Frequently Asked Questions

Q: What types of organizations is ClaimScape medical processing software designed for?

A: TPAs, Insurance companies, HMOs, PPOs, MSOs, IPAs, Medicaid and Medicare plans, employer groups and repricing organizations all benefit from this electronic medical claims processing software

Q: Will the ClaimScape system be able to customize to meet the needs of my processing rule requirements?

A: Yes. Set up elements can be customized to provide maximum user flexibility to accommodate specific needs. ClaimScape's expert technical staff will work closely with your administrators to provide a system tailored to your needs, and will process changes as the need arises.

Q: What payment options are available?

A: ClaimScape will work with both small and large companies to obtain the necessary financing to purchase the system. ClaimScape is available for purchase with one up-front flat fee, or may be leased through a nationally recognized leasing company.

Q: Is ClaimScape HIPAA compliant?

A: Yes. ClaimScape meets and exceeds all the requirements of the HIPAA Act of 1996. As an electronic system, ClaimScape promotes patient privacy through encryption.

Q: What platform does ClaimScape run on and what database does it use?

A: ClaimScape runs on Windows 98/ME, 2000, and XP. ClaimScape's secure back-end database is powered by Microsoft SQL Server.

Q: Does the system do repricing?

A: Yes. ClaimScape as the unique ability to tailor repricing based on the specific rules of the client. Claims can be repriced at the batch processing level, as well as the individual claim procedure line level.