Best Claims Processing Software in Australia

OneTouch allows users to send claims or statements to Apex easily, log in to the Apex website, and search for claims that were sent in the past from the comfort of their computer desktop. OneTouch can only be used by registered clients of Apex EDI. Users must have a username/password setup. OneTouch can then be set up once a user has created a username/password so that they can access the described tools. OneTouch Search allows you to search all of the Apex claim and statement files from your desktop. OneTouch Search allows you to search your claim and statement files for subscriber IDs, patient names, and many other options. After clicking the search button, you will be logged in to Apex and shown the results of the search. First, click on the magnifying glasses dropdown menu to select what you want to search.

No matter what your EHR, you can meet the challenges of value-based care. With aggregated multi-source data, and an intuitive visual display, you can get a clear view of your patient population. Data-based insights can be used to improve care management, prevent illness, lower costs, and manage chronic conditions. Facilitate care coordination using tools that encourage proactive approaches, such as a pre-visit dashboard and risk stratification. Also, automated tracking of admissions, discharges, and transfer events can be used. Care management is a key component of the operation. Expand physician reach. Encourage patient interaction and follow-up between appointments. Use the Johns Hopkins ACG system to identify patients at highest risk for high-cost utilization. Assign resources to the areas that need it most. Performance on quality measures can be improved. Participate in value-based payments programs and maximize reimbursement.

Claim Leader is a technology company that develops and delivers technology solutions to automate communication and workflow processes within the business enterprise of insurance claim organizations. Our software solutions simplify your operations while enhancing productivity with an integrated web platform. Claim Leader systems' feature-rich modules simplify the workflow for both field staff and internal administrators. Management tools enable internal users to assign tasks to field staff, organize workload, identify files for review, and streamline workflow.

Quick Silver Systems' Mercury allows Automobile, Property, and Casualty insurers to rate, quote, bind, make payment, and report claims online. Online document access, bill payments and the first notice of loss will reduce customer service calls. Modular API-based system allows seamless integration to existing or new data providers. Digital document production is possible and the system can be used on any device. Our visual work-flow creator allows you to create custom, event-driven work-flows. Get the most current information about Written, Earned and Unearned premiums. You can automatically save every page, card and report to share with associates. You can collect currency in any digital format, including ACH, EFT and Electronic Checks, Credit or Bank Card.

Streamline Your Complete Healthcare Data Workflow. Smart Data Solutions has both the experience and tools to streamline your electronic and paper workflows. Our integrated validation, matching and normalization tools ensure high quality data, increasing auto-adjudication, and decreasing manual processing. Our development process guides you through projects, no matter if you are new to Smart Data Solutions or an existing partner. No matter what your needs are, we will work with your staff to understand them and the impact of your workflows. We believe in focusing your efforts on your goals and what you want to achieve. Then, we will identify the best route to get there.

Connect everyone to your property claim. ClaimLogik connects everyone involved in a property claim, from the first notice of loss to completion. Property assessment & repair ecosystem. We connect everyone involved in your property claim, from start to finish. Stakeholder Management. ClaimLogik connects all stakeholders in a claim with real-time access. This allows them to complete tasks and manage activities in the right order, at the right time and with complete transparency. All stakeholders have access workflow modules that are customized to allow them to track, manage, and complete tasks throughout the claim. Stay connected. All stakeholders connected to one claim. All stakeholders have complete transparency about the claim status. All activities throughout the claim are within your sight. Digital contracts between the Insurer and the supply chain. Service level agreements with all suppliers. Trades KPI management to compare and measure supplier performance. Automated exception management for tasks that fall outside of SLAs

Solutions tailored to your needs. InblueQMS helps you maintain your ISO 9001 certification. With inblueRequest, you can provide fast solutions to your customers. Register your customers requirements, measures your response times. Classify Registers Do everything online. With more than 30 years of experience in the development and maintenance of information technology. Our Software offers many benefits. Centralization Planning, recording, and follow-up on processes and procedures. Reminders. Notifications and reminders sent via email and dashboards when a task is assigned. You can manage it. Modify fields to reflect the needs of your company. Give permissions and set deadlines. It is simple to use. Easy to use, with guided functions that make it easy. Recording. For a better follow up, record comments and versions. Includes a history and description of all changes. Charts and results-reports.

EXPEFLOW's workflow intelligence unlocks a new normal for hybrid work environments, digital transformation and "paperless" processes. Our no-code workflow intelligence allows your employees to concentrate on customer engagement and growing your company. Workflows are lengthy, manual, and often error-prone processes that require employees to repeatedly try to find missing information or key pieces of data. EXPEFLOW's intelligent QuickStart files help you to focus on your customers while increasing operational accuracy and efficiency. Our platform is completely non-code and you are in complete control. Our user interface makes it easy to design your workflows, without the need for additional resources or developers. To create a better customer experience, engage employees and increase productivity. Flexible workflows are essential because customers and industries are different. Our platform has the expertise and domain knowledge to help you work smarter and better.

