Datagenix

It is obvious that no one anticipates becoming ill, yet illness is almost unavoidable, and it is better to be safe than sorry. Insurance is becoming increasingly important, and hospitals, insurance companies, and individuals should collaborate to create a straightforward process that ensures that insurance claims are processed efficiently. In exchange for a premium, you enter into an arrangement with an insurer to pay for some or all of your medical expenses. Having health insurance can protect you from medical expenditures that you can't afford to pay out of pocket. Healthcare insurance software  can aid in processing claims, the follow-up on refused claims, and verification of patient insurance status. Medical software is created for a variety of purposes, including medical education, research, diagnosis, database storage, and equipment planning. They are applications designed specifically for the healthcare industry. The Claim Processing Software   can help healthcar...

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 clai...

We are on the verge of 2019, and it is pretty clear that health insurance claims management software will be again playing a dominant role in the insurance industry in 2020. From labor-intensive claims processing to digital claims management, we are living in an era where customers want complete content. The speed of processing claims and accuracy also matters a lot.  However, considering the price range and the confusion between the choices of claims software, is investing in them really worthy? