Claims Processing Software

Damco’s InsureEdge is a scalable insurance policy and claims management software designed to help Insurers achieve maximum benefits through its comprehensive modules covering policy administration, claims processing, reinsurance, dashboards, statutory reporting, agency management, and more. InsureEdge has the industry’s most comprehensive and flexible insurance policy management functionalitie ... read more about InsureEdge

HIPAAsuite was created in 2001 to provide secure and affordable HIPAA EDI solutions for organizations within the healthcare industry.It all started with the HIPAA Claim Printer, a tool to print or display EDI claims as HCFA-1500 or UB92 claim forms. Today our company offers an entire suite of HIPAA EDI solutions with several hundred clients throughout the USA. ... read more about HIPAAsuite

Streamline your workflow and boost efficiency with IMS, our all-in-one EHR, Practice Management, and Billing solution. Designed by physicians for physicians, our award-winning Intelligent Medical Software caters to over 35+ specialties and practices of any size! Utilize technology that adapts to your practice, not the other way around. Almost every aspect of our software is 100% customizable and t ... read more about Meditab IMS

Quadax is a healthcare revenue cycle technology and services company focused on making the business of healthcare run better. Quadax enables clients to collect more and enhance visibility into their business, allowing them to focus on their role in providing quality healthcare. Enhance the success of your collections strategy by making more informed decisions and quickly resolving issues by levera ... read more about Quadax

Stay ahead of the curve by providing your patients a great experience. Automate your workflows and enable online booking, electronic medical records, alerts and notifications to help your patients. Integrate technology into the growth story of your business to enhance engagement and scale faster. Streamline your operations to enable online and secure confidential access to operational, financial a ... read more about Insta

PLEXIS Healthcare Systems is a leading technology company that delivers trusted enterprise benefits administration and claims management solutions to self-insured employer groups and payers around the globe. PLEXIS ignites growth, innovation, and efficiencies across diverse business lines for self-funded employer groups, TPAs, health plans, dental plans, vision plans, cost containment companies, s ... read more about PLEXIS Payer Platforms

Simplify your healthcare workflow processes, accelerate your clinical data procedures, and improve your financial outcomes with a combined set of solutions. QuickCap is a web application software that is designed to handle the different workflows related to healthcare-payer services so that healthcare-payer service providers can meet multiple operational needs with one solution. With QuickCap, you ... read more about QuickCap

Transform your claims specialists from administrators to advisors and resolve claims faster – without compromising security or safety. VCA’s cloud-based software cuts file handling costs by as much as 30%, and within minutes can triage thousands of claims and smart-distribute them to adjusters based on location, workload capacity and productivity scores. Extend your enterprise beyond the four ... read more about Virtual Claims Adjuster

At Innoveo, we reinvent the way enterprise applications are created, with our no-code platform, Innoveo Skye®. Without having to write a single line of code, we are much faster than traditional development methods. Operating as a global technology provider for more than 10 years, our mission is to accelerate our customers’ digital journeys and empower them with an omnichannel solution for all c ... read more about Innoveo Skye

For businesses that need a more flexible and friendly payments partner, Payline offers products for however you need to accept payments. We offer ecommerce integrations, hardware, invoicing, ACH, and a virtual terminal. Payline is headquartered in Chicago, IL and built on a foundation of providing opportunities for employees and customers to achieve their greatest potential, and giving to those in ... read more about Payline Data

Auto insurers need tools to simplify physical damage claims processing from the first notice of loss (FNOL) to settlement. Mitchell WorkCenterTM is an open, end-to-end modular solution that allows you to configure the modules and integrations specific to your unique business needs. Achieve better outcomes through improved accuracy and efficiency, while lowering the total cost of ownership. Our pla ... read more about Mitchell WorkCenter

Let the Caseblocks cloud take care of all your claims. Choose from a range of ready made templates to start processing claims right now, or use the configuration tools to customise or integrate to your environment. CaseBlocks for Claims Management provides a platform for managing your end-to-end claims process. CaseBlocks enables you to rapidly adapt your claims process in order to keep up with ne ... read more about CaseBlocks

Payapps bridges the gap between multiple organisations and stakeholders, by providing an easy-to-use, real-time status of progress claims. Developed specifically for the construction industry, it allows everyone to collaborate on a single platform, eliminating the need for endless spreadsheet reconciliations, email trails and phone calls. Payapps is a simple yet powerful collaboration tool suitabl ... read more about Payapps

80% of the claims process happens outside the insurer – be it the damage inspection by loss adjusters, repair by contractors, or the recovery from third-party insurers. That’s why it’s important to not just digitize your internal claims process – you have to onboard the rest of the ecosystem to be truly digital. eClaims connects all parties to transact every step of the claims process onli ... read more about Merimen eClaims

PCMI Corporation offers a modular package of software solutions for the administration of F&I Products, Service Contracts, and Extended Warranties. Our modular platform, Policy Claim and Reporting Solutions (PCRS), supports and automates the full lifecycle of all aftermarket products. Our advanced knowledge of the extended warranty and service contract industry allows us to streamline new ideas an ... read more about PCRS

Manage your day-to-day operations including customer relationships, claims, policies and risks in one system. RiskVille is a Cloud Solution for Risk and Insurance Management. It’s single data storage accessible 24/7 for managing personal lines, commercial lines, or benefits. RiskVille has the following modules 360 Customer View, Customer Portal, Policy Management, Claims Management, Rating, Quot ... read more about RiskVille

BrightOffice Case Management Software can be used for a variety of cases, including; PPI, Pension Transfers, Mis-sold Mortgages. The software can be customized to suit your business needs, designed to handle claims in high volume. Effectively manage your cases and customers with feature rich case management at the core of the software. Manage a multitude of case types including PPI, pension transf ... read more about Cases CRM