Service Hub CRM offers outstanding service with ease. It can take customers on average 3 calls to reach them to schedule an appointment. Your employees have the ability to provide Stellar Customer Service. Communication is key to any relationship. We understand that every detail must be taken into consideration. Our software can be customized to meet your business's needs. Consolidating is better than having separate systems. Our team will guide you through our system and teach you how to use it properly. All the information you need is available right from your dashboard. Your technician will give you and your customers the most current status of your tickets. You can track all orders from your smartphone right from your app, which will make it easier to manage them. Never lose your way when you are on the phone with someone. Upload files directly from your phone and get instant access. You will receive notifications directly to your phone about the status of your order.

PwC SMART (Systematic monitoring and review technology) improves the efficiency and effectiveness in your inpatient and outpatient quality evaluation processes and allows for a mechanism to ensure quality and compliance review. SMART, along with the support of PwC Health Information Advisory will help you monitor coding quality and data quality. SMART Inpatient has over 1,000 pre-defined business rules which help to identify potential coding errors and document improvement opportunities. You can also modify business rules to suit your particular areas of interest. Data analysis and reporting help you assess the performance of your staff and identify education opportunities for Coding, Quality, and Providers. SMART Outpatient improves accuracy and identifies areas for workflow improvement and charge capture issues. It improves regulatory compliance and reduces the risk of incorrect coding.

CoreLogic modernizes global property and casualty insurance with flexible, collaborative, and secure claims estimation technologies. We create world-class experiences that simplify life and improve business. Claims Connect™, a CoreLogic®, streamlines the claims process by creating an integrated digital ecosystem. Transform your workflow to ensure that your customer's claims can be resolved quickly and accurately. All information is stored securely on one platform, and can be accessed by all claimants. There is no need to switch between different software programs to edit or review claim information. Claims Connect automatically syncs with Claims Connect to allow everyone to instantly see any changes or create estimates. Your claims resolution will be easier, quicker, and more efficient if everyone involved is up-to-date with the information they require, when they need it.

Reduce costs by administering claims in a way that is unparalleled in efficiency and accuracy. Ventiv is a global leader in risk management, insurance claims, and advanced analytics. Ventiv is helping some of the world's biggest brands with products such as our industry-leading risk analytics solution.

Five Sigma was founded with the mission of enabling claims organizations to innovate. Five Sigma's suite of tools and platform for claims management is what Insurers require to adapt to the rapidly changing world. Our suite of Claims First Cloud-Native products and User-Centric products allows adjusters to better manage claims and do so much faster. Automating administrative tasks allows adjusters to focus on making the right decision, while the system takes care everything else. The complete suite of claims management tools, including an in-system omnichannel communication platform, automated documentation and workflows, reporting, and open APIs. The state-of-the-art claims management platform allows you to go live in just weeks. Five Sigma's unique SaaS offerings, agile methodology, and weekly upgrades make it possible for carriers to improve their claims operations.

Our solutions are proven to be successful at Tier 1 carriers and have lower loss costs, lower expenses and higher customer satisfaction. EvolutionIQ is a partnership between highly skilled professional adjusters and a highly specialized predictive guide system that enables the future in claim handling for complex lines. Empowered adjusters can reduce expenses and losses by providing clear prioritization, proactive claim alerts and rich context. A consistent and scalable claim guidance system will reduce the unintended variability in the claims process. This system allows for more efficient use of adjuster resources and less wasted claim reviews. Targeted claim investigations, litigation avoidance, timely claim settlement. Our claims AI harnesses data to provide the tactical guidance your team requires. EvolutionIQ combines unstructured and structured carrier data with third-party data.

CaseGlide is the leader in claims litigation management. Gone are the days when claims management was disconnected and siloed, manual and inefficient workflows, hundreds of emails between defense counsel and claims teams, and unstructured case data, are gone. CaseGlide allows you to focus on strategy, data, efficiency, and improving your litigation management program. Our clients can better predict and manage the outcome of their cases, assign the right attorneys for the right cases, work more strategically and reduce litigation costs. Integrations allow you to send important case data to your data warehouse, data warehouse, document management or accounts payable systems as your defense attorney partners work on your cases in the platform. It's easy to see that the longer a case remains open, the more expensive it will be.

EMSmart™, claims processing technology, raises the bar and improves your bottom line. EMS IMC's priorities are to use a compliant, accurate, efficient system to manage a complex billing process and maximize your revenue. EMS IMC's new solution, EMSmart™, allows clients to focus on patient care while ensuring that revenue is collected in a compliant way. EMSmart™, our new proprietary claims processing platform, delivers the industry's best rules-based process automation while retaining human judgement at the appropriate points of the revenue cycle process. EMSmart™, our internal processing engine, is now available to you. We are excited to share this information so that you can be confident that your claims are in the best hands possible, both human and machine.

