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Average Ratings 0 Ratings

Total
ease
features
design
support

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

Write a Review

Description

Venue ™ Claims Management for Independent Adjusters offers a complete solution for overseeing the entire claims processing workflow. This system is suitable for various entities, including adjustment firms, third-party administrators, insurance carriers, and self-insured organizations. Users can enjoy a highly customizable interface, enabling significant self-modification of the claims management system to meet their specific needs. The platform includes a built-in web service interface, facilitating real-time or batch data imports, updates, and exports to nearly any external data-sharing source concerning all claim-related information. Furthermore, seamless integration with policy and billing systems ensures real-time synchronization of all policy-related details, which may encompass essential policy dates and alerts, such as ongoing fraud investigations and assumed policies. The system provides thorough capabilities for every dimension of claims processing—spanning claim payments, recovery processes, reserves tracking, contact management, trust accounts, forms templates, and extensive reporting functionalities. Overall, Venue ™ empowers organizations to enhance their claims management efficiency and effectiveness.

Description

Utilizing our claims listing page enables you to swiftly address any errors or omissions before you submit your claims. Once all necessary information has been recorded and the relevant diagnosis and modifier codes have been applied, you can effortlessly upload a batch of claims to Trizetto Provider Solutions® in a single action. Following this, Trizetto Provider Solutions® conducts an additional round of claim scrubbing before forwarding your submissions to the appropriate payers. After payments from insurance companies are processed, you will see updates against claims that reflect allowed amounts, adjustments, copays, coinsurance, and deductibles. To maintain precision, payments are entered in groups. Statements are prepared according to your specified frequency—be it daily, weekly, or monthly—and are designed in a straightforward format that patients can easily comprehend. This clarity eliminates any prior confusion! Furthermore, a section for credit card authorization is included on the statement to facilitate the convenient settlement of any outstanding balances, ensuring a smooth payment process for patients.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

$5 per month
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) Yes 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

KLJ Computer Solutions

Founded

1995

Country

Canada

Website

www.venueclaims.com

Vendor Details

Company Name

Mack Software

Website

www.macksoftware.com/mdoc.html

Product Features

Claims Processing

Adjustor Management Yes 
Case Management Yes 
Claim Resolution Tracking Yes 
Co-Pay & Deductible Tracking Yes 
Compliance Management No 
Customer Management Yes 
Electronic Claims Yes 
Forms Management Yes 
Paper-Based Claims No 
Payor Management Yes 
Policy Administration Yes 

Product Features

Billing and Invoicing

Billing Portal Yes 
Contact Database Yes 
Contingency Billing No 
Customer Portal No 
Customizable Invoices No 
Dunning Management Yes 
Hourly Billing No 
Invoice History No 
Mobile Payments No 
Multi-Currency No 
Online Invoicing No 
Online Payments No 
Payment Processing Yes 
Project Billing No 
Recurring/Subscription Billing No 
Service Ticket Billing No 
Tax Calculator Yes 

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