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Ratings and Reviews 0 Ratings
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What is Tyler's Workers’ Compensation Software?
Tyler Technologies provides a comprehensive software solution for Workers' Compensation that simplifies a range of processes while adhering to the complex regulations associated with these programs. This platform enables agencies to efficiently receive, track, and oversee numerous workers' compensation claims related to injuries and occupational diseases, ensuring that benefits are dispensed accurately and promptly. It supports the entire claims process, from initial reporting through to adjudication and final resolution, and comes equipped with functionalities for document management, automation of workflows, and detailed reporting capabilities. Designed with the goal of enhancing operational productivity, it reduces administrative tasks and improves compliance with legal requirements. By streamlining case management, agencies can focus on delivering excellent services to claimants while maintaining the integrity of their workers' compensation programs. Ultimately, this software not only eases the claims management process but also plays a vital role in advancing service quality and regulatory compliance, thereby fostering a more effective claims environment. Such improvements can lead to greater satisfaction among claimants and more efficient resource utilization within agencies.
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.
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
Tyler Technologies
Date Founded
1966
Company Location
United States
Company Website
www.tylertech.com/solutions/health-human-services/disability-benefits/workers-compensation-case-management
Company Facts
Organization Name
Complete Health Systems
Company Website
completehealthsys.com/claims/
Categories and Features
HR Compliance
Alerts / Notifications
Certifications Management
Communication Tools
Customizable HR Documents
Document Management
Records Management
Regulations Monitoring
Reporting / Analytics
Roles / Permissions
Version Control
Workflow 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