BirchNotes, the most intuitive practice management and client-centric EHR system for mental health and substance abuse professionals, is designed to help you grow your practice and manage it with ease. An EHR was designed with a mental health therapist in view. Tools and features that are tailored to both mental and substance abuse professionals have been selected. All your EHR, billing and insurance, scheduling, telehealth, and other functions can be integrated into one system. There are no additional log-ins, systems or tools required. BirchNotes is flexible and scalable, regardless of the size or setting of your practice. Our workflows and insights are tailored to your practice. Our smart workflows, automation and customizable settings make it easy to manage your practice. This will allow you to spend more time on what is important to you. A better solution for better outcomes. You can have recurring appointments, group, telehealth, or recurring appointments. Plus, you can customize your calendar.

You can improve your claims management process and reduce denials with unmatched edits. Access to technology that allows for accurate claim submission and quick reimbursement is essential for health systems. Claims Director, SSI’s claims management software, streamlines billing processes and provides visibility by guiding users throughout the electronic claim submission process and reconciliation process. The system monitors changes in reimbursement criteria and incorporates them as they occur. The solution allows organizations to make the most of their reimbursement efforts by allowing them to edit at all levels: payer, industry, and provider.

Anagram Prosper gives money back to your patients -- at no cost for your practice. You can increase your margins and delight your patients. We partnered with top vendors to create wholesale price lists that better fit your needs and those of your patients. Rebate on products you already own. Incentivize your patients, increase conversions, and earn more revenue. Anagram Prosper allows you to save money for your patients without having to offer discounts or lower your margins. Our rebate program will help you increase sales and make your patients happy. Patients don't know what their out-of network benefits are. Anagram Access allows you to determine your patient's eligibility for vision plans in real time. This will maximize your savings. Anagram Access allows you to quickly calculate the amount your patient owes, and how much their vision plans reimburses.

Streamlining claims from beginning to end. Integrity, technology, and people are the foundations of this platform. A robust platform for interaction between insurance carriers, MGAs and captives. You can manage your files, deploy applications, and organize claims. Beagle understands the unique challenges that insurance service providers and adjusters face when it comes time to handle claims. Our core software functionality is designed for rapid response to claims, cost reduction, and to streamline the process. Our technology provides efficiency and expertise at every stage of the adjustment process. Express inspection and claim responses that reduce liability, and increase efficiency. New policy inspections and policy renewals. Beagle was designed to handle the daily processes. Claims handling is streamlined by leveraging the most recent technologies, allowing for a more efficient solution.

Reduce time and complexity in document processing, while supporting straight-through efforts. Shift Document Decisions, an AI-powered solution, analyzes documents to find relevant details and creates contextual views of action items needed to move the claim along. Our models have been specifically trained to process insurance documents, allowing them the accuracy of a human claims adjuster. Automated evaluation of documents against data is a great way to speed up processing and create a complete picture for each claim. AI that is industry-specific continuously learns how to combine claim data with document detail to deliver decisions on claims documents that have impact. Reduce manual reviews, identify claims complexity, and direct claim handlers to details that require action. We are 100% focused in insurance and hire industry's top talent to provide unmatched support.

HealthRules®, Payor is a next generation core administrative processing system that offers transformational capabilities to all types of health plans. Health plans that use HealthRules Payor have been able, for more than ten year, to respond quickly to market opportunities and keep ahead of their competitors. HealthRules Payor is unique because it uses the patented HealthRules Language™, a vernacular similar to English that provides a revolutionary new approach for configuration, claims processing, and transparency of information. HealthRules Payor is a core system that transforms health plans, allowing them to innovate, grow and compete with other systems.

IMPACT is our core suite of Healthcare administration software. It supports all aspects of healthcare-related data transactions. Our customers use Impact to manage enrollment, provider contracts and re-pricing, benefit plans, authorizations/referrals, claims payment and the various complications that surround these functions. IMPACT is flexible and offers a wide range of industry-specific features.

KMR Claims Processing manager is a state of the art, fully integrated, customizable, claims processing solution for TPAs and Self-Insured. Our system allows for electronic claims, integrates seamlessly with Document Imaging systems, can process debit cards, and is fully HIPAA compliant.

ALYCE is designed for self-insureds and municipalities. It handles Workers' Compensation, Auto Liability and Auto Property claims. ALYCE's intuitive design features important data elements on the main claim pages, including the financial summary. All other details are available with a quick scroll, or a single click. Multi-tiered infrastructure to meet employer reporting requirements, based upon locations and departments. Recoveries, including salvage and subrogation as well as excess carrier payments. Automated repeating and scheduled payments with diary alerts. Automated diaries based upon events, financial transactions, and time lines. Automatic generation of form letters for claimants, lawyers, or other claim parties