Ratings and Reviews 0 Ratings

Total 0 out of 5 stars
ease 0 out of 5 stars
features 0 out of 5 stars
design 0 out of 5 stars
support 0 out of 5 stars

This software has no reviews. Be the first to write a review.

Write a Review

Ratings and Reviews 0 Ratings

Total 0 out of 5 stars
ease 0 out of 5 stars
features 0 out of 5 stars
design 0 out of 5 stars
support 0 out of 5 stars

This software has no reviews. Be the first to write a review.

Write a Review

Alternatives to Consider

  • Service Center Reviews & Ratings
    4.7 out of 5 stars 123 Ratings
    Company Website for Service Center
  • Creatio Reviews & Ratings
    4.6 out of 5 stars 589 Ratings
    Company Website for Creatio
  • Macaw AMS Reviews & Ratings
    4.9 out of 5 stars 8 Ratings
    Company Website for Macaw AMS
  • XpertCoding Reviews & Ratings
    4.7 out of 5 stars 42 Ratings
    Company Website for XpertCoding
  • RXNT Reviews & Ratings
    4.3 out of 5 stars 552 Ratings
    Company Website for RXNT
  • Healthee Reviews & Ratings
    4.6 out of 5 stars 13 Ratings
    Company Website for Healthee
  • PayHOA Reviews & Ratings
    4.7 out of 5 stars 817 Ratings
    Company Website for PayHOA
  • RouteGenie Reviews & Ratings
    4.6 out of 5 stars 49 Ratings
    Company Website for RouteGenie
  • Aircall Reviews & Ratings
    4.3 out of 5 stars 1,838 Ratings
    Company Website for Aircall
  • ContractSafe Reviews & Ratings
    4.8 out of 5 stars 329 Ratings
    Company Website for ContractSafe

What is Complete Claims?

Claims adjudication services encompass a variety of sectors such as medical, dental, vision, and prescription claims, along with both short and long-term disability cases. These services can be accessed on-site with a license or through a hosted application model (ASP). Powered by Microsoft technology, the system employs an SQLServer database and a Windows front end for optimal performance. Our customer service team is highly esteemed, comprised of healthcare claims experts with at least 12 years of experience in the industry. Every support request is documented, allowing clients to track their status online. The system includes a plan copy and modification feature that enables quick implementation of changes. Auto-adjudication is facilitated through benefit codes built on business rules that take into account over 25 variables related to both claims and claimants, all processed by the adjudication engine. Submissions can be made in various formats, including scanned images, EDI, or traditional paper submissions. The system adheres to HIPAA EDI 5010 transaction sets, guaranteeing secure and efficient processing. Furthermore, re-pricing fees and UCR schedules can be entered into the system ahead of their effective dates, while the date-driven logic ensures re-pricing is executed based on the service date, enhancing the overall workflow of claims processing. This comprehensive solution not only streamlines claims management but also significantly improves client satisfaction and operational efficiency.

What is ALYCE Claims Management?

ALYCE caters specifically to municipalities and self-insured entities, managing claims related to Workers' Compensation, Auto Liability, and Auto Property. The platform's user-friendly interface prominently displays key data points on the primary claim pages, such as a financial overview, while additional information can be accessed through a simple scroll or click. It features a robust multi-tiered system that fulfills employer reporting needs, tailored to various locations and departments. Furthermore, ALYCE supports recovery processes that encompass salvage, subrogation, and payments from excess carriers. The system also streamlines the management of recurring and scheduled payments, complete with diary alerts for important deadlines. Automated diaries are generated based on significant events, financial transactions, and timelines to ensure nothing is overlooked. Additionally, the software facilitates the automatic creation of form letters for claimants, attorneys, and other involved parties, enhancing communication and efficiency throughout the claims process. This comprehensive approach ensures that all aspects of claims management are effectively addressed, providing peace of mind to its users.

Media

Media

Integrations Supported

Integrations Supported

Salesforce

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Not specified

Training Options

Not specified

Company Facts

Organization Name

Complete Health Systems

Company Website

completehealthsys.com/claims/

Company Facts

Organization Name

Brightwork

Date Founded

1998

Company Location

United States

Company Website

www.brightworkinc.com

Categories and Features

Claims Processing

Not specified

Health Insurance

Not specified

Categories and Features

Claims Processing

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

Popular Alternatives

Popular Alternatives

Claims Software Reviews & Ratings

Claims Software

Claim Ruler
PlanXpand Reviews & Ratings

PlanXpand

Acero Health Technologies
TrackAbility Reviews & Ratings

TrackAbility

Recordables
Hi-Tech Series 3000 Reviews & Ratings

Hi-Tech Series 3000

Hi-Tech Health