Ratings and Reviews 0 Ratings
Ratings and Reviews 0 Ratings
Alternatives to Consider
-
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.
-
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.
-
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.
-
XpertCodingXpertCoding, developed by XpertDox, is an innovative AI-driven medical coding solution that leverages cutting-edge artificial intelligence, machine learning, and natural language processing to rapidly process medical claims within a 24-hour timeframe. This software not only optimizes the coding workflow but also contributes to quicker and more precise claim submissions, enhancing financial outcomes for healthcare providers. Among its numerous features are a detailed coding audit trail, reduced reliance on human oversight, a module aimed at improving clinical documentation, seamless connectivity with electronic health record systems, a robust business intelligence platform, a flexible pricing model, a notable decrease in coding costs and claim denials, and a risk-free implementation process that includes no upfront costs along with a complimentary first month of service. By utilizing XpertCoding's automated coding system, healthcare organizations can ensure prompt payments, streamlining their revenue cycle and allowing them to concentrate more on delivering quality patient care. Opt for XpertCoding to experience dependable, efficient, and accurate medical coding that is specifically designed to meet the needs of your practice and improve overall operational effectiveness.
-
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.
-
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.
-
QuaerisTailored results will be delivered to you based on your preferences, past experiences, and specific role. QuaerisAI ensures that you have access to data that is almost in real-time for all your data needs. The platform boosts your data and document management tasks by leveraging AI technology. To foster knowledge exchange and monitor progress, teams have the ability to share insights and create pinboards. Our sophisticated AI engine swiftly converts your inquiries into a format suitable for database processing within mere seconds. Just as life requires context, so does data; our intelligent AI engine analyzes your search terms, interests, roles, and historical data to rank results that encourage deeper exploration. Additionally, you can effortlessly apply filters to your search outcomes, allowing you to uncover specific details and delve into pertinent questions that arise. This seamless integration of AI not only enhances efficiency but also enriches the overall user experience.
-
PayHOAPayHOA offers software solutions designed specifically for self-managed homeowners associations (HOAs) and condominium associations (COAs). We ensure a seamless start with complimentary onboarding, unlimited support at no cost, a trial period of 30 days, and the freedom of no contractual obligations. Our comprehensive range of services encompasses invoicing, payment processing, complete accounting, management of documents, tracking violations, handling requests, and communication options through text, email, and direct mail, along with lockbox services, customer relationship management (CRM), website creation, and additional features to meet various needs. Additionally, our platform is tailored to enhance the overall efficiency and organization of community management.
-
RXNTRXNT has spent over 25 years building cloud-based healthcare software designed for ambulatory practices and medical organizations of all sizes and specialties. Our innovative, AI-powered, and data-backed software solutions help practices grow, improve clinical efficiency, and streamline business operations—whether you're a solo provider, large healthcare organization, or billing services company. With over 60,000 medical professionals across all 50 U.S. states relying on RXNT, our fully-integrated, ONC-certified software system includes Electronic Health Records (EHR), Physician Practice Management (PPMS), Medical Billing and Revenue Cycle Management (RCM), E-Prescribing (eRx), Scheduling, Patient Portal, mobile applications, and more. Every product works seamlessly as one system or can be used standalone, giving you flexibility to choose what works best for your practice. Our SaaS-based Full Suite software solution integrates every area of RXNT through a secure, centralized database, enabling real-time data flow across clinical and administrative functions. Whether you're modernizing your medical practice or scaling your healthcare business, RXNT delivers all-in-one technology to help you succeed. So far, users have transmitted over 125 million prescriptions and processed more than $7 billion in insurance claims. Built for usability and accessibility, RXNT’s cloud-based software is available 24/7 from any device and includes mobile apps for iOS and Android. Simple, transparent pricing means no hidden fees, and every plan includes free implementation & training periods, data migration, storage, software updates, and U.S.-based customer service.
-
BetterWorldBetterWorld is an innovative fundraising platform aimed at assisting nonprofits, educational institutions, and businesses in maximizing their fundraising efforts. With a reputation built on the trust of over 100,000 organizations, BetterWorld offers tools that streamline the fundraising process, improve campaign outcomes, and fit any budget, starting with a free option. Users can initiate campaigns in under five minutes, which allows them to concentrate on fundraising rather than getting bogged down by logistical concerns. Thanks to its intelligent automation and intuitive interface, BetterWorld enables nonprofits to save between 30 to 40 hours on each campaign while boosting donations by more than 30%. By fostering a seamless and user-friendly experience for donors, BetterWorld not only facilitates more impactful campaigns but also empowers organizations to realize their fundraising aspirations effectively. This comprehensive approach ensures that even those with limited resources can participate in successful fundraising initiatives.
What is Five Sigma?
Five Sigma has set out on a mission to enable claims organizations to adopt innovative solutions. Their array of claims management tools and unique platform provides insurers with the resources needed to adjust their claims processes in a rapidly changing landscape. With a comprehensive selection of Claims-First Cloud-Native and User-Centric products, Five Sigma empowers adjusters to handle claims with greater efficiency and speed. By automating repetitive administrative tasks, adjusters are able to focus on making well-informed decisions, while the system adeptly takes care of the remaining operations. The introduction of Clive™ by Five Sigma marks a significant advancement in the industry, as it is the first AI-driven claims adjuster designed to transform how insurers, MGAs, and TPAs process claims. Utilizing advanced AI and automation technology, Clive enhances the entire claims lifecycle, starting from the First Notice of Loss (FNOL) right through to the final settlement. This intelligent agent not only increases the efficiency of claims management but also enhances precision and minimizes expenses by automating a range of tasks, ultimately creating a more seamless and effective process for all parties involved. Furthermore, Five Sigma’s commitment to innovation is paving the way for a new era in claims management that promises to benefit the entire industry.
What is 360Globalnet?
360Globalnet presents an innovative no-code digital claims platform called 360SiteView, designed to allow insurers to effortlessly handle and automate every stage of the claims process, from the initial First Notice of Loss (FNOL) to the final settlement. This entirely digital and all-encompassing solution enables users to report and track their claims through a user-friendly, incident-specific template accessible via a website, mobile application, or contact center. By leveraging video, images, and documentation effectively, the platform streamlines the claims process, resulting in reduced lifecycle times and heightened customer satisfaction. Furthermore, an automated customer portal guarantees that clients receive timely updates on their claims without the hassle of remembering additional logins or passwords. With almost complete configurability, operational teams are empowered to create and execute digital workflows without needing any technical expertise. The platform is adaptable to a diverse range of claims, including motor, property, casualty, travel, pet, warranty, commercial, engineering, aviation, and marine, making it an excellent option for insurers. By embracing this cutting-edge solution, insurers can dramatically enhance their claims management processes while also providing a remarkable experience for their clients, ultimately leading to greater retention and trust.
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
Five Sigma
Company Location
United States
Company Website
www.fivesigmalabs.com
Company Facts
Organization Name
360Globalnet
Date Founded
2010
Company Location
United Kingdom
Company Website
www.360globalnet.com/usa/online-digital-claims-management-platform
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
Insurance Agency
Claims Management
Commission Management
Contact Management
Document Management
Insurance Rating
Life & Health
Policy Management
Property & Casualty
Quote Management
Insurance Claims Management
CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting
Categories and Features
Insurance Claims Management
CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting