Adjudicator

Adjudicator

Cervey
ClaimScape

ClaimScape

DataGenix
Adjudicator ClaimScape

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Adjudicator:

About

Adjudicator is a plan management and prescription claims adjudication platform for pharmacy benefit managers, health plans, hospitals and health systems, pharmacy programs, managed care organizations, manufacturers, and retail pharmacies. It supports configurable plan designs and benefit structures, multi-tenant environments, pharmacy network configurations, and management of drugs, formularies, and maximum allowable cost (MAC) pricing. Its member portal provides real-time benefit-status and pending-claim tracking, secure document uploads, and notifications. A prior authorization dashboard provides access to claims data and secure communications. An API framework supports data exchange with internal processes and external business partners. Adjudicator helps organizations manage pharmacy benefits and prescription claims.
ClaimScape:

About

Emerged in the year 2000, DataGenix is strongly resolved to provide TPAs, adjusters, and insurance companies with modern claims processing solutions. We understand that claims processing and health benefits management can include several complications. So that your business does not suffer any losses, our experts have created the advanced ClaimScape software that can automate the entire adjudication process. The goal of our business and the Claims software is to resolve the perplexities that hinder the reach of unmatched customer experience for your clientele network. Keeping in mind the modern trends and requirements, we can assure your business's optimum growth with our software products. We have won the trust of top TPAs of the nation and are willing to serve more.
Adjudicator:

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported
ClaimScape:

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported
Adjudicator:

Audience

Prescription Benefit Managers (PBMs), Third-Party Administrators (TPAs), Self-Funded Employers, Health Plans, Hospitals & Health Systems, Pharmaceutical Manufacturers, Cash & Discount Card Sponsors, Retail Chain Pharmacies
ClaimScape:

Audience

Health insurance companies looking for a Benefits Administration solution
Adjudicator:

Support

Phone Support Supported
24/7 Live Support Supported
Online Not Supported
ClaimScape:

Support

Phone Support Not Supported
24/7 Live Support Supported
Online Not Supported
Adjudicator:

API

Offers API Supported
ClaimScape:

API

Offers API Not Supported
Adjudicator:

Screenshots and Videos

ClaimScape:

Screenshots and Videos

Adjudicator:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
ClaimScape:

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported
Adjudicator:

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software
ClaimScape:

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software
Adjudicator:

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported
ClaimScape:

Training

Documentation Supported
Webinars Not Supported
Live Online Not Supported
In Person Not Supported
Adjudicator:

Company Information

Cervey
Founded: 1978
United States
cervey.com
ClaimScape:

Company Information

DataGenix
Founded: 2003
United States
datagenix.com
Adjudicator:

Alternatives

Vitamin PBM

Vitamin PBM

Rits Software
ClaimScape:

Alternatives

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PLEXIS Payer Platforms

PLEXIS Healthcare Systems
Adjudicator:
HEALTHsuite

HEALTHsuite

RAM Technologies
ClaimScape:
Adjudicator

Adjudicator

Cervey
Adjudicator:
PlanXpand

PlanXpand

Acero Health Technologies
ClaimScape:
CLAIMSplus

CLAIMSplus

Addiox Technologies
Adjudicator:
Complete Claims

Complete Claims

Complete Health Systems
ClaimScape:
Adjudicator:
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health
ClaimScape:
Adjudicator:

Categories

ClaimScape:

Categories

ClaimScape:

Claims Processing Features

Adjustor Management Not Supported
Case Management Not Supported
Claim Resolution Tracking Supported
Co-Pay & Deductible Tracking Supported
Compliance Management Not Supported
Customer Management Supported
Electronic Claims Supported
Forms Management Supported
Paper-Based Claims Not Supported
Payor Management Supported
Policy Administration Not Supported

Benefits Administration Features

Claims Management Supported
COBRA Administration Not Supported
Deduction Management Not Supported
Disability Insurance Administration Not Supported
Employee Benefits Administration Not Supported
Flexible Spending Accounts Not Supported
FMLA Administration Not Supported
For Brokers Not Supported
For Employers Not Supported
FSA Administration Not Supported
Health Insurance Administration Supported
HIPAA Compliant Not Supported
Life Insurance Administration Not Supported
Online Benefits Enrollment Supported
Premium Billing Not Supported
Provider Management Supported
Retiree Administration Not Supported
Retirement Plan Management Not Supported
Adjudicator:

Integrations

No info available.
ClaimScape:

Integrations

No info available.
Adjudicator:
Claim Adjudicator and update features and information
Claim Adjudicator and update features and information
ClaimScape:
Claim ClaimScape and update features and information
Claim ClaimScape and update features and information