AIS (Advanced Insurance System) is a P&C Platform that provides innovative quoting, policy administration, billing, claims management and reinsurance software solutions to P&C companies. This modular system can interface across platforms or operate as a complete end-to-end solution. It offers great flexibility – customers can design their own applications, create coverages, modify screens, or pe ... read more about Advanced Insurance System

ALYCE is specifically designed for self-insureds, municipalities and small TPAs handling Workers’ Compensation, Auto Liability, Auto Property, General Liability, and Property claims. ALYCE has an intuitive design with important data elements on the main claim page, including the claim’s financial summary, with all of the other important details available with a quick scroll or a single click. ... read more about Alyce

BizFlow provides BPM-based case management frameworks for automating Customer Service and Claims processes. Customer Service frameworks enable users to initiate and track correspondence as well as access and edit documents. Managers can assign roles and responsibilities, determine workloads, and monitor assigned cases. Whether cash, credit, life, personal accident, PPO, or pre-approved claims, Biz ... read more about BizFlow

BriteCore is a trusted, fully-managed insurance platform for the property and casualty industry that supports digital transformation, emerging technologies, and new business models. BriteCore leverages modern technology to solve everyday business challenges, so your team can work faster and more efficiently. Collaborate from anywhere using powerful, web-based tools that streamline tasks, optimize ... read more about BriteCore

ClaimBook enables faster settlement of insurance claims, improved accountability and fewer rejections. It is well equipped with the features to address every part of the claims and evidence submission. ClaimBook supports international patient treatment with dedicated workflows, therefore enabling medical tourism. ClaimBook can track claims that are fully or partially paid and categorize them as su ... read more about ClaimBook

The Acrometis flagship claims processing solution offers unparalleled workflow management, with documents automatically routed by a configurable rules engine. Based around claim assessment scoring, body part to claim compensability matching, jurisdictional directives, relatedness scoring and a host of other claim elements the Acrometis business rules are designed to reduce claim duration and costs ... read more about CLAIMExpert

ClaimLogik connects everyone in a property claim from first notice of loss through to completion. Anyone in the claim process can receive assignments, complete tasks, view status and communicate from the office or in the field. Utilize a combination of manually set tasks, automated smart tasks and automated claim watches to produce better speed, cost and service outcomes. Completely digitalize the ... read more about ClaimLogik

Imagine a web-based claims management system that allows you to manage all of your claim files, your risk management as well as your organization. ClaimPilot offers solutions for Independent Adjusting Agencies, Third Party Administrators, Self-insured Companies, Public Entities, and more! Managing a claim through ClaimPilot is easy & intuitive. ClaimPilot offers custom built step-by-step workflow ... read more about ClaimPilot

Cloud-based, AI-powered platform, purpose-built for claims. Seamlessly ingests claims data, fuses a myriad of syndicated data sources, finds patterns using deep learning neural networks to provide insightful predictions during a claims lifecycle for more efficient processing of claims. Technology platform agnostic provides API based integration for super easy deployment. Our advanced, multi-pronge ... read more about Claims AI Cloud

Claim Ruler is designed with the latest technologies to give you the cutting edge management system you need! We support end-to-end claims processing that will streamline the claims settlement process. Designed to function in the cloud you never have to install any software and can access your system from anywhere at any time. Claim Ruler’s flexible core design includes a web-based API interface ... read more about ClaimRuler

DataGenix Solutions give you a clear view of your operations with technology and innovation that simplify the complexity of claims processing and health care benefits management. Claims Software, Benefits Software and Solutions for Health Benefits Payors, TPAs, and Healthcare Insurance Companies. With its ClaimScape Products, DataGenix provides complete claims software for all aspects of Health C ... read more about ClaimScape

Our goal is to digitize the data exchange between all claims handling participants: insurers, brokers, their customers, loss adjusters, and all others. Use our platform to account and share your claims or connect your claims system to our API hub to get integrated with your partners. Our goal is to digitize the data exchange between all claims handling participants: insurers, brokers, their custom ... read more about ClaimsControl

Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies. ClaimSuite is a fully customized medical claims processing software at your disposal. The software offers features like Customer Management to handle and sort sensitive customer data, more efficiently with a few clicks. Also, the software is mobile-friendly and easy-to-use. ... read more about ClaimSuite

Core claims administration solution handling everything from opening a claim to closing it for all commercial lines including: Work Comp, General Liability, Property, Commercial Auto, Professional Liability, Med Mal, and more. Built in workflow elements, configurable, are engrained throughout the system. From data pre-population, navigation shortcuts, dynamic fields, to task load management tools ... read more about ClaimsVISION

Given that remittance advice often contains thousands of detailed transactions, healthcare providers must resort to costly and labor-intensive manual data entry tasks to perform the necessary patient accounting activities. In an effort to automate this process and accelerate billing cycles, healthcare providers have turned to recently available computer-aided recognition technologies designed to ... read more about eobXL

The latest version of our core insurance suite for insurance 4.0 offers fast, flexible claims services with a future-proof architecture for digitized business models. Faktor-ICS (Insurance Claims System) allows you to fulfill your claims commitments quickly, efficiently and effectively - even for new and innovative product ideas, thanks to the unique system architecture. Faktor-ICS delivers ready- ... read more about Faktor-ICS

We are devoted to developing software for estimating and managing claims as well as maintenance and mechanical breakdowns for the automotive sector. Our solutions ensure the best results and help restore normality after a car accident or mechanical breakdown. We design collaborative, modular and integrated flows adapted to the most demanding objectives. We study our customers´ specific needs and ... read more about GT Estimate