Products

Controvia AI is an expense audit platform built for Indian businesses. It connects to a company's existing ERP or expense management system and reviews 100% of expense claims, rather than a manual sample, using more than 200 automated checks. The platform verifies whether claimed travel actually took place by cross-checking GPS data, attendance records, and travel evidence. It validates receipts and invoices to detect fabricated documents, edited files, and GST inconsistencies. It also identifi

MTM Billing Proudly is a comprehensive medical billing and collections service dedicated to enhancing the financial health of healthcare providers. Established in July 2012, the company specializes in managing Medicare, Group Health, and Workers' Compensation claims, allowing medical professionals to focus more on patient care. By leveraging advanced technology and a team of experienced billers, MTM ensures accurate and timely submission of claims, leading to improved revenue cycles for its clie

Cognalysis CLCM™ is a revolutionary new approach to analyzing property-casualty insurance. By applying predictive modeling at the claim transaction level throughout the lifetime of each claim, and then simulating future claim development and emergence, tremendous insights are provided for reserving, pricing, reinsurance, underwriting and claim management, and ERM.

Kyber's LetterGen helps claims adjusters auto-draft, review and send complex regulatory notices like Denial letters and Reservation of Rights. With GenAI draft generation, real-time collaborative editing, integrated review workflows, and omni-channel delivery, Kyber’s LetterGen is able to supercharge the claim notice sending process for claim teams. Our platform is available as a stand alone system but also seamlessly integrates with key claim and policy management systems you might be using.

Vālenz Claim delivers an integrated approach to routing and repricing in-network and out-of-network medical claims. Our model weaves analytics into claim workflow for efficiency in cost and process – lowering your total health plan spend, improving claim outcomes and enhancing the member experience.

AdInsure Claims is a comprehensive, end-to-end solution designed to optimize the entire claims lifecycle—from First Notice of Loss (FNOL) to settlement, including recoveries and reinsurance. Advanced automation and configurable workflows enhance efficiency, reduce costs, and empower insurers to make data-driven decisions across all P&C lines of business. Claims management functional areas: • Claims handling • Reinsurance • Legal proceedings • Recoveries • Document management • Adjuster and

IntelliFROI™ is a smart product that focuses on the workers compensation market. It’s an early incident reporting tool that directly addresses claim lag thereby reducing claims costs. We believe that insurance carriers, state funds, PEOs, self-insureds and municipalities will benefit significantly by implementing this tool. Most claims processing organizations provide their policy holders with some sort of a web reporting capability to process a first report of injury (FROI). However, very few o

Avelis Health offers an AI-driven solution designed to enhance payment integrity for Third-Party Administrators (TPAs) and health plans, aiming to reduce annual plan expenditures by 2-7%. By auditing every medical claim through advanced machine learning models and clinician reviews, Avelis identifies and recovers hidden billing, coding, and contract errors, ensuring comprehensive oversight and substantial cost savings. Key Features and Functionality: - Comprehensive Claim Auditing: Utilizes AI

The Science App is an AI-powered platform designed to analyze and verify claims by examining both supporting and opposing evidence, directly linking users to peer-reviewed scientific research. It aims to make scientific research accessible to everyone, enabling evidence-based decision-making by connecting claims directly to scientific sources. Key Features and Functionality: - Claim Analysis: Users can input any claim, and the AI searches peer-reviewed papers to analyze supporting and opposing

We are an integrated full-service agency with a wealth of experience in devising strategic and creative marketing, PR, advertising, social and digital campaigns that manage and enhance reputations, build brand awareness, lead to increased sales and are carefully measured. We devise campaigns effectively and to a tight schedule when required. True measurability is highly important to us and developing a solid ROI is our life-blood. We are relentless in the pursuit of results for our clients.

Nourish is a digital social care records platform, suitable for a wide variety of care and support types for services supporting less than 5 people up to services supporting more than 10,000 people. Nourish is trusted by over 3,500 care services within residential, nursing, learning disabilities, dementia, supported living and other care and support settings. The Nourish platform is flexible and configurable to retain what’s important and unique about your care service. With Nourish, care and su

Foothold Care Management is a comprehensive, cloud-based software solution designed to enhance care coordination and streamline administrative processes for health homes and care management agencies. By integrating case management, client tracking, treatment planning, and billing functionalities, FCM empowers organizations to deliver efficient and effective care to their communities. Key Features and Functionality: - User-Friendly Interface: Provides an intuitive platform for managing clie

Zambion, now known as Ready Workforce, is a comprehensive cloud-based payroll and human resources platform designed to manage the entire employee lifecycle from recruitment to retirement. Tailored for businesses in Australia and New Zealand, it offers an intuitive interface that facilitates payroll processing, HR management, time and attendance tracking, and leave management, all accessible anytime, anywhere. Key Features and Functionality: - Payroll Processing: Automates payroll tasks, suppo

Gatsbi AI is an advanced research assistant designed to streamline the entire research process, from ideation to publication. By integrating artificial intelligence, Gatsbi assists users in generating innovative research ideas, drafting comprehensive scientific papers, and preparing detailed patent disclosures. Its user-friendly interface and powerful features make it an invaluable tool for researchers, engineers, students, and enterprises aiming to enhance productivity and foster innovation. K

Five Sigma claims management platform helps claims organizations optimize their operations and reduce claims leakage. Using innovative SaaS and digital technologies and an unique implementation approach, claims organizations can make sure that their teams are making decisions while their software helps them and takes care of everything else.

USC is a full-service unemployment claims management firm. Since 1976, employers have outsourced their entire unemployment process to USC: claim responses (SIDES-integrated), hearing preparation and representation, benefit charge auditing and recovery, and SUTA tax cost control across all 52 U.S. jurisdictions. Where claims software shows you the claim, USC takes it off your desk, backed by an 87% hearing win rate and over $1 billion in avoided employer liability. Employers keep full visibility

AcceliCLAIM manages every step of the Medicaid claiming process, from performing Medicaid eligibility checks, to building and submitting claims, to processing remittance files. The system performs complex validation routines to ensure only eligible services are claimed and includes a suite of reporting tools designed to help you identify where additional data can drive greater reimbursement.

Actec Systems specializes in providing comprehensive claims management solutions tailored for the insurance industry. Their services encompass First Notice of Loss reporting, absence management, and incident reporting, all designed to streamline the claims process for commercial and personal insurance carriers, self-insured companies, third-party administrators, and managed care organizations. By integrating advanced technology with a dedicated team of professionals, Actec ensures accurate data

Intelligent Clearing Network, Inc offers modern couponing, a single electronic solution for both digital and paper coupons, including real time validation (and fraud prevention), execution, clearing, and settlement

ClaimScore's "Accuracy Explained" solution is a sophisticated fraud detection system designed to enhance the integrity of class action settlements. By integrating over 65 distinct criteria into an AI-driven scoring system, it evaluates each claim with unparalleled granularity, generating more than 35 quintillion unique result combinations. This comprehensive approach effectively identifies and mitigates even the most sophisticated programmatic fraud attempts.