Alternatives to V3locity

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.

SpyGlass, our advanced software for managing health claims at the enterprise level, presents a robust and adaptable solution for efficient and accurate claims processing. The platform simplifies the setup of benefits and plans significantly. Fully integrated with SpyGlass, BenefitDriven offers eligibility verification, contribution accounting, and pension management specifically tailored for the Taft-Hartley sector, encompassing a comprehensive suite of data and processes for both Participants and Employers. Our all-encompassing EDI gateway and scheduler, HIPAA Director, functions as a central hub, enabling seamless connections with vendor partners to minimize transaction costs, streamline batch transfers, and automate the transfer process. With SpyGlass, you gain an in-depth, panoramic view of your population while also having the capability to drill down to granular details with ease. You can access an extensive selection of unique reports, fully customizable dashboards, and maintain total control over your system, ensuring that you have everything you need at your fingertips to make informed decisions and optimize your operations. In this way, SpyGlass empowers organizations to enhance their efficiency and effectiveness in managing health claims.

HiBob, a premier provider of HR solutions, offers a robust HCM named Bob to empower HR teams and streamline operations. From onboarding and performance management to employee engagement and automation, Bob equips HR leaders with the resources necessary to foster a positive workplace culture, drive employee development, and focus on strategic initiatives that propel organizational growth. HiBob’s platform, Bob, simplifies HR processes and ensures ease of use with customizable workflows tailored to different roles. It automates paperwork and seamlessly integrates with existing systems to save time and ensure data accuracy. The user-friendly approach empowers HR professionals to manage company-wide HR tasks effectively and efficiently. Bob Performance Management provides tools for goal setting, feedback, and performance reviews. Real-time tracking and data insights enable timely interventions, fostering a culture of accountability and continuous improvement and boosting employee engagement and retention. Bob’s employee engagement tools foster connection and collaboration among employees through channels for feedback, recognition, and communication, boosting morale and productivity.

Authorize, claim processing and payment are available at the point-of-care. Improve care coordination and improve outcomes for lower medical costs while streamlining administrative processes. Engage providers at point of care to share and capture data in real time, resulting in an unprecedented exchange of health information. We work with our clients to develop risk management strategies that produce better outcomes at lower costs. We aim to improve the user experience of everyone in the ecosystem. To optimize clients' resources, we deliver a minimum of a 3:1 ROI. Conexia has created a core technology platform (ONE), which can be customized to meet the different regulatory requirements and operational processes of each client in each geographic region. Our initial implementation is usually an overlay on the existing technology ecosystem of the payer to create real-time processes.

Slope Software presents an innovative, cloud-based actuarial modeling platform that aims to simplify intricate financial projections and analyses. This platform allows for code-free, visual model creation with live formula validation, which empowers actuaries to construct transparent and adaptable models with great efficiency. It comes equipped with a comprehensive library of assets and liabilities, making it easy to develop complex financial products. Slope's high-performance mode can enhance projection speeds by as much as ten times, enabling users to rapidly derive essential insights via its dynamic reporting capabilities. Furthermore, the system incorporates advanced assumption management features, which facilitate the aggregation and oversight of data from upstream sources to formulate strong assumptions. With integration options for APIs and Snowflake, Slope automates repetitive tasks and enables users to query actuarial outputs alongside other critical company data, enhancing overall business intelligence. In doing so, Slope Software not only streamlines the actuarial process but also provides significant value in strategic decision-making for organizations.

The Virtual Benefits Administrator (VBA) stands out as the top cloud-based software solution for benefits administration in the industry. Offering comprehensive functionality and limitless adaptability, VBA empowers users to effectively create and oversee various health benefits, including medical, vision, dental, disability, Medicaid, Medicare, Medicare Supplement, care management, long-term care, health savings accounts (HSAs), flexible spending accounts (FSAs), health reimbursement accounts (HRAs), and COBRA. This extensive range of services positions VBA as an essential tool for organizations looking to streamline their benefits management processes.

