Cloud Claims

Cloud Claims

APP Tech
Complete Claims

Complete Claims

Complete Health Systems
+
+

Related Products

  • Service Center
    122 Ratings
    Visit Website
  • Predict360
    18 Ratings
    Visit Website
  • Macaw AMS
    6 Ratings
    Visit Website
  • HSI Donesafe
    155 Ratings
    Visit Website
  • Intelex
    165 Ratings
    Visit Website
  • SiteDocs
    276 Ratings
    Visit Website
  • XpertCoding
    42 Ratings
    Visit Website
  • D&B Risk Analytics
    80 Ratings
    Visit Website
  • Creatio
    522 Ratings
    Visit Website
  • PayHOA
    657 Ratings
    Visit Website

About

Improve claim outcomes with streamlined First Notice of Loss (FNOL), claim processing and flexible reporting. INCIDENT BASED CLAIMS MANAGEMENT Effective claims management is about more than simply managing claims outcomes. It is about having an automated process that ensures efficiency and accuracy across the organization, getting timely notice of losses, and taking swift action are keys to success. The incident-based approach of Cloud Claims covers all accidents and losses, delivering a complete picture of loss to executives and claims managers. Cloud Claims by APP Tech is an integrated solution that is highly configurable, with actionable reports to guide decision-making and a friendly UI so you can get work done faster and more confidently. Cloud Claims runs in the cloud, so there’s minimal IT burden and no installation required — just simple configuration, effortless system upgrades, best-in-class security, and the ability to scale quickly.

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.

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

Self-insureds, third-party administrators (TPAs) and organizations wanting to keep track of losses and claims

Audience

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

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

$2,500 per month
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

APP Tech
Founded: 2002
Connecticut, United States
apptechllc.com

Company Information

Complete Health Systems
completehealthsys.com/claims/

Alternatives

Alternatives

PlanXpand

PlanXpand

Acero Health Technologies
Duck Creek Claims

Duck Creek Claims

Duck Creek Technologies
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health
Direct Claim Solution

Direct Claim Solution

Innovative Computer Systems
HEALTHsuite

HEALTHsuite

RAM Technologies

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

Incident Management Features

Audit Trail
Corrective Actions (CAPA)
Disaster Recovery
Incident Reporting
IT Incident Management
OSHA Compliance
Root-Cause Diagnosis
Safety Management
Task Management
Ticket Management

Insurance Claims Management Features

Claims tracking
CRM
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

P&C Insurance Features

Billing & Invoicing
Broker / Agent Portal
Claims Management
Commission Management
Customer Portal
Document Management
Insurance Rating
Marketing Automation
Policy Management
Quote Management
Reinsurance Administration
Underwriting Management

Risk Management Features

Alerts/Notifications
Auditing
Business Process Control
Compliance Management
Corrective Actions (CAPA)
Dashboard
Exceptions Management
Internal Controls Management
IT Risk Management
Legal Risk Management
Mobile Access
Operational Risk Management
Predictive Analytics
Reputation Risk Management
Response Management
Risk Assessment

Integrations

No info available.

Integrations

No info available.
Claim Cloud Claims and update features and information
Claim Cloud Claims and update features and information
Claim Complete Claims and update features and information
Claim Complete Claims and update features and information