ClaimScape provides Health Plans, TPAs, MCOs, PPOs, IPAs, HMOs, and other health care payer organizations with the following functionality:

Advanced Claim Adjudication

Easy to Use Interface

Streamlined Customer Servicing

Notes and Correspondence Tracking

Simplified Eligibility Processing

Integrated Scanning

Integrated Document Management

Built In Web Access Portal

24/7 Access for Insured & Provider

Latest SQL 2005 Database Architecture

Customer Call Tracking with SMS & Email

Automated Claims Scanning System

International Features

Streamline PreAuth Workflow

Full Case Management

One Touch Access To Any Document

Instant On Screen Reporting

Integrated Access To Original Claims

Scanned Claims, Electronic or Manual Entry

High Performance, Open Architecture Design

Detailed Provider Contract Management

Provider Specific Unlimited Fee Schedules

Integrated Scanning and Imaging

Integrated Claims Editing and Analysis

Advanced Correspondence Logging

Built-In ID Card Design & Printing

Built In EOB and Voucher Processing

Detailed Premium Billing