Healthcare Software Solutions

ClaimScape medical claims processing and benefit administration software solutions help Healthcare Payors reduce their costs and workload and add value to their client services. Using this rule-based claims processing system creates 90% auto-adjudication rates resulting in only 10% requiring manual intervention.

ClaimScape eliminates many steps in the traditional labor intensive area of medical claims processing. With the touch of a few keystrokes, the following can be handled in a matter of seconds:

By making time on task highly efficient, fast, and user friendly, ClaimScape provides a cost-efficient solution to claims processing. With the elimination of a large amount of paper based processing, the efficiency of the electronic data interchange is fully integrated into the ClaimScape claims manager database.

ClaimScape’s Healthcare Software allows Payors to:

There are many customer service benefits to using ClaimScape. ClaimScape manages the content each user (members, plan sponsor, providers, agents, brokers, stop-loss carriers) is authorized to view. Simply entering a registered name and password allows users access to the specific information they need. This eliminates unnecessary call center activity, resulting in saved time and money.

Overall, ClaimScape software helps TPAs, PPOs, PHOs, and TPAs increase efficiency, reduce costs and retain clients.  Find out more by calling us toll free at 866-405-4872 or by filling out our contact us form.