TPA Software Revolutionizes Administrative Processes in Healthcare Claims Industry

TPA Software automates workflows & claims to handle tasks that enable you to introduce a level of auto-adjudication to your claims process, this particular functionality makes sure that the claims process is settled in a systematic manner doing the right thing at the right time. The claims processing software minimizes reliance on manual processes increases productivity and efficiency, and decreases the probability of human error throughout the claims process.

The TPA Software calculates payments based on the claim, policy and benefits information provided. Whether you want to combine payments set up automated scheduling, the software is designed to meet all your requirements to handle claims management & obtain streamlined workflows, quick access to claims history, and advanced claim adjudication with electronic processing.

DataGenix ClaimScape TPA Software allows third-party administrators to gain effective cost-savings and predictable ROI by replacing legacy claims & benefit administration systems. It provides TPAs with modern administrative processes by offering a centralized platform solution to streamline workflows & track benefit plans,  offer a real-time interface with context, and core administrative processes.

Full Dental Claim Support & Visual Tooth Chart

It’s integrated “Claims Processing Software & Benefits Administration" delivers the dental, vision as well as administrative payer platform that further provides a competitive edge that you need for cost-effective administration.  

TPA Software from DataGenix helps reduce the workload of TPAs and offers responsive portal access capabilities to allow members, providers, and group administrators to connect, communicate and share data in real-time. It provides detailed symptoms and daily level of care tracking, track referrals, pre-authorization, and complete hospital stays.

The claims processing software offers full support for the non-standard and custom hospital and clinic coding, support claims payment to members and providers via Nacha Bank EFT File. It ensures the users stay in touch with modern technology to provide long-term value for existing clients while helping you with new business.

Streamlined Customer Servicing with Multi-Window Support

DataGenix TPA Software delivers streamlined customer servicing with multi-window support along with the process of automated claim adjudication, automated online enrollment, advanced correspondence logging with one-click links to the original document, one-touch access to plan docs, claims and handy correspondence tracking and pop up notes and reminder system.

The “Customer Servicing” application also provides customer service call and correspondence, SMS or Email to response to callers, on-screen phone log and customer service queue, route to supervisor capability, advanced correspondence logging with one-click links to original documents, instant links to word, excel and outlook with auto-fill letters and correspondence, auto-generated letters with Microsoft word integration and red card support.