The PX3000 platform developed by Penad is an all-encompassing software solution for pension administration that effectively manages various benefit types and pension schemes. With its secure and scalable design, PX3000 includes advanced reporting capabilities and allows for self-service access, enabling financial organizations to efficiently monitor and assist both individual and group pension accounts comprised of multiple savings options. Additionally, Penad's PX3000 offers a wide array of features, including a specialized Human Resources Administration (HRMIS) module, management tools for retirement plans, administration services for retirees, and a module for group life and health benefits, among other functionalities. This extensive feature set makes PX3000 an essential tool for institutions looking to enhance their pension management processes.

PensionGold® software stands out as the most cutting-edge and sophisticated solution for pension administration currently on the market. Tailored for modern web technologies, it serves as a browser-based retirement management tool that offers a wide array of features specifically designed for defined benefit pension plans. This comprehensive software is crafted from the expertise and insights gathered over three decades of industry experience. With its configurable, flexible, and scalable design, PensionGold is underpinned by our unique Enterprise Solutions Foundation (ESF) platform. The ESF employs a multi-tiered, service-oriented architecture (SOA) that not only enhances the functionality of PensionGold’s extensive features but also equips users with design-time configuration tools to seamlessly adapt to their evolving business needs. This innovative approach ensures that our clients can efficiently manage and adjust their pension plans to accommodate any changes in their operational landscape.

PLEXIS offers a comprehensive suite of top-tier applications designed to equip payers with the advanced capabilities required for contemporary core administrative systems. These applications encompass functionalities such as real-time benefit management, adjudication, automated EDI transmission, and self-service customer portals, ensuring that PLEXIS Business Apps meet all your needs. The Passport feature facilitates crucial connections between core administration and claims management systems, PLEXIS business applications, custom applications, and existing internal systems. Its adaptable API layer allows for real-time integration with various portals, automated workflow tools, and business applications, ensuring that connectivity knows no bounds. By employing this centralized, modern core administration and claims management platform, you can enhance workflows effectively. This approach enables the efficient processing of claims while simplifying the complexities associated with benefit administration, resulting in a swift return on investment and the ability to provide exceptional customer service. Ultimately, PLEXIS empowers organizations to thrive in an increasingly complex healthcare landscape.

As a pioneering force and leader in the insurance sector, we boast the most comprehensive straight-through processing platform available in the UK. Discover how our digital solution can cater to your business requirements. Our approach to business transformation emphasizes enhanced agility and a seamless end-to-end digital experience. With self-service options for both advisers and consumers, productivity sees significant improvement. Furthermore, we aim to increase customer lifetime value by fostering proactive and ongoing engagement. Through our Customer and Adviser Portals, users can effortlessly manage their policy documentation and update their personal information in real time. Our platform encompasses every aspect of user interaction, featuring extensive reinsurance reporting, integration with external portals, and both automated and manual underwriting processes. We also offer flexible deployment options, allowing for complete end-to-end installation of the SSG Digital platform or the option to implement individual integrated components, such as underwriting or new business functions, tailored to your needs. Ultimately, this flexibility ensures that your organization can adapt and thrive in an ever-evolving market landscape.

The Pension Administration System consists of a calculation engine, a data management application, a report generation tool, and a development platform aimed at plan sponsors, third-party administrators, and benefits consultants. It is designed to model intricate benefit plans through the use of parameter definitions, pre-defined business objects, and entry points that follow established rules, all tailored to satisfy specific benefit administration needs. Utilizing an N-tier architecture, the system separates the application into various layers, which allows for a modular design approach that accommodates growth and facilitates quick, cost-effective integration with existing client systems. Additionally, the Pension Administration System is specifically tailored to streamline all pension administration tasks without requiring complex coding. Furthermore, the system includes a variety of functionalities that enhance its usability and efficiency for end-users. Below is a comprehensive list of some of the processes available within the system.

