operational efficiency, and offer unparalleled flexibility. The BriteCore Platform enables insurers to seamlessly manage policies, billing, and claims; rapidly configure new products; and access comprehensive reporting and analytics—all within a unified core insurance system that includes user-friendly portals for agents and policyholders. For more information, visit britecore.com.

At SpeedBuilder Systems, we are dedicated to creating software solutions that streamline business operations for you and your clients. Our BindExpress Suite package serves as a comprehensive policy administration system tailored for both insurance agents and their clients, offering remarkable usability, rapid adjustments, and outstanding outcomes across both personal and commercial insurance sectors. Covering all aspects from policy management to claims processing and billing, this innovative technology ensures you stay significantly ahead of your competitors in the industry. With our commitment to excellence, we aim to transform how you engage with your business.

Eligible offers robust APIs that seamlessly integrate insurance billing functionalities into your applications. Our certifications provide reassurance to patients and healthcare providers that Eligible adheres to the highest standards of privacy and security while managing millions of healthcare cases monthly. We recognize the importance of a well-established information security framework in fulfilling both Eligible's and our clients' objectives. We are pleased to share that we have successfully completed our Type II SOC2 audit, which reinforces our commitment to safeguarding protected health information. This achievement not only underscores our dedication to security but also builds trust with our customers and partners regarding our obligations to protect sensitive data. With our APIs, you can effortlessly enhance the patient insurance billing experience for your users, allowing you to run estimates, verify insurance, and submit claims for patients seamlessly. Experience the ease and efficiency that our technology brings to healthcare billing processes.

ACOM Health is a leading provider of superior billing services. RAPID by ACOM Health is a chiropractic office-specific solution. It offers the most comprehensive, efficient, and results-oriented solutions for electronic health records (EHR), notes and practice management. It also includes insurance billing and collections. Fully automated EHR workflow, charts and templates for chiropractors, as well as automated alerts are some of the key features. RAPID offers online patient registration, appointment reminders, self service registration kiosk, appointment reminders and many other features.

Say goodbye to being tied to your desk! With the TimesManager™ mobile app, you can take all your essential data with you wherever you go. This cloud-based software is designed for professionals like consultants, adjusters, accountants, mediators, and law firms, providing seamless access to your time and expense slips, split billing, documents, clients, projects, and assignments right from your computer, tablet, or smartphone. Leverage the quasi Customer Relationship Management features of TimesManager™, which include data syncing, speech recognition, and efficient time tracking to facilitate instant billing. Whether you're on the go or at your desk, the TimesManager™ mobile app enables you to create timed entry slips effortlessly. Available for download on the App Store for iOS and Google Play for Android, you'll always have the tools you need to keep your time management precise and efficient with TimesManager™. This level of flexibility ensures that you can stay productive no matter where your work takes you.

OptiMantra is an established EMR and practice management platform focused on integrative and wellness practices. The platform is highly adaptable and robust - it includes online appointments, patient messaging and email reminders, a patient portal, intake forms and customizable charting, integrated payment processing, integrated labs and imaging, insurance billing, in-program tele-health, inventory management, and more. It's easy to get set-up! OptiMantra offers tailored onboarding support.

Sapiens ClaimsPro is an all-encompassing claims management system tailored for Property & Casualty (P&C) insurers, featuring auditable, customizable, and AI-enhanced automation applicable across various business lines. The software's intelligent, rules-based workflows expedite claims processing, thereby reducing both costs and the time to settle claims. Its user-friendly interface allows adjusters to access essential features with just a single click, significantly improving their overall experience. Additionally, a centralized repository provides a comprehensive view of claims, policies, and accounts, which enhances customer service and streamlines vendor management. ClaimsPro also empowers insurers to swiftly adapt to evolving business needs, manage intricate claims with advanced case management tools, detect and mitigate fraud, and proactively address exposure in response to catastrophic incidents, ensuring timely service delivery. Thus, this software not only optimizes operational efficiency but also strengthens the insurer's capacity to respond effectively to unprecedented challenges.