Solutions for Managed Care Organizations

Managed Care Software

The ClaimScape software system is ideally suited in handling the complex issues of managed care, whether as an adjunct of a TPA or a stand alone Managed Care Company.

ClaimScape managed care software provides total case management and referral processing. It features extensive medical electronic claims detail tracking of referrals, pre-authorizations and inpatient stays, and other ancillary services including the daily level of care and outcome management. An impressive reporting, and electronic health claims filing system includes built-in reports with one-touch exporting to PDF, Excel and others. Multiple selection criteria for each report allows you to zero in on the information you need.

ClaimScape’s unique patented ‘At-a-Glance’ analysis system separates it from other medical electronic claims paying systems. 

ClaimScapes’ managed care software component includes: