Insurance receives hundreds of claims from time to time. Undeniably, it is challenging to manage and ensure shields from risks. Aside from multiple claims, frauds are part of the problem. For these reasons, you will need claims processing software to help you assess claims with conventional methods. Continue reading below for more. 


11+ Claims Processing Software

1. Hyland

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Rating: 4.4/5

Price: $2500/Year

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2. DataGenix

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Rating: 3.8/5

Price: Custom

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3. Damco Solutions

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Rating: 5/5

Price: Custom

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4. Pega

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Rating: 4.3/5

Price: $200/Month

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5. Apex

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Rating: 4.3/5

Price: $18.74/Month

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6. PLEXIS

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Rating: 4.6/5

Price: Custom

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7. DrChrono

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Rating: 4/5

Price: $199/Month

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8. SpeedyClaims

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Rating: 5/5

Price: Free

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9. EpicCare

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Rating: 4.4/5

Price: Custom

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10. SimplePractice

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Rating: 4.6/5

Price: $39/month

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11. TerraClaim

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Rating: 5/5

Price: Custom

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12. CureMD

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Rating: 3.5/5

Price: $195/Month

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What is Claims Processing Software?

Claims processing software is a technological tool with complete features and functionalities you need to process claims from your clients. Accidents happen unpredictably, calls from your clients regarding their insurance can be high. Since manual methods would not suffice, experts developed claims processing software to assist you in receiving claims and evaluate them to ensure security and a fraud-proof system. With this tool, you can manage your tasks faster while guaranteeing quality assurance

Benefits

Claims processing software provides multiple benefits and advantages to your company. We all know that traditional methods are not enough to evaluate all the claims flawlessly. Actual papers can be nerve-wracking as it requires a lot of effort. On the other hand, claims processing software enhances communication, productivity, and operational efficiency. 

Features

Various claims processing software is available with standard and distinct features and functionalities. These two factors are one of the most crucial components in software; it helps them operate and perform to accomplish business operations. However, although the software is contributive, it also has its setbacks. It depends on the software you choose. That is why it is sensible to research and evaluate its performance to make sure you choose the best software for your company. You can read user reviews or try free trials and versions to test them firsthand. Below are features you might need:

Top 10 Claims Processing Software

1. Pega

Pega from Pegasystems includes email marketing, lead management, territory management, mobile access, interaction tracking, and more helpful features. Pegasystems has annual revenue of $1.2 billion and 6,121 employees.

2. Hyland

Hyland includes audio file management, augmented analytics, content management, document generation, and more advanced features. Hyland has annual revenue of $519.8 million and 3,585 employees.

3. Damco Solutions

Damco Solutions includes adjustor management, case management, marketing automation, policy issuance, and more innovative features. Damco Solutions has annual revenue of $79.6 million and 549 employees.

4. SimplePractice

SimplePractice includes payment processing, reminders, patient portal, mobile access, and more innovative features. SimplePractice has annual revenue of $37.7 million and 306 employees.

5. Apex

Apex from Therapy Brands integrates well with almost any practice management system. It handles claims for medical, dentistry, optometry, chiropractic, and a variety of other specialties. Therapy Brands has annual revenue of $26 million and 205 employees.

6. DrChrono

DrChrono includes appointment scheduling, patient flow management, patient records management, and more advanced features. DrChrono has annual revenue of $22.9 million and 169 employees.

7. PLEXIS

PLEXIS includes case management, adjustor management, forms management, health insurance administration, and more contributive features. PLEXIS Healthcare System has annual revenue of $14.2 million and 98 employees.

8. EpicCare

EpicCare from Epic Systems includes patient intake, insurance eligibility verification, patient scheduling, and more contributive features. Epic Systems has an annual revenue of $11.7 million and 117 employees.

9. SpeedyClaims

SpeedyClaims from Speedysoft USA includes compliance tracking, dunning management, patient scheduling, and more valuable features. Speedysoft USA has annual revenue of more than $5 million and more than 25 employees.

10. DataGenix

DateGenix includes electronic claims, forms management, payor management, online payment, benefits enrollment, and more valuable features. DataGenix has annual revenue of $435 thousand and three employees.

FAQs

What are the claims?

Insurance claims are claims for accidents and other unforeseen incidents that the insurance company may cover. Claims involve car accidents, health issues, houses that caught on fire, etc., that is why there is various type of claims and insurance to cover them. Education, health, life insurance is part of them.

Why is insurance crucial?

Insurance is known to the professional industry. Most people invest in them to reduce financial stress when the worst scenarios happen, usually caused by accidents; accidents are unpredictable. It can be dreadful to think about your medical bills, car, houses, and more. You can have a financial backup on bad days if you have insurance in place.

Why is security important in insurance?

As we all know, frauds are anywhere. Insurance companies are members of the professional industry to experience fraud. There are a lot of Cases where frauds steal an impressive amount of money from insurance firms. for this reason. Security must be of the highest performance and quality to prevent invasions and frauds.

Claims processing serves as the fulfillment of the insurance company to its clients. Customers have different concerns to attend to while frauds are also present. We know that manual processes can’t help. That is why claims processing software is your savior. You can process multiple tasks within a single platform. This tool also improves your management, leading to good customer service and customer satisfaction.


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