Complete ClaimsComplete Health Systems
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Inblue RequestinblueQMS
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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.
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About
Solutions for specific needs. Maintain your ISO 9001:2015 certification, with inblueQMS. Deliver fast solutions to your customers, with inblueRequest. Register your customers requirements, measures your response times. Classify Registers. Do everything Online. With the assurance of more than 30 years experience in the development of information technologies. Benefits of our Software. Centralization Planning, recording and follow-up of processes and procedures. Reminders. Receive reminders about deadlines and notifications each time a task is assigned to you; via e-mail and/or dashboards. Manageable. Modify fields according to the realities of your company. Grant permissions and define deadlines. Easy to use. User-friendly design, with guided functions which make your work easy. Recording. Record comments and versions for a better follow-up. Includes a history of changes. Charts and Results-Reports.
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Audience
Businesses in need of a tool to manage their claims adjudication processes
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Audience
Technical service or customer support looking for a quality management application
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Support
Phone Support
24/7 Live Support
Online
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Support
Phone Support
24/7 Live Support
Online
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API
Offers API
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API
Offers API
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Screenshots and Videos |
Screenshots and Videos |
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Pricing
No information available.
Free Version
Free Trial
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Pricing
$8 per user, per month
Free Version
Free Trial
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Reviews/
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Reviews/
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Training
Documentation
Webinars
Live Online
In Person
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Training
Documentation
Webinars
Live Online
In Person
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Company InformationComplete Health Systems
completehealthsys.com/claims/
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Company InformationinblueQMS
Founded: 2010
Chile
inbluesolutions.com/request/
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Categories |
Categories |
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Claims Processing Features
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration
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Integrations
No info available.
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Integrations
No info available.
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