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Health Claims and Case Management Systems (Medical, LTC, Disability)

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Find medical, health, and group/voluntary claims systems on our financial technology solutions research platform. Use the directory for vendor discovery and use our guide to analyze, research, compare, and evaluate software including reports and RFIs on functionality used by financial institutions including insurers. A core claims system is a transaction enabled system of record that gathers and processes information on a claim. This is includes rules for evaluating and analyzing the input, making decisions, and taking action. The system executes the decision and preserves a record of it.
  • NovoAI’s claims processing solution is designed to automate the complex and time-consuming task of managing insurance claims, delivering higher…
  • QLAdmin Medicare Supplement insurance claims auto-adjudication is deployment ready with integration to third-party clearinghouses. All plans in…
  • Bridging the gap between an API management layer and Insurance systems and serve the needs of Insurance providers, customers, and other third-pa…
  • Our claim management software solution is state-of-the-art, and designed to process both group and individual life and health claims on one digi…
  • The Claims Engine is an innovative claims solution that automates the majority of insurance claims processing, seamlessly integrating with exist…
  • Comarch Insurance Claims is an innovative and comprehensive claims management software for life and health insurance companies. The system suppo…
  • End-to-end process support for Health insurance Have fast, accurate and controlled processes with INSIS. Optimise all your workflows and cut cos…
  • MEDNEXT is an innovative end-to-end, sophisticated, robust and functionality-rich Health Insurance Management System for health insurance player…
  • Compassionate casualty claims that just work Experience a seamless claims process integrating our advanced automation with your team’s insight,…
  • TCS BaNCS for Health Insurance, powered by APIs and delivered on the cloud, is a complete solution suite, supporting a range of both individual…
  • IBSuite Claims- the proven innovator for the P&C insurance industry. Delivering a proven, cloud-enabled and mobile-ready unified platform that e…
  • Oracle Health Insurance is a modern enterprise solution that enables payers to simplify healthcare IT, achieve greater levels of operational eff…
  • ESKA® Medical is a health insurance management system, as part of ESKADENIA's insurance management suite, ESKA® Insures. This comprehensive syst…
  • With CLARA Triage, spot potentially costly claims early and take action. Fast-track simple claims with 95% accuracy based on Day 1 data, isolate…
  • The feature rich INSIS platform has state-of the-art product configuration, BPM automation capabilities, and is flexible enough for any kind of…
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