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Ratings and Reviews 0 Ratings
Alternatives to Consider
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Cloud ClaimsAPP Tech has been at the forefront of implementing an incident-based methodology in claims and risk management since its inception in 2003, providing advanced technological solutions to a wide array of clients throughout North America. Our integrated systems have enhanced efficiency and scalability in claims management, improved visibility, accelerated response times, reduced premium costs, and mitigated risk events for numerous customers. Cloud Claims by APP Tech stands out as an acclaimed software solution for risk management and claims processing. Designed specifically for self-insured organizations, third-party administrators, and businesses aiming to monitor their claims and losses, IMS facilitates comprehensive management of the claim lifecycle—from the initial incident report to payment processing and collections. The platform boasts a rich assortment of features that empower users with full oversight of both their claims and associated risk data, including incident and claims management, collaborative tools, detailed reporting, and insurance tracking, among many others. We take great pride in our flawless implementation success and outstanding customer retention rates, which stem from our dedication to thoroughly understanding our clients’ unique demands and delivering tailored solutions that effectively address those needs. Furthermore, our ongoing support ensures that clients maximize the benefits of our software long after implementation.
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Service CenterOffice Ally's Service Center is relied upon by over 80,000 healthcare practitioners and service organizations to effectively manage their revenue cycles. The platform offers functionality for verifying patient eligibility and benefits, as well as the ability to submit, amend, and monitor claims statuses online while also facilitating the reception of remittance advice. By supporting standard ANSI formats, data entry, and pipe-delimited formats, Service Center significantly enhances administrative efficiency and optimizes workflows for healthcare providers. Furthermore, this comprehensive tool empowers organizations to focus more on patient care by reducing the time spent on administrative duties.
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Elation HealthElation Health stands out as the premier platform for primary care, enabling 32,000 healthcare providers to offer tailored care to more than 16 million patients. By utilizing a clinically-focused electronic health record system, along with integrated billing solutions and AI-driven tools, Elation enhances care processes, ensuring that independent practices can flourish in a competitive landscape. This commitment to innovation not only improves patient outcomes but also streamlines operations for practitioners.
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Macaw AMSMacaw AMS serves as a robust platform for selling insurance, utilized by brokers, MGAs, MGUs, Program Managers, and Lloyds Coverholders to streamline their business processes effectively. Designed with a focus on customer needs, it encompasses functionalities for CRM, Sales, and Underwriting, providing customers, producers, and service providers with access to user-friendly self-service portals. Additionally, Macaw AMS includes integrated Document Management and Task Management features, along with adaptors for seamless services such as eSignature, Payments, OFAC checks, and Mass Emailing, utilizing third-party solutions. The data analytics capabilities of Macaw AMS deliver advanced data visualization through predefined dashboards, enabling users to upload datasets and explore dynamic charts that offer insightful, multi-dimensional perspectives. With interactive, real-time visualizations, users can identify trends and derive insights that promote well-informed decision-making. Hosted on a secure cloud infrastructure, Macaw AMS is built on a relational database, with its primary Java-based components crafted in Java, allowing for efficient processing of 500-1000 policies daily at peak performance. As a notable benefit, Macaw AMS aims to decrease the per-policy costs by 30%, making it an attractive choice for insurance professionals looking to optimize operations. Ultimately, its comprehensive features and cost-saving potential position Macaw AMS as a transformative solution in the insurance industry.
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tigerlabTigerlab stands out as a premier provider of insurance software, significantly influencing the global landscape while enabling clients around the globe to efficiently implement and customize their applications. With more than ten years of expertise, we are dedicated to achieving transformative results and increasing business value for those we serve. Our insurance software solution is not only configurable and API-driven but also user-friendly, ensuring that you can offer an exceptional digital experience from start to finish, regardless of your customers' locations. Don't miss the chance to explore why our platform is the ideal solution for a smooth digital insurance experience; click the demo button to witness its capabilities firsthand! Embrace the future of insurance with us and elevate your business operations.
