COMPLETE BENEFIT ADMINISTRATION
Advanced Features of ClaimScape Health Benefits System
  • Ease of Use for Minimal Training Time
  • Simplified Eligibility Processing
  • Integrated Scanning and Document Management
  • Built-In Electronic Pre-authorizations and Scanned Claims support
  • Advanced Claim Adjudication with Automated Processing
  • Instant On-Screen Reporting
  • Integrated Pre-Approval & Case Management Workflow
  • Rapid and Flexible Benefit Plan Setup
  • Built In Document Imaging for document access related to provider, group, and insured members
  • Customer service call and correspondence tracking including one touch SMS or email to caller
  • Advanced Security
  • Rapid Pre-authorization Queue Processing from Electronic or other links
  • British and American Date Support
  • Real-time Web Access for Insureds, Providers and Groups
  • Support for International Markets and Currencies
  • Cost Effectiveness and a Predictable ROI
  • Open Architecture Databases for access by Third Party Applications
  • Single Server or Clustered Server Support
  • Scalable to Millions of Insured Members
  • Multi Level Group Security with logging of all events
  • Multiple Company , Multiple Database Support
  • Claims , Preauthorization, and Customer Service Queues for maximum efficiency and optimized workflow
  • Support for Non Standard Provider Codes and Fee Schedules
INTEGRATED WEB ACCESS PORTAL
  • Electronic Medical claim submission
  • Electronic Preauthorization submission
  • Instant Access to Plan Documents, Policies, and Monthly Reports
  • Managed entirely from within ClaimScape application. No programming required
  • Real Time Web Access System for Insureds ,Groups, and Provider
  • Access Eligibility and Claims Status from Anywhere, Anytime
  • Detailed Claims Information and Pre-Approval Status
  • Detailed Eligibility Information and Status
  • On-Line Preauthorization Submission for Providers
  • On-Line Enrollment , Additions and Terminations
  • On-Line Submission of Claims Batches from Providers
  • On-Line Status checks for providers of Claims, Pre-authorizations, and Eligibility
  • Detailed Benefit Plan Information
  • Quick Links to Health Information Sites
  • Insureds can make or request changes on-line
  • Access to benefits documents, general information, or provider contracts