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ease
features
design
support

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Description

Accelerated claims processing is achieved through multiple interfaces that seamlessly integrate with your corporate branding. Our digital data environment allows for access from any location at any time, ensuring convenience and flexibility. Health and Life processing is streamlined through advanced systems that cater to your specific processing requirements. We enhance the claims lifecycle to keep pace with the volume of incoming claims, while simultaneously addressing and resolving more complex claims at an unprecedented speed. The process is swift and uninterrupted, eliminating delays in claims processing. CLAIMSplus accelerates the claims journey by collaborating with employers, TPAs, and insurers, utilizing powerful cloud-based processing platforms. Our mission at CLAIMSplus is to refine processes and hasten medical claims through secure, dependable, and efficient electronic claims management solutions. Ultimately, our cutting-edge technology is designed to handle claims promptly and effectively. Feedback from our clients has consistently highlighted that the speed of the claims process is the most critical factor in successful claims management, underscoring the importance of our commitment to efficiency.

Description

Virtual Examiner®, PCG Software’s flagship product, monitors an organization's internal claims process to track provider data for fraudulent or abusive billing patterns and maximizes financial recovery. The Virtual Examiner®, a PCG Software product, allows healthcare organizations to improve their claims adjudication system by allowing for more than 31,000,000 edits per claim. The software monitors an organization's internal claim process to identify and reduce payments for incorrect or erroneous code to save premium dollars. Virtual Examiner®, is more than a claims management solution that focuses on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Addiox Technologies

Founded

2010

Country

United States

Website

addiox.com/claimsplus/

Vendor Details

Company Name

PCG Software

Founded

1984

Country

United States

Website

pcgsoftware.com/product-offerings/virtual-examiner/

Product 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

Product 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

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

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