ClaimVisionDecision Agency OÜ
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Inovalon Claims Management ProInovalon
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Related Products
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About
ClaimVision is AI claims intelligence for US property insurers. It reads the whole claim file and policy and cites every finding to clause and page: adjuster and inspection reports, repair estimates, policy forms and endorsements, photos and correspondence. It checks coverage on every claim, reconciles figures, and flags missing items and subrogation opportunities for an adjuster to examine. Claims teams can ask questions about claim data in plain English, including documents not yet processed, and view the cited evidence. Every recommendation and human override is kept in an append-only audit trail. ClaimVision works alongside Guidewire ClaimCenter, Duck Creek, Sapiens or an in-house system, which stays the system of record; the insurer keeps the final claim decision. ClaimVision runs on Microsoft Azure. It is built to SOC 2 principles and is working towards SOC 2 Type 2. It is not yet SOC 2 certified.
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About
Keep revenue flowing with a powerful tool that speeds up reimbursements with eligibility checks, claims status tracking, audits and appeals, and remittance management for government and commercial claims, all in a single system. Leverage an advanced rules engine that immediately scrubs claims against the most up-to-date CMS and commercial payer rules, allowing you to correct errors before claims go out the door. Verify eligibility across all payers during claim upload and see flagged errors so claims can be edited before submission. Decrease days in A/R with automated workflows for audit responses, appeal submissions, and ADR tracking. Customize staff workflow assignments based on the type of claim and action needed. Automate secondary claims submissions to stop timely filing write-offs. Increase claims revenue with automated workflows for faster, more successful audits and appeals.
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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
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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
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Audience
US property insurers and carriers, MGAs, TPAs and independent adjusting firms. Claims executives, claims managers, adjusters and IT leaders.
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Audience
Service providers requiring a tool to streamline and automate claims processing across all payers
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Support
Phone Support
Not Supported
24/7 Live Support
Not Supported
Online
Supported
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Support
Phone Support
Supported
24/7 Live Support
Not Supported
Online
Supported
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API
Offers API
Not Supported
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API
Offers API
Not Supported
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Screenshots and Videos |
Screenshots and Videos |
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PricingPricing is based on claim volume and scope, with terms determined for each pilot.
Free Version
Not Supported
Free Trial
Not Supported
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Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Reviews/
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Reviews/
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Training
Documentation
Not Supported
Webinars
Not Supported
Live Online
Not Supported
In Person
Not Supported
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Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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Company InformationDecision Agency OÜ
Founded: 2025
Estonia
claimvision.ai
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Company InformationInovalon
Founded: 1998
United States
www.inovalon.com/products/provider-cloud/revenue-cycle-management/all-payer-revenue-cycle-management/
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Alternatives |
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Categories |
Categories |
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Insurance Claims Management Features
Claims tracking
Not Supported
CRM
Not Supported
Customer portal
Not Supported
Document management
Supported
EDI data exchange integrations
Not Supported
Electronic claims
Not Supported
Fraud management
Not Supported
Reporting
Supported
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Integrations
Duck Creek Claims
Supported
Guidewire ClaimCenter
Supported
Inovalon Provider Cloud
Not Supported
Sapiens ClaimsPro
Supported
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Integrations
Duck Creek Claims
Not Supported
Guidewire ClaimCenter
Not Supported
Inovalon Provider Cloud
Supported
Sapiens ClaimsPro
Not Supported
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