A risk management solution for property and casualty. All-in-one benchmarking and claims management system that simplifies claims-related processes and makes adjusters' lives more simple. TerraClaim provides two tools to simplify claims-related operations. These tools are powerful enough on their own, but even more so when combined. An innovative cross-industry data analytics and claims benchmarking solution that compares your claims performance to industry peers. This helps you set better goals, manage risk reserves, and improve claim outcomes. The world's best property and casualty claims management software that streamlines your internal processes, improves productivity, drives desired results, and prevents fraud.

Sagitec offers a range of innovative software solutions, including Neospin™, a comprehensive browser-based pension administration system designed for efficient management of pension benefits. Additionally, Sagitec Neosurance™ provides a fully integrated platform for handling unemployment insurance, disability insurance, and paid family leave, all accessible through a user-friendly web interface. The Sagitec HealthConnect platform facilitates Medicaid member engagement by empowering users to take an active role in their health management, utilizing Microsoft’s Azure cloud, which is HITRUST certified for security. Furthermore, Xelence™ serves as Sagitec's low-code/no-code platform, providing a visual environment that enables both citizen developers and IT professionals to create, test, and launch a variety of applications. This platform simplifies the development process for everything from basic consumer applications to complex enterprise solutions, featuring intuitive drag-and-drop capabilities and integrated enterprise architecture tools that streamline application deployment. With these tools, organizations can enhance their operational efficiency and improve service delivery across various sectors.

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.

PENFAX serves as our comprehensive pension technology solution, consisting of four fundamental products. These offerings leverage scalable technology and can be tailored to meet the specific requirements of your organization. Collectively, our administration system ensures precise calculations regardless of the complexity of your pension rules, while our portal products are adaptable to cater to the distinct preferences of both plan members and employers. The PENFAX Admin System encompasses a suite of modules that streamline pension administration and is relied upon to manage even the most intricate plans. Featuring a robust and flexible rules-driven calculation engine, this scalable system can be adjusted to handle both straightforward and exceedingly complex calculations, accommodating plan memberships ranging from 1,000 to 1,000,000. Our dedicated team of experts collaborates with you to gain a deep understanding of your requirements, ensuring that PENFAX is optimally configured to enhance efficiency for you and your organization. Furthermore, our ongoing support guarantees that your pension administration remains agile and responsive to any changes in your business needs.

The influence of digital technologies on the insurance sector is profound, with those adapting to these changes set to gain a strong competitive edge. Outdated claim management systems that rely on numerous platforms, physical documents, and labor-intensive procedures are now being supplanted by cloud-based enterprise claim management solutions. The Majesco ClaimVantage Claims Management Software for Life and Health simplifies the entire claims process, encompassing every stage from initial intake to payment calculations, while seamlessly integrating various systems to enhance information flow throughout the organization. By ensuring precise and prompt claim decisions, businesses can elevate customer satisfaction and boost operational efficiency. Additionally, built on the Salesforce Lightning Platform, Majesco ClaimVantage Claims Management Software for L&H empowers insurance firms and third-party administrators to not only modernize their claims handling but also to position themselves for future advancements in the industry. As the landscape evolves, embracing such innovative solutions will be crucial for sustained success.

Our software provides top-tier automated pension administration services. Procentia stands as an independent entity focused on developing innovative pensions software solutions. Recognized as a global leader in this sector, we collaborate closely with our clients to offer a flexible, dependable, and high-value approach to pension management. The exceptional quality of our software, our dedication to outstanding customer service, and the expertise of our specialized staff in the pensions and financial services sector underpin our esteemed global reputation. The success stories from our clients illustrate the advantages they and their customers have realized through the adoption of Procentia's software. Our teams for implementation and support consist of skilled developers who hail from the pensions and financial services arena. Additionally, we provide an online knowledge base and issue resolution tools that are available around the clock, ensuring that assistance is always within reach. This commitment to accessibility and support reinforces our mission to empower clients in their pension administration endeavors.

