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Ratings and Reviews 0 Ratings
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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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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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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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BirdeyeBirdeye stands out as the leading platform for managing reputation, social media, and customer experiences for local brands and businesses with multiple locations. More than 150,000 enterprises utilize Birdeye’s AI-driven solution to enhance their online visibility, boost their reputation, simplify social media management, engage through various digital platforms, and provide an exceptional customer experience that leaves a lasting impression. This powerful platform is designed to meet the unique needs of businesses striving for excellence in customer interactions.
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Local Measure EngageEngage offers a uniquely tailored and outstanding experience by leveraging the capabilities of AWS and Generative AI. Traditional contact center systems, which are often cumbersome and outdated, can lead to excessive costs and inefficiencies. Local Measure's Engage For Amazon Connect is designed to meet the demands of today's consumers effectively. As a Contact Center as a Service, Engage takes care of all upgrades and enhancements, eliminating the need for costly agent licenses or complex hardware setups. Our pricing model based on consumption is flexible enough to suit businesses of various sizes. To successfully establish a brand, prioritizing customer needs is essential. Engage empowers agents with tools such as sentiment analysis and chatbots, allowing them to gain deeper insights into customer behavior and enhance user experience. Engage supports multiple communication channels, including Voice, Email, SMS, Facebook Messenger, Instagram DM, Twitter DM, WhatsApp, WeChat, LINE, and Web Chat, ensuring comprehensive customer engagement. This multi-channel approach not only streamlines interactions but also helps businesses connect with their audience in the ways that are most effective for them.
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PylonPylon serves as a comprehensive support platform tailored for contemporary B2B enterprises. We equip post-sales teams with essential tools such as ticketing software, an omnichannel approach for B2B communications (including Slack Connect and Microsoft Teams), an interactive chat widget, a robust knowledge base, an AI-powered support bot, along with customer marketing and account management solutions. Our platform is designed specifically to address the unique needs of B2B businesses, enabling you to assist customers on their preferred channels while facilitating various support tiers. Our AI feature can generate support articles derived from previous issue resolutions, while our Triggers help formalize workflows and business processes. Additionally, with Macros, you can efficiently handle frequent inquiries. Engagement tracking allows for the dissemination of updates, newsletters, and new feature announcements to your clients. All customer information is meticulously organized and accessible in one centralized location, providing stakeholders with a comprehensive view of their team's ongoing concerns. If you're considering utilizing Slack for customer support, we would love to connect, as our users typically manage over 180 customer channels. The integration of these tools not only enhances communication but also streamlines the support process, leading to higher customer satisfaction and improved operational efficiency.
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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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GuardzGuardz is an advanced cybersecurity solution driven by AI, designed to equip Managed Service Providers (MSPs) with the tools necessary to safeguard and insure small to medium-sized enterprises against cyber threats. This platform offers automated detection and response mechanisms that shield users, devices, cloud directories, and sensitive data from potential attacks. By streamlining cybersecurity management, it enables businesses to concentrate on their expansion without the burden of complicated security measures. Additionally, the pricing structure of Guardz is both scalable and economical, providing thorough protection for digital assets while promoting swift implementation and supporting business development. Moreover, its user-friendly interface ensures that even those without extensive technical knowledge can effectively manage their cybersecurity needs.
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CCM PlatformThe Napersoft CCM Document Platform 8, compatible with both Microsoft® Windows and Linux, represents our most recent solution tailored for the modern interconnected environment. This platform boasts a variety of innovative features aimed at enhancing user experience and functionality. It serves as an ideal choice for businesses ranging from medium-sized to large enterprises, enabling the batch, interactive, and on-demand generation, formatting, and distribution of personalized customer communications across various channels such as print, text, email, and additional mediums. Moreover, this versatility ensures that companies can effectively engage with their customers, delivering timely and relevant information.
What is Quadient Correspondence?
Quadient® Correspondence is an innovative cloud-based platform designed to simplify the management of claims correspondence for insurance providers. This subscription-based software as a service (SaaS) solution enables users to create, validate, and distribute customized claims documents that adhere to regulatory requirements in both print and digital formats, eliminating the need for extensive IT assistance. Specifically crafted for insurance firms that seek to advance their digital transformation without incurring the costs associated with a full-fledged customer communications management (CCM) system, it allows business analysts to efficiently design and adjust templates. Claims managers and compliance experts are integral to the process, as they are responsible for reviewing and approving these templates before they are utilized. The platform features an intuitive interface that empowers business professionals to produce correspondence by choosing appropriate templates and modifying the content within specified fields. Moreover, designated team members oversee the review and approval of the correspondence to ensure it is promptly sent out via email, PDF, or SMS, thereby facilitating timely interactions with clients. This streamlined approach not only enhances operational efficiency and compliance but also allows insurers to connect with their customers in a more effective manner, ultimately improving overall communication strategies. By prioritizing user experience and regulatory adherence, Quadient® Correspondence stands out as a valuable tool in the insurance industry's digital landscape.
What is PwC SMART?
PwC's Systematic Monitoring and Review Technology (SMART) significantly improves the efficiency and effectiveness of assessing the quality of both inpatient and outpatient coding processes while creating a robust framework for quality assurance and compliance evaluations. Supported by PwC Health Information Advisory, SMART strengthens your approach to monitoring coding accuracy and enhancing overall data quality. The inpatient module of SMART includes more than 1,000 predefined business rules aimed at identifying possible coding mistakes and opportunities for improving documentation, with flexibility to customize rules according to specific organizational needs. Its extensive reporting and data analysis features facilitate the evaluation of staff performance and highlight areas that require educational focus, such as Coding, Clinical Documentation Improvement (CDI), Quality, and Providers. Moreover, the outpatient module enhances claim accuracy and brings attention to issues concerning charge capture and the optimization of workflow processes. By addressing the risks associated with inaccurate coding, the system also promotes better regulatory compliance, ultimately leading to advantages for the entire healthcare organization. Furthermore, the combination of these modules effectively simplifies the coding review process, thereby ensuring elevated standards of care and improved operational efficiency, which can significantly impact the overall success of healthcare delivery. In this way, organizations can not only enhance their coding practices but also contribute to a higher quality of patient care.
Integrations Supported
Adobe Acrobat
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
Quadient
Date Founded
1924
Company Location
United Kingdom
Company Website
po.quadient.com/en/products/quadient-correspondence
Company Facts
Organization Name
PwC
Date Founded
1998
Company Location
United Kingdom
Company Website
www.pwc.com/us/en/products/smart.html
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
Customer Communications Management
Batch Communications
Chat / Messaging
Content Management
Email Distribution
Interactive Content
Multi-Channel Communications
On-Demand Communications
Personalization
Print Management
Template Management
Video Content
P&C Insurance
Billing & Invoicing
Broker / Agent Portal
Claims Management
Commission Management
Customer Portal
Document Management
Insurance Rating
Marketing Automation
Policy Management
Quote Management
Reinsurance Administration
Underwriting Management
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