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Average Ratings 0 Ratings

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ease
features
design
support

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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.

Description

With the convenience of virtual diagramming, voice annotation, photo documentation, and comprehensive pricing features, everything you need is at your fingertips. By efficiently and precisely gathering claim information directly at the site, follow-up visits are often rendered unnecessary, allowing for deeper engagement with policyholders during the settlement process. Adjusters can seamlessly document, estimate, and finalize claims in just a few simple steps, resulting in quicker, more efficient, and accurate settlements. The Mobile Claims platform ensures that estimates made on-site can quickly transition into settlements. Utilizing intelligent questionnaires, our technology can create tailored, loss-specific estimates significantly faster than conventional methods. The system is designed for easy integration, training, and usability, drastically reducing the costs associated with change while offering substantial advantages for carriers, adjusters, contractors, and policyholders. Additionally, it comes fully equipped with features such as aerial imagery and measurement, 3D virtual diagramming, geospatial visualization, and video collaboration, making it a comprehensive solution for modern claims processing. Overall, this innovative approach not only enhances productivity but also fosters better communication among all parties involved.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

HOVER
RoofScope

Integrations

HOVER
RoofScope

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

PCG Software

Founded

1984

Country

United States

Website

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

Vendor Details

Company Name

Symbility Solutions

Founded

2002

Country

Canada

Website

www.symbilitysolutions.com/symbility-property/our-products/mobile-claims/

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

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

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