Although cloud technology has made many aspects of your operations easier, your team might still feel overwhelmed. Our HR solutions enable you to automate tedious tasks, allowing you to concentrate on what truly matters – becoming a more strategic partner in your business and enhancing the overall experience for your employees. With our service centers, chat options, and self-service request portals, dependable HR support is always accessible, featuring language options and customized systems. Whether your staff faces significant issues, has minor inquiries, or requires assistance with your systems, we've got it all covered. Your HR platform is effective in managing personnel, but are your processes fully utilizing the available technology? We don’t just handle routine administrative tasks; we also identify areas for process enhancement and assess what the data reveals about your workforce. By doing so, we aim to boost both utilization and satisfaction through a seamlessly integrated benefits platform, ensuring that your team can fully engage with the tools at their disposal. Ultimately, our goal is to empower your organization to achieve its highest potential.

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.

Founded in 2000, DataGenix is dedicated to delivering innovative claims processing solutions to third-party administrators, adjusters, and insurance firms. Recognizing the complexities that can arise in claims processing and health benefits management, our team has developed the sophisticated ClaimScape software designed to streamline the entire adjudication process, ensuring your business remains unaffected by potential losses. Our mission is to tackle the challenges that prevent an exceptional customer experience for your clientele. By aligning our offerings with current trends and demands, we are committed to facilitating your organization's growth through our software solutions. Trusted by leading TPAs nationwide, we are eager to expand our services to a broader audience. As we continue to evolve, we aim to set new standards in the industry.

Anagram Prosper allows you to return funds to your patients without imposing any costs on your practice. By enhancing your profit margins and pleasing your patients, you can eliminate the need for courtesy discounts. We have collaborated with top vendors to create wholesale price lists that cater to both your requirements and those of your patients. You can offer rebates on products you already have in stock, encouraging patient engagement and driving increased sales while boosting your revenue. With Anagram Prosper, you not only save your patients money but also maintain your profit margins without resorting to discounts. Utilize our rebate program to enhance customer satisfaction and stimulate more purchases. Many patients are unaware of their out-of-network benefits, and Anagram Access allows you to access real-time vision plan eligibility to ensure maximum savings for them. This tool enables you to swiftly determine the patient's financial responsibility while also showing how much they can expect to be reimbursed by their vision plan, making the entire process smoother and more efficient. By leveraging these innovative solutions, you can elevate your practice while providing exceptional value to your patients, ensuring they leave satisfied and informed.

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.

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.

PensionPro is a comprehensive cloud software solution aimed at enhancing the efficiency of Third Party Administrators (TPAs) by simplifying plan management, client interactions, and overall business operations. It features three different levels: TRACK, TEAM, and BUSINESS, each specifically designed to cater to diverse organizational requirements. TRACK is the foundational tier, offering fundamental tools such as Client Relationship Management (CRM), a Plan Cycle Milestone Dashboard, and basic reporting options. Additionally, it grants access to PlanSponsorLink.com, a secure portal that facilitates seamless information sharing between administrators and their clients. The TEAM tier builds on the capabilities of TRACK by incorporating features like online data collection, time tracking, mass email functionality, fee schedule oversight, and integration with ftwilliam.com for necessary forms and compliance needs. This level is crafted to enhance operational organization and streamline internal processes, ultimately boosting profitability. Furthermore, the BUSINESS tier offers even more advanced tools and analytics to support larger organizations in maximizing their operational effectiveness.

HealthRules® Payer represents a cutting-edge core administrative processing system that offers transformative features for health plans across various types and sizes. For over a decade, health plans utilizing HealthRules Payer have effectively capitalized on market opportunities, maintaining a competitive edge. What sets HealthRules Payer apart from other core administrative solutions is its innovative application of the patented HealthRules Language™, which resembles English and introduces a groundbreaking methodology for configuration, claims management, and information transparency. This system empowers health plans by enabling them to expand, innovate, and outperform their peers more effectively than any other core system available today. As a result, HealthRules Payer not only streamlines operations but also fosters a culture of agility and responsiveness within health organizations.

Ease, formerly EaseCentral, is a technology-based platform that allows insurance brokers to provide better service to their SMB clients. Ease makes it easy to set up and manage benefits and onboard new employees. It also allows you to stay compliant and give employees one place for all your human resources information. Ease is used by more than 70,000 small and medium-sized businesses today for benefits and HR.

PlanXpand™ is the specialized transaction processing engine developed by Acero, which serves as the backbone for all products aimed at health benefits administrators. With this innovative engine, clients have the flexibility to implement Acero’s offerings either all at once or gradually over time. Beyond simply selecting from our standard range of products, administrators have the option to harness PlanXpand™ to create tailored solutions that enhance their current system functionalities. Acero’s distinctive, integrated solutions utilize a Service-Oriented Architecture, enabling health benefits administrators and insurers to augment their existing adjudication platforms with new features and capabilities. Furthermore, our advanced design and engineering facilitate real-time adjudication for all claim types, directly interacting with the core claims system, which leads to improved processing accuracy, increased customer satisfaction, and a reduced necessity for claims adjustments. This adaptability and precision in processing claims ultimately positions Acero as a leader in the health benefits administration sector.

PeopleStrategy is a full-service broker that offers expert benefits consulting, intuitive software for HR and comprehensive administrative services. This allows employers to have one source for all the tools and resources they need to attract, manage, and retain talent. PeopleStrategy's cloud-based, HR platform is perfect for companies with 50 to 500 employees. It also allows for easy scaling up and down. It offers HRIS, Payroll and Benefits Administration, Time and Attendance, Onboarding, Applicant tracking, Performance, Compensation Planning Compliance, Reporting & Analytics all in one platform. PeopleStrategy Insurance Services helps employers develop a long-term and sustainable benefits strategy. Expert benefits consultants can help you choose the right mix of non-insured and insured benefits options for your employees and their families.

EIS offers a cutting-edge, cloud-native, API-first SaaS platform tailored for the insurance industry, empowering dynamic insurers to innovate with the agility of a technology firm. Their comprehensive platform accommodates various lines of business, such as group benefits, property and casualty, life and annuities, and protection. With an architecture that is open, event-driven, and responsive in real time, EIS enables insurers to enhance their agility and operational efficiency, facilitating swift innovation, quicker product launches, and the creation of new revenue streams while fostering customer-focused insurance solutions. The platform comprises essential core systems, including PolicyCore for managing policies, BillingCore for overseeing billing processes, ClaimCore for claims management, and CustomerCore for managing customer relationships. These components can function independently or as an integrated suite, ensuring seamless end-to-end support across the entire insurance lifecycle, which encompasses policy management, underwriting, claims processing, billing, and customer engagement. By leveraging this robust platform, insurers can effectively respond to market demands and enhance their overall service delivery.

WLT’s MediClaims system presents an economical, user-friendly, and highly effective solution for managing benefits and claims. Its rules-based framework combined with integrated EDI functionalities ensures that claims are handled swiftly, simply, and with precision. The system is designed to manage a diverse array of benefits and claims, including Medical, Dental, Vision, Prescription Drugs, Consumer-Driven Healthcare, Disability, and Capitation processing. With WLT's MediClaims, you can easily customize the configuration of your groups to accommodate either a single line of coverage or intricate benefit plans with multiple coverage lines. To achieve operational efficiency, a robust information system is essential, and WLT consistently utilizes cutting-edge technologies, delivering you the most advanced and adaptable systems available in the market. In an ever-evolving healthcare landscape, having such a dynamic claims processing system is crucial for maintaining competitive advantage and ensuring customer satisfaction.

UKG Pro is our award-winning HCM solution. It simplifies complex HR processes and provides powerful insight into your workforce. UKG Pro combines deep functionality and artificial intelligence technology (AI) with an intuitive, best in class user interface. This makes it easier for HR leaders and business leaders to improve performance and create better work environments for their employees. UKG Pro supports even the most complex organizational needs, including large-picture data and zooming in on the individual employee's journey within seconds. Get a single, comprehensive view of all employee data, including insight into global teams. The industry's most powerful payroll engine. It simplifies complex tax processes. Provide a personal, candidate-centric experience for potential employees and make it easier to recruiters to find the right match.

