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Health Claims and Case Management Systems (Medical, LTC, Disability)

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Find medical, health, and group/voluntary claims systems on our financial technology solutions research platform. Use the directory for vendor discovery and use our guide to analyze, research, compare, and evaluate software including reports and RFIs on functionality used by financial institutions including insurers. A core claims system is a transaction enabled system of record that gathers and processes information on a claim. This is includes rules for evaluating and analyzing the input, making decisions, and taking action. The system executes the decision and preserves a record of it.
  • Intelligent Health Insurance Provision System Online health claim provisions Policy medical and administrative rules real-time Contract conditio…
  • QLAdmin Medicare Supplement insurance claims auto-adjudication is deployment ready with integration to third-party clearinghouses. All plans in…
  • ESKA® Medical is a health insurance management system, as part of ESKADENIA's insurance management suite, ESKA® Insures. This comprehensive syst…
  • Our claim management software solution is state-of-the-art, and designed to process both group and individual life and health claims on one digi…
  • The Health solution from TCS BaNCS for Insurance, powered by APIs and delivered on the cloud, is a complete solution suite, supporting a range o…
  • Oracle Health Insurance is a modern enterprise solution that enables payers to simplify healthcare IT, achieve greater levels of operational eff…
  • Cleva Insurance Software is a highly configurable solution for the entire Life & Health and P&C Insurance lifecycle. It covers all individuals a…
  • MR HealthTech’s health insurance administration system supports and automates health insurance PMI & iPMI businesses end-to-end, including produ…
  • Optimizing and Integrating Processes Consumer demand for quality healthcare continues to expand. In response, healthcare providers are evolving…
  • Bring flexibility, accuracy, and exceptional customer service to the core of your claim processes. ClaimCore® is a comprehensive, easily configu…
  • Today's realities and tomorrow's claims expectations require a modern claims solution that integrates with emerging digital, data and technologi…
  • Actisure is an end-to-end policy and claim administration system primarily designed for supporting health insurance business (both domestic and…
  • INSIS Claims provides a uniform approach to processing claims across any line of business. PAS Integration – pre-integrated with the INSIS Pol…
  • RegTech One, the ‘Power of Everything,’ provides a single platform from which to run multiple regulatory compliance programs at institutions of…
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