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

VendorMatch

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…
  • 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…
  • Optimizing and Integrating Processes Consumer demand for quality healthcare continues to expand. In response, healthcare providers are evolving…
  • MR HealthTech’s health insurance administration system supports and automates health insurance PMI & iPMI businesses end-to-end, including produ…
  • 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…
  • 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…
  • Complete application platform for life and health insurance
  • Provides a checklist that is processed automatically to guide underwriting specialist. Produces the same UW results under the same conditions. B…
  • Coog is dedicated ro all actors of the insurance industry with complex business operations : Carriers Insurance brokers BPO actors
  • PASS_Insurance is the comprehensive, component-based core system which supports the entire insurance cycle with multi-company, multi-territory,…
  • Adopted by a number of leading banks around the world, OutSystems has helped them truly transform their digital capabilities through the power o…
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