Audience

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

About Complete Claims

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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Integrations

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Company Information

Complete Health Systems
completehealthsys.com/claims/

Videos and Screen Captures

Complete Claims Screenshot 1
Complete Claims Screenshot 1
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Product Details

Platforms Supported
Cloud
Training
Not Offered
Support
Phone Support
Online

Complete Claims Frequently Asked Questions

Q: What kinds of users and organization types does Complete Claims work with?
Q: What languages does Complete Claims support in their product?
Q: What kind of support options does Complete Claims offer?
Q: What type of training does Complete Claims provide?

Complete Claims Product Features

Claims Processing

Co-Pay & Deductible Tracking
Case Management
Compliance Management
Payor Management
Adjustor Management
Customer Management
Claim Resolution Tracking
Policy Administration
Electronic Claims
Paper-Based Claims
Forms Management