ClaimsControl

ClaimsControl

Claims Control
Complete Claims

Complete Claims

Complete Health Systems
+
+

Related Products

  • Service Center
    123 Ratings
    Visit Website
  • Macaw AMS
    8 Ratings
    Visit Website
  • XpertCoding
    42 Ratings
    Visit Website
  • PayHOA
    817 Ratings
    Visit Website
  • RXNT
    552 Ratings
    Visit Website
  • Aircall
    1,838 Ratings
    Visit Website
  • optivalue.ai
    4 Ratings
    Visit Website
  • Healthee
    13 Ratings
    Visit Website
  • Bokun
    804 Ratings
    Visit Website
  • GoAnywhere MFT
    694 Ratings
    Visit Website

About

Our goal is to digitize the data exchange between all claims handling participants: insurers, brokers, their customers, loss adjusters, and all others. Use our platform to account and share your claims or connect your claims system to our API hub to get integrated with your partners. Connect your claims system to our API hub to start exchanging the data with your partners. Direct integration of all claims systems is impossible, therefore information is exchanged manually. This slows down the process, increases costs and complicates claims process automation. The purpose of ClaimsControl is to enable digital data exchange for all insurance claims handling process participants. If you develop any solutions related to claims management, let's talk and find the ways how we could help you to exchange the data with other systems or how we can provide your solution to our users.

About

Claims Adjudication for medical, dental, vision, prescription, short and long-term disability claims. Available for on-site license or as a hosted application (ASP). Microsoft technology: SQLServer database with a Windows front end. Acclaimed Customer service staffed by health care claims experts with a minimum of 12 years’ experience in the field. Support calls are logged with status available via the internet. Plan copy and modification feature enable quick setup of plans. Auto-adjudication using benefit codes built using business rules based on over 25 variables from both the claim and the claimant records made available to the adjudication engine. Inbound claims can be scanned images, EDI or paper. HIPAA EDI 5010 transaction sets. Re-pricing fee and UCR Schedules can be loaded on the system in advance of the effective date. The date-driven logic will re-price based on the date of service.

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

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

Audience

Companies wanting a solution to digitize the data exchange between all claims handling participants

Audience

Businesses in need of a tool to manage their claims adjudication processes

Support

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

Support

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

API

Offers API Not Supported

API

Offers API Not Supported

Screenshots and Videos

Screenshots and Videos

Pricing

$400 per year
Free Version Supported
Free Trial Not Supported

Pricing

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

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

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

Training

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

Training

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

Company Information

Claims Control
Founded: 2018
Lithuania
claimscontrol.com

Company Information

Complete Health Systems
completehealthsys.com/claims/

Alternatives

Crunchwork

Crunchwork

Codafication

Alternatives

PlanXpand

PlanXpand

Acero Health Technologies
Simsol Software

Simsol Software

Simultaneous Solutions
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health
HEALTHsuite

HEALTHsuite

RAM Technologies

Categories

Claims Processing Supported

Categories

Claims Processing Supported
Health Insurance Supported

Claims Processing Features

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

Integrations

No info available.

Integrations

No info available.
Claim ClaimsControl and update features and information
Claim ClaimsControl and update features and information
Claim Complete Claims and update features and information
Claim Complete Claims and update features and information