Complete Claims

Complete Claims

Complete Health Systems
+
+

Related Products

  • Service Center
    123 Ratings
    Visit Website
  • Creatio
    586 Ratings
    Visit Website
  • Macaw AMS
    8 Ratings
    Visit Website
  • Price2Spy
    236 Ratings
    Visit Website
  • XpertCoding
    42 Ratings
    Visit Website
  • RXNT
    552 Ratings
    Visit Website
  • Healthee
    13 Ratings
    Visit Website
  • PayHOA
    758 Ratings
    Visit Website
  • RouteGenie
    49 Ratings
    Visit Website
  • RegDesk
    19 Ratings
    Visit Website

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.

About

Our solutions drive lower loss costs, lower expenses, and higher customer satisfaction, and are proven at tier 1 carriers. EvolutionIQ enables the future of claim handling for complex lines of coverage, a deep partnership between skilled professional adjusters, and a highly specialized predictive guidance system. Equipped with clear prioritization, pro-active claim alerts, and rich context, empowered adjusters reduce losses and expenses while delivering an enhanced claimant experience. Reduce unwanted variability in the claims pipeline with a consistent, scalable claim guidance system. With the more efficient allocation of adjuster resources & fewer wasted claim reviews. With targeted claim investigations, litigation avoidance, and timely claim settlement. Our claims AI acquires and harnesses data to deliver the tactical guidance your team needs. EvolutionIQ combines structured and unstructured carrier data with our proprietary third-party data.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

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

Audience

Professionals seeking a claim guidance solution to build a better insurance company

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

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
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

Complete Health Systems
completehealthsys.com/claims/

Company Information

EvolutionIQ
Founded: 2015
United States
evolutioniq.com

Alternatives

Alternatives

PlanXpand

PlanXpand

Acero Health Technologies
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health
HEALTHsuite

HEALTHsuite

RAM Technologies

Categories

Categories

Integrations

No info available.

Integrations

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