I-CAPS

I-CAPS

W.O. Comstock & Associates
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About

I-CAPS is an Intelligent Claims Administration System that addresses all functional areas of the health claims payment environment with a single common architecture that spans the needs of payers including membership, billing, enrollment, mailroom, claims, network management, contracting, pricing, utilization review and customer service. Our Intelligent Claims Administration System (I-CAPS) and our coding compliance software (Advanced Value Scale-AVS) , support knowledge-based decision-making to help our clients contain costs. Guaranteeing the integrity of Provider information has never been easier with (Advanced Network Administrator-ANA) while our (RB-UCR) is the industry's first Resource-Based, Usual Customary, and RESPONSIBLE fee schedule based on RBRVS and NCCI. Need a check-up for your plan or provider, use Cost Containment Audit and Recovery Services (CCARS) for a completely noninvasive audit retrospective look at claims effectiveness.

About

Riskonnect Claims Management Software is a comprehensive platform designed to streamline and automate the entire claims lifecycle from intake through final settlement. The software centralizes claim data, workflows, and communications into a single system that improves visibility and operational efficiency. Organizations can automate routine tasks, reduce manual work, and accelerate claims resolution with configurable workflows and intelligent claims processing tools. The platform supports features such as electronic injury reporting, reserve management, adjudication, subrogation, recovery tracking, and return-to-work management. Riskonnect also integrates predictive analytics, machine learning, and AI capabilities to help claims professionals identify risks, forecast claim outcomes, and improve decision-making. Real-time collaboration tools allow adjusters, stakeholders, and third parties to work together more effectively while maintaining compliance with industry regulations.

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

Companies searching for an intelligent claims administration system solution

Audience

Riskonnect Claims Management Software is designed for insurance companies, third-party administrators, risk managers, healthcare organizations, and enterprises seeking to automate and improve complex claims management operations

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

W.O. Comstock & Associates
www.amrhealth.com

Company Information

Riskonnect
Founded: 2007
United States
riskonnect.com/claims-management-software/

Alternatives

Enterprise Health Solution

Enterprise Health Solution

HM Health Solutions

Alternatives

Duck Creek Claims

Duck Creek Claims

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Virtual Examiner

Virtual Examiner

PCG Software
Guidewire ClaimCenter

Guidewire ClaimCenter

Guidewire Software
MediClaims

MediClaims

WLT Software
Claims Manager

Claims Manager

JDi Data
Cloud Claims

Cloud Claims

APP Tech

Categories

Categories

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

Integrations

Rayven

Integrations

Rayven
Claim I-CAPS and update features and information
Claim I-CAPS and update features and information
Claim Riskonnect Claims Management and update features and information
Claim Riskonnect Claims Management and update features and information