Healthcare claims software caters to the healthcare industry, consisting of a vast array of organizations, member subscribers, and healthcare provider networks. The relationships between healthcare organizations, their member subscribers, and healthcare providers is both business-to-business and business-to-consumer. Many processes exists to create and maintain healthcare relationships, including establishing new healthcare providers in various regions, enrolling new subscribers into healthcare products, and processing healthcare claims submitted by both healthcare subscribers and providers.
Healthcare claims software specifically designed to capture healthcare claim information from various parties using a secure online form significantly improves the healthcare claims process and reduces resource required to manage the claims process. There are likely several layers of healthcare claims approval processing. The claim approval process, for example, may entail claim approval sign offs from several claims administrators depending on the amount of the claim, the claimants prior claim history, and the healthcare provider used. Healthcare claims that disseminate information to the right people based on these types of variables reduce the amount of manual communication such as fax, paper mail, and emails required around a claim. Additionally the history of steps taken on a healthcare claim, starting with submitting a healthcare claim and into the various approval steps, is readily available to those that need it.
Security and accessibility are both essential ingredients in healthcare claims software. With self-hosted implementation options, our system will sit behind a company firewall and regulate access. Our web-based technology supports multiple redundant servers to minimize or even prevent downtime due to hardware failures. If looking for a fully-hosted solution multiple steps can be taken to ensure user access controls and security, including VPN and IP address management. Full database and document storage encryption is provided to ensure confidential documents and data are protected from unauthorized access. For optimal uptime guarantees, dedicated fully-hosted systems have multiple redundant servers to ensure fail-over in the event of a server failure. If implementing healthcare claims software for world-wide claims management, our global data centers can offer services in Europe, Asia, the US, and Canada.
Healthcare claims software reminds those involved of claims that still open and pending closure, and encourage those participating in claim processing to see to it that the claim has been in fact closed. For more deployment information contact us for a free demo of our cutting-edge claims software or visit our news page for more information on our latest deployments.