omni:us is an Artificial Intelligence as a Service (AIaaS) provider for cognitive claims management. Built on a fully data-driven approach, omni:us is transforming the way insurers interact with their insured parties. It provides all the necessary tools and information to make fast, transparent and empathetic claims decisions, whilst improving operational efficiency and reducing loss adjustment expenses.
Manage your members' healthcare and networks with a cloud-based healthcare delivery system. Automate claims processing for managed care organizations.
E-TPA is a comprehensive, end-to-end, and highly customizable Enterprise Healthcare Insurance Solution. Our engine will streamline, digitize, and reduce the operational cost of your organization’s processes including underwriting, medical network, approvals, claims, customer service, and finance. Empower your organization with the best-in-class business intelligence tools to identify risks, manage bottlenecks, and make real-time decisions based on meaningful insights. Connect your clients to y
Enables customers to easily describe how the incident happened and add supporting photos and videos, helping them submit and manage their claim in a faster, more transparent way.
RiskEnvision is a modular suite of enterprise-level RMIS products that offers web-based risk management and claims administration solution. RiskEnvision can be deployed to support risk management and claims administration functions including payment processing, reserve management, form letters and correspondence, policy management, diary, reporting, and more for auto, GL, product, property, and worker compensation lines of insurance coverage.
IBM MobileFirst for iOS Insurance offers a set of solutions designed to help insurers exceed customer expectations, operate more efficiently and find a new competitive edge.
Reinsurance Platform by DICEUS is a modular financial and data exchange solution designed to streamline collaboration between cedents, brokers, and reinsurers within a single shared environment. It standardizes financial and claims data exchange, ensuring clear ownership, validation, and full traceability across all parties. The platform centralizes key reinsurance operations, including financial bordereaux management, claims financial tracking, settlements, and accounting views, with optional
IVRConverter.com is a fast, secure, and easy to use Interactive Voice Response (IVR) Conversion Tool designed to help healthcare professionals translate Medicare IDs, MBI numbers, PTANs, and member names into the precise keypad format required by IVR systems. Tailored for real world billing, eligibility and insurance verification calls, this tool eliminates the need for manual conversions by automatically generating IVR ready numeric or alphanumeric entries compatible with Medicare, BCBS, WPS, C
Cargo claim prevention software using load images and timestamps to verify condition on pickup and drop preventing costly damage claims
InterPixels AI validates every submission, extracts structured data across 40+ health insurance document types, and routes exceptions to your team, so adjudication starts where the document work ends. API-first. No TPA platform changes.
BPJScan is an AI-powered BPJS claim audit and optimization platform for Indonesian hospitals. It analyzes TXT claim files from Indonesia's national health insurance system (INA-CBG/E-Klaim) to detect undercoding, missed revenue opportunities, and coding errors. Features include 71+ analysis tools, 13 AI modules, ICD-10 audit, and financial metrics. Used by 50+ hospitals across 8+ provinces in Indonesia since 2016.
Schoolified is an integrated all-in-one platform that allows every educator to build and scale their own profitable yet affordable individual and group tutoring programs using a purpose built, data driven remote classroom experience for maximum learner outcomes.
Insurance Verification AI Agent automates real-time eligibility checks across all major payers, ensuring accurate coverage, co-pay, and deductible details before care begins. By integrating seamlessly with EHRs, the solution delivers 98% accuracy in coverage validation, a 70% reduction in eligibility-related denials, and processes requests up to 20x faster than manual teams.
HCIM's flagship product, SymKey, automates the administrative operations of healthcare payers. SymKey utilizes robotic automation to streamline the processing of manual claims, provider authorizations, and eligibility workflows more efficiently.
Multi-modal AI agents for claims operations.
Sohar Health offers an AI-driven platform that automates insurance verification for healthcare providers, enhancing operational efficiency and reducing claims denials. By streamlining front-end revenue cycle management tasks, Sohar Health enables faster patient care and minimizes administrative burdens. Key Features and Functionality: - Insurance Discovery: Identifies patient coverage using basic information such as name, date of birth, and state, even when member ID and payer details are unkn
Brisc is an insurance AI platform that helps carriers, MGAs, reinsurers, and mutuals work smarter, scale faster, and make better decisions. By combining advanced agentic AI and a natural language AI interface, Brisc automates repetitive tasks, streamlines workflows, and boosts productivity for underwriting, claims, and operations teams
Dragonfile is a cutting-edge, web-based claims management solution designed specifically for the flood and property & casualty (P&C) adjustment markets. Tailored by industry experts with direct experience, Dragonfile streamlines the claims process for independent adjusters, property inspection firms, engineering companies, and adjustment firms. With an intuitive, reliable platform that simplifies assignments and workflows, Dragonfile enhances productivity and reduces cycle times, allowin