Complete Claims

Complete Claims

Complete Health Systems
WizWhy

WizWhy

WizSoft
+
+

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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.

About

WizWhy determines how the values of one field in the data are affected by the values of other fields. The system performs its analysis based on one field selected by the user as the dependent variable, while the other fields are the independent variables (or conditions). The dependent variable can be analyzed as either Boolean or continuous. The user can fine-tune the analysis by defining parameters such as the minimum probability of the rules, the minimum number of cases in each rule and the cost of a miss vs. the cost of false alarm. WizWhy reveals and lists the rules that relate between the dependent variable and other fields (conditions). The rules are formulated as if-then and if-and-only-if statements. On the basis of the discovered rules WizWhy points out the main patterns, the unexpected rules (interesting phenomena) and the unexpected cases in the data. WizWhy can issue predictions for new cases on the basis of the discovered rules.

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

Users interested in an innovative data mining software tool

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

No images available

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

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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

WizSoft
Founded: 1983
United States
www.wizsoft.com/products/wizwhy/

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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 WizWhy and update features and information
Claim WizWhy and update features and information