Solutions for Third Party Administrators

TPA Software

ClaimScape’s TPA software is a state of the art, medical claims processing system.  Affordable and user friendly, it was developed by programmers completely conversant with the health insurance industry. The ClaimScape medical claims software provides a complete system to enable the Third Party Administrator (TPA) to adjudicate claims and perform all ancillary functions. It will also replace existing systems that are not compliant with government regulations or are otherwise obsolete.

Included in the system are scanning and internet interfacing capabilities. ClaimScape provides multiple tracking of health insurance plans and eligibility for these plans. This feature is ideally suited in the administration of school districts and government entities.

ClaimScape’s flexible reporting system is changing the landscape of health insurance claims automation. Easy to use wizard simplifies access to an expansive collection of built-in reports. The system provides easy export of reports data to spreadsheets or PDF files. With its high performance design it provides reports instantly.

ClaimScape is an extremely efficient system that can reduce personnel needs by over 30%.

Included in the system are the following features: