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What is Enterprise Health Solution?

HM Health Solutions provides a detailed end-to-end service tailored specifically for health plans. By utilizing the Enterprise Health Solution, you gain access to essential support, enabling you to reach your business objectives through a unified, all-in-one health plan administration platform. This comprehensive suite encompasses various functionalities, which include sales, enrollment, billing, claims processing, provider management, clinical oversight, and customer support. What sets the Enterprise Health Solution (EHS) apart is its designation as the only verified end-to-end system that guarantees a seamless experience for members, guiding them from the enrollment process right through to claims payment. Although other providers may claim to offer a fully integrated solution, they often neglect to mention that achieving genuine integration typically involves the stepwise acquisition of multiple modules. In contrast, the Enterprise Health Solution is singularly dedicated to health plan administration, showcasing our unparalleled expertise in the payer landscape. Therefore, selecting EHS means you are choosing a platform that is committed to addressing the specific requirements and enhancing the operational efficiency of your health plan. This dedication ensures that your organization can navigate the complexities of health plan management with confidence and ease.

What is Claim Leader?

Claim Leader focuses on providing technological solutions aimed at improving communication and workflow efficiency in organizations handling insurance claims. Our cutting-edge software streamlines operational procedures, leading to a notable increase in productivity via a cohesive web platform. The powerful modules in Claim Leader's technology enable a more efficient workflow for both office staff and field agents. Moreover, our management features allow internal users to delegate tasks, oversee workloads, pinpoint files that need evaluation, and enhance overall operational efficiency. We are dedicated to revolutionizing the operations of insurance claims organizations, ensuring that technology is seamlessly integrated into their everyday functions. By prioritizing user experience, we strive to create systems that not only meet current demands but also anticipate future needs.

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

HM Health Solutions

Date Founded

2014

Company Location

United States

Company Website

www.hmhs.com

Company Facts

Organization Name

ClaimLeader

Company Location

United States

Company Website

claimleader.com

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

Inspection

Appointment Management
Customer Database
Dispatch Management
Equipment Tracking
Photos In Reports
Print on Site
Report Templates
Speech Recognition
Subcontractor Management

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