Virtual Examiner
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.
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Terra
A risk management solution for property and casualty. All-in-one benchmarking and claims management system that simplifies claims-related processes and makes adjusters' lives more simple. TerraClaim provides two tools to simplify claims-related operations. These tools are powerful enough on their own, but even more so when combined. An innovative cross-industry data analytics and claims benchmarking solution that compares your claims performance to industry peers. This helps you set better goals, manage risk reserves, and improve claim outcomes. The world's best property and casualty claims management software that streamlines your internal processes, improves productivity, drives desired results, and prevents fraud.
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ALYCE Claims Management
ALYCE is designed for self-insureds and municipalities. It handles Workers' Compensation, Auto Liability and Auto Property claims. ALYCE's intuitive design features important data elements on the main claim pages, including the financial summary. All other details are available with a quick scroll, or a single click. Multi-tiered infrastructure to meet employer reporting requirements, based upon locations and departments. Recoveries, including salvage and subrogation as well as excess carrier payments. Automated repeating and scheduled payments with diary alerts. Automated diaries based upon events, financial transactions, and time lines. Automatic generation of form letters for claimants, lawyers, or other claim parties
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A1 Tracker
The vendor presents A1 Tracker as a robust and configurable risk management system that can be used standalone or in conjunction with other business segments within an organization.
Risk Management & Threat Assessment:
Register of risks to track risks at all levels within an organization. This includes entity, project, asset and contract, vendor, divisions, business units, regions, and more. Real-time risk reports and heat maps, dashboard metrics alerts & notifications.
Contract Management
Contract module to track all types of contracts with customers, vendors, employees, and customers.
Claims & Incident Management
Reporting on claims and incidents for any type of claim: injury, medical, customer, insurance or asset, liability, work comp, liability, etc.
Certificates & Policies in Insurance:
Policies & certificates for insurance tracking with reminders and renewals. For agencies & carriers policy management includes tracking clients.
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