Products

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.

ProtoMED™ Practice Management Software tool offers the nation’s first Web-based electronic claims product that automatically links insurance claims with Medicare and BCBS payors who offers direct claims processing – There are no clearing house fees associated with this electronic processing! This scalable desktop solution provides complete medical management, sophisticated Claims Management Tools and Real-Time Billing solutions to your practice or facility.

Offers OneTouch® electronic claims processing, real-time eligibility verification, patient statements delivery, and electronic remittance advice (ERA) and tools that accelerate the patient payment collection process.

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.

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.

Claim Technology has created the first marketplace for pre-built Insurance automations, known as Accelerators. These offer incredible benefit across the whole insurance value chain, enabling any insurtech vendor to launch a new business model on the Claim Technology platform. Legacy technology is holding today's Insurance companies hostage, and while many companies might have begun the route to digitization, none are truly 'digital-first.' Our Accelerators make it easy to start a digital conv

WCIRS - Workers' Compensation Injury Reporting Service is an internet-based solution that fulfills state regulations for workers' compensation claims submissions.

ClaimWizard assists your public adjusting business by providing powerful tools for managing every step of the claim process – from origination to settlement and beyond. ClaimWizard helps you stay on top of your adjusting case-load, proactively guiding you through your process, and providing improved customer service. Its client-centric approach helps to increase your company’s capacity, providing you with the tools you need to grow and succeed.

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

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.

Upgrade your claims processing by unifying data from all incoming communication channels, performing pre-submission checks to create clean claims, and intelligently routing claims for optimal processing using systems capable of intelligent decisioning.

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.

Shift Claims Document Decisions is an AI-powered solution designed to streamline the insurance claims process by automating the analysis of claim-related documents. By leveraging advanced artificial intelligence models specifically trained on insurance documents, the system accurately extracts relevant information, creating a contextual overview of necessary action items to advance each claim. This automation significantly reduces the time claims handlers spend on manual document reviews, allowi

Manage your members' healthcare and networks with a cloud-based healthcare delivery system. Automate claims processing for managed care organizations.

Benchmark RCM is a comprehensive revenue cycle management solution designed to streamline medical billing processes for healthcare providers. By leveraging the expertise of dedicated RCM specialists, Benchmark RCM assists medical practices in reducing accounts receivable days to under 30 and achieving a 98% clean claims rate. This leads to faster payments and improved profitability. The service encompasses account and denial management, precise data entry, thorough code reviews, and error minimi

FBCS is a powerful software solution that simplifies the administration and tracking of claims.

Modular adjudication software designed to achieve accurate processing results.

The leading global software provider to the Travel and Assistance, Expatriate Health and Specialty insurance sectors

i3claim is i3systems’ platform for medical claim process automation. It enables insurers to rapidly deploy AI and RPA enabled solutions to streamline key activities in medical claims. i3claim extracts, classifies, and validates over 300 data points in every claim document, to reduce the manual efforts of a practitioner. The vendor states this leads to an increase in productivity by over 300%, and reducing costs by 50-80%. i3claim creates standardized data from a claim document set received from

Sapiens ClaimsPro for Property & Casualty (formerly StoneRiver Stream Claims) is a critical piece of the Sapiens CoreSuite for Property and Casualty (P&C). It is a fully integrated component that can also be deployed standalone. ClaimsPro streamlines end-to-end claims processing for all personal and commercial lines, preparing carriers to adapt to new business requirements. The solution provides full lifecycle support for handling claims for all personal and commercial lines of business,