The Advanced Insurance System (AIS) caters to organizations of various sizes, offering a ready-to-use solution that can be easily customized and implemented. Customers benefit from the software's extensive configuration options, allowing for rapid product deployment. This modular and integrated system is capable of interfacing with different platforms or functioning as a comprehensive policy administration solution for Personal, Commercial, or Specialty lines. The process of configuring new lines is straightforward with AIS. It empowers agents and insurers with essential tools needed to drive growth. In a highly competitive landscape, AIS enhances efficiency by providing automation and self-service features, which reduce operational costs while increasing sales. With AIS, the capability to develop new products or expand into new regions is readily available, granting you the competitive edge necessary for success. Ultimately, AIS transforms the way insurance organizations operate, ensuring they stay ahead in the market.

Civica's Universal Pensions Management (UPM) is an all-inclusive, cloud-based solution for pension administration aimed at improving member experiences and optimizing operations. By unifying pension administration, document management, and payroll functions within one platform, UPM leverages advanced process automation to lower administrative expenses while enhancing data integrity. This system includes tailored online portals for both members and employers, fostering significant digital transformation and self-service options. Additionally, UPM boasts robust integration with prominent industry solutions focused on bank validation, identity confirmation, and document verification. The platform efficiently manages over 100 schemes, overseeing more than £43 billion in assets and catering to 3.5 million members. Impressively, four out of the five leading local government pension schemes have recorded the lowest 'per-member administration' costs through UPM, demonstrating its effectiveness in the field. Ultimately, UPM stands out as a vital tool for modern pension management.

Introducing a cutting-edge and efficient method for managing and settling insurance claims. This comprehensive, all-in-one solution caters to various types of insurance, including property, liability, and workers’ compensation. ClaimRuler™ is a state-of-the-art cloud-based claims management platform crafted specifically for Independent Adjusters, Third-Party Administrators, CAT Adjusters, Insurance Carriers, Self-Insured entities, and Municipalities. The system facilitates seamless claims processing with integrated guided workflows, extensive reporting features, and an automated diary system that enhances the efficiency of the claims settlement process. Designed with the real-world needs of industry professionals in mind, ClaimRuler™ offers a user-friendly and functional interface, making it easier to manage forms, lists, documents, and images. Whether you are part of an I/A firm, a TPA, an insurance carrier, or a municipality, ClaimRuler™ is flexible and scalable to grow alongside your organization. This adaptability ensures that users can navigate the platform with ease while meeting the evolving demands of the insurance landscape.

USSI takes pride in showcasing its complete range of professional insurance software solutions, crafted as a comprehensive turnkey administration package. These all-inclusive software offerings are designed to guarantee that your insurance firm functions at peak performance in a rapidly evolving and competitive industry landscape. The InsurancePlus Individual Life and Health Administration software from USSI effectively oversees the management of business portfolios for both traditional and innovative Life and Health insurance providers. This solution accommodates various product lines such as Whole Life, Term Life, Interest Sensitive policies, Final Expense plans, Annuities, and Supplemental Health insurance. Additionally, USSI's InsurancePlus Group Life and Health Administration software efficiently manages portfolios for Group Health insurance companies, Self-Insured Funds, and Third-Party Administrators (TPAs), supporting a diverse range of plan options like Point of Service, Major Medical, Term Life, High Deductible, and Traditional Indemnity plans. With such a wide array of features, USSI ensures that its software solutions are versatile and adaptable to meet the unique needs of every client in the insurance sector.

