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What is INSXCloud?

Select INSXCloud as your primary platform for acquiring both on-exchange ACA health plans and off-exchange supplemental insurance options, which encompass dental, vision, accident, and short-term medical coverage. Since the inception of the Federal Marketplace in 2014, INSXCloud has served as an indispensable tool for agents, agencies, and issuers, simplifying the quoting and enrollment procedures for individuals and families in search of Affordable Care Act plans along with additional health insurance options. Over the years, we have proudly assisted agents and issuers in enrolling over 2 million members in various health, dental, vision, and supplemental plans. Our EDE version tailors the e-Commerce experience to meet your specific requirements, allowing for both agent-led and direct-to-consumer enrollments. Collaborating with us means you maintain complete control over your marketing tactics, ensuring your communications effectively engage your clients. Our platform is equipped with user-friendly features, including an enhanced provider lookup tool that helps clients find doctors who accept particular plans and a 'Pay Now' option open for many carriers, making payment arrangements easier for your clients. Furthermore, this intuitive interface not only enhances your ability to manage your clients’ healthcare needs but also fosters a seamless experience for both agents and consumers alike. Ultimately, choosing INSXCloud allows you to streamline your operations while providing exceptional service to your clients.

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.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

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

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Not specified

Company Facts

Organization Name

My1HR

Date Founded

2011

Company Location

United States

Company Website

www.insxcloud.com

Company Facts

Organization Name

Complete Health Systems

Company Website

completehealthsys.com/claims/

Categories and Features

Health Insurance

Not specified

Insurance Agency Management

Commission Management
Contact Management
Document Management
Life & Health
Policy Management
Property & Casualty
Quote Management

Categories and Features

Claims Processing

Not specified

Health Insurance

Not specified

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