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Predict360Predict360, developed by 360factors, serves as a comprehensive risk and compliance management platform designed to streamline workflows and improve reporting for various financial institutions, including banks, credit unions, and insurance companies. This cloud-based SaaS solution consolidates essential components such as regulations, compliance management, risk assessments, controls, key risk indicators (KRIs), audits, policies, and training into one cohesive platform while offering powerful analytics and insights that help clients foresee risks and enhance compliance efforts. If your current Governance, Risk, and Compliance (GRC) system isn't equipped with an effective analytics and business intelligence tool for creating insightful reports for executives and board members, consider Lumify360 from 360factors. This predictive analytics platform can seamlessly integrate with any existing GRC, allowing you to maintain your workflow processes while equipping stakeholders with the timely reports and dashboards they require for informed decision-making. With these advanced tools at your disposal, you'll be better positioned to navigate the complexities of regulatory compliance and risk management.
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QUALOQUALO is a versatile cloud-based software solution aimed at addressing significant challenges related to data output and visualization within behavioral health, community health, and healthcare sectors. Its main objective is to provide meaningful insights while ensuring that clients, staff, administrators, and funders are not inundated with excessive information. The platform merges data collection capabilities with tailored evidence-based practice supports, allowing for the accurate gathering of relevant data precisely when needed. Furthermore, it features specialized care coordination tools specifically designed to meet the unique needs of human service providers. A major advantage of QUALO is its ability to integrate smoothly with various systems, particularly electronic health records (EHRs). By serving as a centralized data entry hub, it aims to mitigate the common shortcomings found in the data output and visualization of EHRs. In addition, QUALO's mobile-optimized interface facilitates access from a variety of devices, thus improving the overall efficiency of the data collection workflow. This adaptability ensures that users can engage with the platform whenever and wherever they need to make informed decisions.
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Ensora Mental HealthEnsora Health’s Mental Health EHR system (formerly TheraNest) is designed to reduce the time therapists spend on administrative tasks, allowing them to focus on providing quality care. With features such as automated billing, appointment scheduling, and note-taking, Ensora helps mental health practices run more efficiently and cost-effectively. The platform also includes integrated features like telehealth, client engagement tools, and reporting for streamlined operations and better patient outcomes. Ensora is a powerful tool for therapists seeking to optimize their practice management while improving patient care and reducing burnout.
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Valant Behavioral Health EHRConcentrate your efforts on delivering outstanding, data-informed care using Valant, the comprehensive EHR and practice management solution specifically crafted for behavioral health practices, regardless of their size. Valant is designed to enable you to minimize the time spent on administrative duties, allowing for more focus on providing high-quality care to both individuals and groups. Streamline your workflow by: - Alleviating documentation burdens with a system that automatically creates clinical narratives, nearly finishing your notes for you. - Scheduling over 80 integrated, reportable outcome measures to be sent to patients automatically via the MYIO Patient Portal prior to their appointments. - Allowing the system to generate a coded charge when you document appointments. - Automating the patient onboarding experience so intake packets are readily available for patients to sign within their portal. - Receiving service requests directly through your EHR, effectively managing new patient inquiries, and obtaining a data-driven match score for prospective patients, thereby enhancing your practice's efficiency and patient satisfaction.
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CalmerryCalmerry serves as a comprehensive online therapy platform specifically designed for small to mid-sized enterprises. It focuses on various sectors including software, nonprofits, education, and healthcare, ensuring that its services can be customized for any business type. By facilitating quick connections between employees and licensed therapists within their state, Calmerry delivers essential mental health support without delay. The platform boasts distinctive features such as asynchronous messaging, live video consultations, tailored therapy plans, and an array of self-help resources. With adaptable pricing structures, businesses can choose a plan that aligns with their specific requirements and financial considerations. The ease of implementation and scalability of our platform, combined with an extensive onboarding process for both administrators and users, results in utilization rates that are three times higher than those of conventional Employee Assistance Programs. Explore the benefits of Calmerry in fostering a more engaged and resilient workforce, and take the first step by scheduling a demo with us today. Embracing mental health support can significantly enhance employee satisfaction and overall productivity.
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.
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