PDS’ Vista is the complete HCM software solution for organizations with employees based in the US, Canada, or the Caribbean. All the pieces—human resources, payroll, benefits, time and attendance, recruiting, onboarding, self-service, workflow, analytics, and extensive reporting components—come together to simplify your business practices and processes. PDS serves a wide variety of organizations in many different industries, including professional services, finance, healthcare, retail, manufacturing, utilities, transportation, hospitality, non-profit, education, government, and others. Organizations are able to take advantage of the benefits of our cross-border, single database architecture that automatically presents employees with appropriate US or Canadian page content, based upon their citizenship. Although a single, integrated HCM and payroll solution, Vista provides robust tools that will scale as your business grows, delivers automation where it’s needed and necessary functionality where it’s logical. Whether you opt for Vista in the cloud or on-premise, we’ve delivered the operations management tools that you’ll need to monitor and securely manage your HCM environment.

Equiniti Retirement Solutions delivers a wide array of advanced software and platform solutions aimed at revolutionizing pension administration through cutting-edge innovation and digital transformation. Boasting a remarkable legacy of over 187 years in the retail and workplace wealth, life, and pension sectors, EQ focuses on providing future-ready technology that seeks to lower ongoing expenses, enhance efficiency via process automation, and mitigate regulatory risks. Their unique administration platform, Compendia, guarantees a smooth user experience with features including automated benefit calculations, effective document management, and self-service portals for members. For Local Government Pension Schemes (LGPS), EQ's specialized Compendia LGPS caters to the distinct requirements of public sector pension administration, incorporating workflow automation, online member services, and real-time management insights. Furthermore, EQ also presents strong data solutions aimed at alleviating the dangers linked to inadequate pension scheme data, ensuring greater reliability and accuracy in pension management. This comprehensive approach underscores EQ's commitment to enhancing the overall efficiency and effectiveness of pension administration for its clients.

Avenu Insights & Analytics presents CPAS (Clearview Pension Administration Solution), an all-encompassing, web-based system crafted to enhance the management of retirement plans for both governmental and private organizations, including union trusts, third-party administrators, and financial institutions. With a legacy spanning over 35 years and deployments on four continents, CPAS effectively accommodates various pension structures such as defined benefits, defined contributions, hybrid plans, and health and welfare administration. The platform boasts a suite of integrated administrative features, optimized business workflows, user-friendly self-service portals, and robust data management tools, empowering administrators to gain a comprehensive view of member information and provide outstanding service. Members enjoy the advantages of secure and personalized self-service portals, which are furnished with tools for retirement modeling, planning, and calculations, thus facilitating proactive preparation for their futures. Additionally, CPAS is designed to be both scalable and adaptable, catering to the diverse needs of organizations, regardless of their size. Its versatility ensures that all users can tailor the system to meet their specific requirements effectively.

The Milliman Actuarial Retirement Calculator (MARC) serves as an all-encompassing system for pension administration, aimed at ensuring precise and efficient oversight of defined benefit plans. Established in 1991 by a skilled team of Milliman actuaries, retirement plan consultants, web developers, and IT experts, MARC provides a solid framework for calculating pension benefits and maintaining essential administrative data. Its adaptable design accommodates a variety of plan types and enables fully customizable calculations, reports, forms, data management, web interfaces, and workflow systems. By fostering participant involvement, MARC features an intuitive website that empowers employees to access personal information, utilize self-service options like adding beneficiaries, manage forms and documents, communicate with plan sponsors, generate pension estimates, and perform comprehensive retirement modeling. Overall, MARC not only streamlines pension management but also enhances the overall retirement planning experience for participants.

Accelerated claims processing is achieved through multiple interfaces that seamlessly integrate with your corporate branding. Our digital data environment allows for access from any location at any time, ensuring convenience and flexibility. Health and Life processing is streamlined through advanced systems that cater to your specific processing requirements. We enhance the claims lifecycle to keep pace with the volume of incoming claims, while simultaneously addressing and resolving more complex claims at an unprecedented speed. The process is swift and uninterrupted, eliminating delays in claims processing. CLAIMSplus accelerates the claims journey by collaborating with employers, TPAs, and insurers, utilizing powerful cloud-based processing platforms. Our mission at CLAIMSplus is to refine processes and hasten medical claims through secure, dependable, and efficient electronic claims management solutions. Ultimately, our cutting-edge technology is designed to handle claims promptly and effectively. Feedback from our clients has consistently highlighted that the speed of the claims process is the most critical factor in successful claims management, underscoring the importance of our commitment to efficiency.

