Claims Fraud is a serious problem for Insurance Companies as it brings down their profits considerably. Currently, This problem is handled using either internal scoring based engines or rely on Third party agencies for investigations. These rule based systems are static in nature and involve lot of manual efforts, making the process slow and prone to errors. To tackle this, Virtusa-GCTS has developed a Machine-Learning based solution which will flag suspect claims as ‘fraud’ and those claims can
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.
Comindware Health Insurance Claims Management software provides for effective claims processing and enables elimination of inconvenient and error-prone paper and email-based operations taking all communications, data and processes into a unified working environment.
PokitDok's Healthcare Claims Management suite allows you to quickly and easily automate your claims processing so that you can increase clean claim rates, minimize revenue leakage, and drive down unproductive manual procedures.
A single platform designed to enable cleaner claims, improve communication and speed up reimbursement
Inovalon's Claims Management Medicare Pro is a specialized cloud-based solution designed to enhance Medicare revenue cycle management for healthcare providers. By integrating seamlessly with existing systems, it offers real-time insights and automation to streamline billing processes, reduce errors, and accelerate reimbursements. This solution empowers providers to proactively monitor and verify Medicare status, manage billing efficiently, and automate tasks such as RAC audits and Additional Dev
The Claims and Underwriting Exchange (CUE) is a comprehensive database managed by Experian, containing records of insurance incidents reported by policyholders in the UK, Channel Islands, and Isle of Man. Established in 1994, CUE aims to combat insurance fraud and misrepresentation by maintaining detailed records of incidents that may or may not lead to claims. It encompasses data on home, motor, and personal injury claims, with records retained for six years for home and motor incidents and ind
A flexible, highly scalable virtual event builder that is accessible, immersive, and will leave attendees excited for the next event. With decades of experience producing virtual events, Chati provides all of the tools you need to successfully host a captivating event. By providing customers the opportunity to simply build their own virtual experiences with the support of the Chati team, or through our array of templates, you’ll find event solutions that best fit your needs.
The Hub is a social intranet, secure portal and collaboration platform designed for teams, businesses and communities of all shapes and sizes.
Enrollsy is the all-in-one enrollment, billing, payments, and back office software that keeps you rockin' and enrollin', without breaking the bank.
Remo Conference is an innovative virtual event platform designed to replicate the dynamics of in-person gatherings in an online environment. It enables event organizers, creators, and coaches to host immersive online events that foster genuine connections and active engagement among participants. By offering customizable virtual spaces and interactive features, Remo transforms traditional video conferencing into a more engaging and collaborative experience. Key Features and Functionality: - Cu
Klaar helps organizations Perform Wonders by transforming performance management from a painful process into a powerful driver of growth. Built by HR leaders for HR leaders, Klaar delivers AI-powered insights that are predictive, unbiased, and human, so every goal, conversation, and decision moves people forward.
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BlueMail is a, secure, and free cross-platform email and calendar application designed to manage an unlimited number of email accounts from various providers. It offers a unified inbox, allowing users to consolidate all their email accounts into a single, user-friendly interface. With support for IMAP, POP3, and Exchange protocols, BlueMail ensures seamless integration with services like Gmail, Outlook, Yahoo Mail, and more. The app is available on multiple platforms, including Windows, macOS, L
Pando is an all-in-one, continuous progression platform designed to transform traditional performance management into a dynamic, employee-driven process. By providing structured career frameworks, real-time performance assessments, and integrated feedback mechanisms, Pando empowers organizations to foster a culture of continuous growth and equitable career advancement. Its competency-based approach ensures transparency and objectivity, enabling employees to clearly understand their development p
IBM Rational Team Concert manages plans, tasks, project status, as the critical link between required and delivered work. Rational Team Concert provides flexibility to adapt to any process, which enables companies to adopt faster release cycles and manage dependencies across both small and complex development projects. This solution offers no-charge server software and flexible pricing models. It becomes a complete Collaborative Lifecycle Management solution—when purchased as a set of seamlessly
OWNA is an all-in-one child care management app that allows centre directors and staff to meet compliance needs in their child care centres. From managing the centre and staff, to parent engagement, OWNA is Australia's only all-in-one child care management app that does everything for your business.
Detect improper payments before they're made to save hundreds of millions of dollars that can go to improving quality of care. Improve accuracy while decreasing model-creation time from weeks to a few hours.
Precursive software is a professional services automation tool trusted by the world’s best services teams to boost productivity, improve time-to-value and deliver customer outcomes.