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What is CLAIMSplus?

Accelerated claims processing is facilitated by various interfaces that effectively align with your corporate branding. Our digital ecosystem provides access from any location at any time, promoting both convenience and flexibility. The handling of Health and Life claims is optimized through sophisticated systems tailored to meet your unique processing needs. We improve the claims lifecycle to match the influx of incoming claims while also managing and resolving more intricate claims at remarkable speeds. The entire process remains swift and continuous, successfully eliminating any delays associated with claims processing. CLAIMSplus enhances the claims journey by partnering with employers, third-party administrators, and insurers, leveraging robust cloud-based processing technologies. At CLAIMSplus, our goal is to refine operational processes and expedite medical claims through secure, reliable, and efficient electronic claims management solutions. Our innovative technology is ultimately built to address claims in a timely and effective manner. Additionally, feedback from our clients consistently emphasizes that the rapidity of the claims process is paramount in successful claims management, reinforcing our dedication to maintaining high efficiency in all aspects of our service. This commitment not only benefits our clients but also contributes to a better overall experience for claimants.

What is CLAIMExpert?

Acrometis' premier claims processing solution excels in workflow management by leveraging a versatile rules engine that automates the routing of documents. This innovative system integrates various components, including claim assessment scoring, matching body parts to claim compensability, compliance with jurisdictional regulations, and relatedness scoring, all designed to reduce both the time and expenses tied to claims. Impressively, CLAIMExpert is capable of independently processing 65 percent of incoming medical bills and non-medical documents without any user involvement. Documents necessitating adjuster review are promptly identified and organized, which streamlines decision-making and keeps the process efficient. With initial processing free from adjuster participation, clients typically see enhancements in medical loss ratios, ranging from 11 to 23 points within the first year. Additionally, CLAIMExpert features rules that cover over 190 different document types, allowing it to effectively handle whitemail and any other paperwork that might reach an adjuster's desk. This holistic strategy not only boosts operational efficiency but also profoundly influences the entire claims management experience, ultimately leading to improved client satisfaction.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Addiox Technologies

Date Founded

2010

Company Location

United States

Company Website

addiox.com/claimsplus/

Company Facts

Organization Name

Acrometis

Date Founded

2002

Company Location

United States

Company Website

www.acrometis.com/our-solutions/claimexpert-and-associated-services/

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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