Visma Idella delivers cutting-edge software and services tailored for the financial industry in the Netherlands, with a particular emphasis on pension management, disbursements, and social benefits. With a client base of over 4.3 million Dutch pension members and handling monthly disbursements totaling €2 billion, the company offers cloud-based, modular, and scalable solutions that guarantee adherence to both national and international regulations and security standards. As a member of the global Visma Group, Visma Idella meets rigorous requirements for cybersecurity, privacy, and compliance. In an era where technology plays a pivotal role in transforming the financial landscape, the company excels at addressing intricate challenges and delivering tangible value. Our dedication is centered on crafting and implementing software that is ideally aligned with the needs of financial institutions, fostering efficiency and innovation in the sector. By continuously evolving and adapting our solutions, we aim to enhance the overall experience for our clients and their participants.

I-CAPS stands for Intelligent Claims Administration System, designed to comprehensively cover all aspects of the health claims payment sector through a unified architecture that meets the diverse requirements of payers, including areas such as membership management, billing, enrollment, mailroom operations, claims processing, network oversight, contracting, pricing strategies, utilization reviews, and customer support. Our I-CAPS, along with our Advanced Value Scale (AVS) coding compliance software, facilitates informed decision-making to assist clients in managing expenses effectively. The Advanced Network Administrator (ANA) ensures the accuracy of provider information in an efficient manner, while our Resource-Based, Usual Customary, and RESPONSIBLE fee schedule (RB-UCR) is a pioneering solution in the market, built on RBRVS and NCCI frameworks. For a thorough assessment of your plan or provider’s performance, consider utilizing our Cost Containment Audit and Recovery Services (CCARS), which provide a meticulous and non-intrusive evaluation of claims efficiency. This holistic approach not only enhances operational effectiveness but also promotes greater transparency within the health claims ecosystem.

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.

AGO Insurance Software, Inc. stands out as a prominent provider of software and services tailored for property and casualty insurance companies, delivering reliable and economical business solutions suitable for insurers regardless of their scale. Our offerings encompass a range of solutions, including those for policy administration, claims handling, accounting, bureau reporting, and expert systems. With our software, you can enhance operational efficiency, boost productivity, and increase overall profitability. The modular design of our system allows for installation as either a fully integrated solution or as individual modules that can be licensed separately. This versatility enables seamless integration with current legacy systems or third-party applications, ensuring that our clients can adapt and thrive in a dynamic industry landscape. Ultimately, our commitment to innovation positions us as a valuable partner for insurance firms aiming to optimize their processes.

IMPACT serves as the cornerstone of our comprehensive suite of healthcare administration software, designed to facilitate all aspects of health care data transactions. Users of IMPACT rely on it to handle enrollment processes, manage provider contracts and re-pricing, oversee benefit plans, and navigate authorizations and referrals, in addition to claims payments and the complexities that arise from these tasks. Offering remarkable flexibility, IMPACT comes equipped with a diverse range of features tailored specifically for the healthcare industry. The satisfaction and appreciation expressed by our clients bring us immense joy, highlighting the importance of our collaborative interactions and the software we provide that enhances their professional experiences. We believe that technology should prioritize the needs of the customer, which is why MCSI is dedicated to developing solutions that seamlessly integrate into our clients' enterprises, allowing them to adapt and thrive in their respective markets. Our wealth of experience encompasses all dimensions of healthcare data management and solution implementation, and we take great pride in crafting software that emphasizes automation, precision, and dependability, ensuring our clients’ success in an ever-evolving landscape. In this way, our commitment to innovation and excellence drives us to continually improve our offerings, aligning them with the dynamic demands of the healthcare sector.