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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
MyEZClaim™ stands out as the sole web-based solution that offers a variety of robust business tools specifically designed for efficient cargo claim management. Focused on user experience, MyEZClaim™ simplifies the process of managing and filing claims, ensuring optimal claim oversight. The platform boasts the most advanced work management capabilities available in the transportation sector. It features an expanded navigation bar for quick access to frequently used functions, alongside a comprehensive search tool that streamlines the entry of claim information in an organized manner. Built from the ground up to leverage Internet technology, MyEZClaim™ provides a wealth of feature-rich claim data that is essential for thorough reporting and analysis, crucial for the successful management and recovery of your cargo claim funds. Additionally, we will incorporate all relevant data record lookup addresses, including carriers, shipping locations, customers, and claimants, along with your product files to enhance functionality. This comprehensive approach ensures that users have everything they need at their fingertips to manage claims efficiently.
API Access
Has API
API Access
Has API
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
Complete Health Systems
Website
completehealthsys.com/claims/
Vendor Details
Company Name
TranSolutions
Country
United States
Website
www.transolutionsinc.com/myezclaim-tm
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
Freight
3PL
Barcoding / RFID
Billing & Invoicing
Customer Management
Customer Portal
Import / Export Management
International Forwarders
LTL Management
Local Forwarders
Rate Management
Shipment Tracking
Truckload Management
Warehouse Management
Waybills
Logistics
3PL
Barcoding / RFID
CRM
Container Tracking
Cross Docking
Fleet Management
Inventory Management
Order Management
Purchasing
Scheduling
Shipping Management
Transportation Management
Shipping
Air Shipping
Bills of Lading
Container Shipping
Freight Shipping
Ground Shipping
Import / Export
Ocean Shipping
Parcel Shipping
Quotes / Estimates
Shipment Tracking
Warehouse Management