Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Description

Claims adjudication services cover a range of areas including medical, dental, vision, and prescription claims, as well as short and long-term disability cases. These services can be accessed either on-site with a license or through a hosted application model (ASP). Utilizing Microsoft technology, the system is powered by an SQLServer database paired with a Windows front end. Our customer service is highly regarded, staffed by healthcare claims professionals who boast a minimum of 12 years of industry experience. All support inquiries are recorded, and their statuses can be monitored online. The system features a plan copy and modification tool that facilitates rapid plan implementation. Auto-adjudication is achieved through benefit codes that are constructed using business rules derived from over 25 variables connected to both the claims and the claimants, which are then processed by the adjudication engine. Claims can be submitted in various formats, including scanned images, EDI, or paper submissions. The system is compliant with HIPAA EDI 5010 transaction sets, ensuring secure and efficient processing. Additionally, re-pricing fees and UCR schedules can be pre-loaded into the system prior to their effective dates, while the date-driven logic ensures that re-pricing occurs based on the service date, optimizing the claims processing workflow. The comprehensive nature of this system allows for a more streamlined and efficient claims management experience.

Description

There's no need to feel apprehensive about exploring new possibilities. This software is crafted to be user-friendly and adaptable to your needs. Your data is securely stored on cloud servers, ensuring safety and accessibility. You can simply visit the website on any device and log in—no installations are required. Worrying about updates is a thing of the past; we will consistently roll out updates to the website. With a shared custom database, everyone in your organization can access the same information. For instance, if you adjust the price of a commonly used item to align with local market rates, all employees will be able to utilize that updated item seamlessly. PowerClaim XML is a comprehensive, self-contained property adjusting software that streamlines the process of producing estimates, photo sheets, diagrams, and detailed reports. Additionally, the PowerITV Replacement Cost Calculator is a cloud-based tool designed to quickly and accurately determine the replacement cost of virtually any structure, utilizing up-to-date data from the Craftsman Book Company. This combination of software solutions enhances collaboration and efficiency across your team.

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

$99 per month
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

Complete Health Systems

Website

completehealthsys.com/claims/

Vendor Details

Company Name

Hawkins Research

Country

United States

Website

www.powerclaim.com

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

Alternatives

Alternatives

ClaimLogik Reviews

ClaimLogik

Claim Central Consolidated
mobile claims Reviews

mobile claims

Symbility Solutions
Hi-Tech Series 3000 Reviews

Hi-Tech Series 3000

Hi-Tech Health
PlanXpand Reviews

PlanXpand

Acero Health Technologies