Ratings and Reviews 0 Ratings
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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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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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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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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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.
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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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HoxhuntHoxhunt is a platform focused on Human Risk Management that transcends traditional security awareness efforts to foster behavioral transformation and effectively reduce risk levels. By integrating artificial intelligence with behavioral science, Hoxhunt delivers personalized micro-training experiences that users find engaging, enabling employees to better identify and report sophisticated phishing attempts. Security professionals benefit from actionable metrics that demonstrate a significant decrease in human-related cyber risks over time. The platform collaborates with prominent international organizations like Airbus, DocuSign, AES, and Avanade, showcasing its widespread impact in enhancing cybersecurity. With a commitment to ongoing improvement, Hoxhunt continues to evolve its strategies to better equip employees against emerging threats.
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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.
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deskbirdWhat is deskbird? Deskbird is an innovative application designed to simplify hybrid work by reducing costs, optimizing office spaces, enhancing productivity, and promoting team collaboration, all through a user-friendly interface. What sets deskbird apart from others? 📱 Comprehensive solution: one seamless app for desk reservations and scheduling, eliminating the need for multiple tools. ✅ Exceptionally user-friendly: with an intuitive design that requires no training—so straightforward that even a child can navigate it. 💪 Effective yet straightforward: it offers advanced analytics, AI capabilities, and resource booking features without unnecessary complexity. 🤝 Team-oriented: allows users to see when their colleagues are available, making teamwork seamless and efficient. 🔧 Customizable: compatible with over 200 integrations, including MS Teams, Outlook, and Slack. How does deskbird compare to its competitors? We are shaping the future of office environments through our unique selling propositions: 1. Intelligent resource management: a single tool for desk and resource reservations, minimizing administrative burdens while maximizing spatial utilization. 2. Extensive integrations: capable of interfacing with more than 200 applications, such as MS Teams, Outlook, or Slack, and our Open API provides the flexibility to meet custom requirements. 3. Effortless scalability: whether you're overseeing 50 or 5,000 employees, deskbird adjusts to evolving workplace demands with real-time user provisioning (SCIM)—all achievable without any training, ensuring a smooth transition for all users. Additionally, our platform continues to evolve, adapting to new workplace trends and requirements over time.
What is Ventiv Claims?
Minimize costs by overseeing claims with exceptional accuracy and efficiency. Ventiv distinguishes itself as a prominent player in risk management, insurance claims, and sophisticated analytics, currently assisting more than 500 clients around the globe and continuing to expand. Our advanced risk analytics solutions empower some of the most recognized brands worldwide, equipping them with the resources needed to confidently tackle intricate challenges in their industries. As we evolve, our commitment to innovation remains unwavering, further solidifying our position as a leader in this competitive landscape.
What is Inovalon Payer Cloud?
Enhancing clinical quality metrics, refining the accuracy of risk assessments, increasing engagement from both patients and providers, improving patient outcomes, ensuring transparency in operations, and maximizing financial performance can all be accomplished through a cohesive suite of software solutions. The Inovalon Payer Cloud transforms traditional workflows into innovative, data-driven processes that align seamlessly with the core objectives of your health plan. With its robust analytics capabilities, our integrated SaaS offerings deliver critical insights focused on member needs, alongside the speed, accuracy, and flexibility necessary to thrive in today’s diverse and fast-paced market. By utilizing Inovalon's healthcare payer SaaS suite, organizations gain not only invaluable insights and actionable strategies but also the empowerment to evaluate, manage, and improve health outcomes, economic viability, and overall care quality. Our payer solutions enable stakeholders to foster enhanced member care and outcomes while concurrently boosting operational performance and efficiency, utilizing cutting-edge analytics and nimble business intelligence tools to adeptly maneuver through the complexities of the healthcare environment. Consequently, organizations can establish a proactive healthcare management strategy, ensuring they are prepared to tackle both present and future challenges effectively while maintaining a focus on continuous improvement. This forward-thinking approach not only enhances patient satisfaction but also drives overall organizational success in the healthcare sector.
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
Riskonnect
Company Location
United States
Company Website
www.ventivtech.com/products/ventiv-claims
Company Facts
Organization Name
Inovalon
Company Location
United States
Company Website
www.inovalon.com/products/payer-cloud/
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 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