Comprehensive claim disbursement automation and interactive Payment Portal services.
AltuMED PracticeFit helps you cater to your client's Claim Management Process with synchronized ease. Integrating smoothly with your clients billing processes, AltuMED PracticeFit automates the whole claim management process i.e. claim creation, submission, correction and closing; adding value with every subsequent progression. AltuMED PracticeFit enhances your productivity by initiating smart workload management techniques customized for each of your clients. It allows intelligent auto assignme
Fusion EDI is a cloud based B2B platform that allows you and your business partners to exchange data dynamically. It is entirely compliant with the current worldwide standards and laws to assist the firm in considerably increasing its business efficiency. The Fusion EDI data interchange system allows businesses of any size to execute workflows and procedures that save money. It provides an easy, automatic movement of business information across firms that can reduce these costs. One of the mos
Polygrade is an AI-native claims management platform for the home warranty industry. We run the full claim, from first notice of loss through final payout. Triage, coverage, authorization, parts, and payments are each handled by purpose-built AI agents built on a multi-agent architecture. Polygrade runs on top of the systems carriers already use. There is no new tool to log into and no workflow to rebuild. For carriers, that means the severity of a claim is understood before anyone is dispatc
AffirmDME is an AI workspace for Medicare DME prior authorization, built for DMEPOS suppliers working with the DME MACs (Noridian and CGS). It reads your documentation, builds a per-item checklist of what Medicare requires, and flags what is missing before you submit. If an ADR (Additional Documentation Request) comes back, it drafts your response from the record. You review and approve every packet. What it does: AI document extraction; readiness checklist with LCD/CFR citations; missing-docum
Nodal® is a comprehensive solution that uses artificial intelligence (AI) and machine learning to analyze structured and unstructured data. Gain powerful insights into jumper claims, litigation likelihood, excessive medical cost, and more. With intelligent, automated claims triage and cost benchmarking, Nodal helps you to improve internal processes, address skill gaps, and manage ever-growing medical and litigation costs.
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.
ClpHub - Cloud Insurance Solution Provider We are a global provider of cloud-based insurance solution designed for all size insurance companies. We provide them with complete policy, claims, accounts, invoices, tasks management systems. Our SaaS platform delivers incredible flexibility for managing business processes and simplifies the communication channels to end customers.
Automated severe weather monitoring and notifications prepare claims response before, during, and after an event Detailed street-level analysis identifies exact policies impacted and expedites claims processing Claims prediction optimizes resource management and loss reserving
Acumens Sales Rebates & Claims (NA) helps you make rebate programs and commissions easier to manage, right inside BC. No workarounds.
Sinexo is claims management software that centralizes insurance claim lifecycles from declaration to archival. It consolidates case details, participant information, communication timelines, documentation, and financial tracking into one interface. The software adapts to organizational workflows, terminology, and processes. Its single-screen design organizes claims into sections like participant management, chronological action tracking, encrypted document storage, and financial elements such as
carento claim manager is the leading platform for digital motor claims management in Germany, used by more than 1,100 car dealerships and increasingly by fleet operators. It covers the complete accident claim in one system: notification of loss, assignment of service providers, repair scheduling, communication with all parties and settlement down to the paid invoice. Everything sits in a digital claim file: vehicle and customer data, documents, correspondence and costs. A guided claim assistant
ClaimPort is an AI-powered warranty claims automation platform for e-commerce businesses. It streamlines the entire claims process with intelligent damage assessment, automated workflows, and self-service customer portals. Features include AI photo analysis for instant claim validation, supplier cost recovery tracking, shipping carrier claims management, customizable claim forms, and comprehensive analytics. ClaimPort helps businesses reduce claim processing time by up to 80% while improving cus
Fairway Health is a health technology company specializing in artificial intelligence (AI) solutions designed to optimize clinical workflows within the healthcare sector. Founded in 2022 and headquartered in New York, Fairway Health focuses on leveraging AI to enhance the efficiency and effectiveness of healthcare delivery. Key Features and Functionality: - AI-Powered Tools: Utilizes large language models and generative AI to streamline the evaluation of medical documentation, reducing adminis
TrueClaim is an AI-powered health plan administration platform designed to modernize and streamline the management of self-insured health plans. By integrating advanced artificial intelligence, TrueClaim automates claims processing, identifies cost-saving opportunities, and enhances overall plan efficiency. This innovative approach not only reduces administrative burdens but also delivers significant financial savings and improved member satisfaction. Key Features and Functionality: - AI-Drive
AEGIS ISD is a healthcare program integrity platform for payment integrity, SIU, and medical review teams at commercial and Medicare Advantage health plans, Medicaid managed care plans, and state Medicaid agencies. It unifies fraud, waste, and abuse (FWA) detection, investigation, clinical review, and recovery in one workspace, so every decision sits in one audit-ready case record. Detect screens pending claims before payment and recommends deny, suspend, review, or flag, while reviewers and th