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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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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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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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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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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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MuukTestIt's clear that enhancing your testing efforts could help identify bugs sooner, yet effective QA testing often demands significant time, effort, and resources. With MuukTest, engineering teams can achieve up to 95% coverage of end-to-end tests in a mere three months. Our team of QA specialists is dedicated to creating, overseeing, maintaining, and updating E2E tests on the MuukTest Platform for your web, API, and mobile applications with unparalleled speed. After reaching 100% regression coverage within just eight weeks, we initiate exploratory and negative testing to discover bugs and further elevate your testing coverage. By managing your testing frameworks, scripts, libraries, and maintenance, we significantly reduce the time you spend on development. Additionally, we take a proactive approach to identify flaky tests and false results, ensuring that your testing process remains accurate. Consistently conducting early and frequent tests enables you to catch errors during the initial phases of the development lifecycle, thus minimizing the burden of technical debt in the future. By streamlining your testing processes, you can improve overall product quality and enhance team productivity.
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ChiroTouchTransform your chiropractic practice with ChiroTouch, a solution backed by nearly 25 years of specialized expertise. Tailored specifically for chiropractors, our EHR and practice management software incorporates advanced features that streamline workflows and enhance operational efficiency. By reducing the burden of administrative tasks and customizing to fit your specific needs, ChiroTouch significantly improves patient care from appointment scheduling to outcomes assessment, enabling you to focus more on your patients' health and satisfaction. With ChiroTouch, you will experience a marked decrease in administrative challenges and an enhancement in patient interactions, freeing you to dedicate more time to care. Effortlessly maintain compliance and security while our software minimizes claim denials and accelerates your revenue cycle, alleviating billing pressures and encouraging the growth of your practice. Join the community of 36,000 providers across 12,500 practices that have adopted ChiroTouch, and unlock new possibilities for efficient chiropractic management and improved patient outcomes. By making this transition, you are not only investing in your practice but also in the well-being of your patients.
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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.
What is eOxegen?
eOxegen represents a cutting-edge claims management solution that utilizes artificial intelligence to enhance the effectiveness of health insurance operations. By implementing a Straight Through Process (STP), the system significantly reduces the reliance on manual processes, leading to faster claim resolutions and improved accuracy. It incorporates advanced fraud detection mechanisms that employ AI algorithms to identify and flag suspicious activities early in the process. Additionally, eOxegen offers features such as provider contracting and empanelment, pre-authorization management, adjudication, and detailed reporting through business intelligence analytics dashboards. The automation of workflows driven by AI ensures that tasks are executed with consistency, decreases repetitive work, and enhances overall productivity. By combining these various capabilities, eOxegen empowers insurance companies and third-party administrators to optimize their claims management processes while simultaneously reducing operational expenses. As a result, this platform stands out as a revolutionary resource for the health insurance sector, promoting a more effective and trustworthy approach to claims handling. With its comprehensive set of tools, eOxegen not only streamlines operations but also positions its users to adapt to future challenges in the industry.
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.
Integrations Supported
Inovalon ONE Platform
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
eOxegen
Date Founded
2002
Company Location
India
Company Website
eoxegen.com
Company Facts
Organization Name
Inovalon
Company Location
United States
Company Website
www.inovalon.com/products/payer-cloud/
Categories and Features
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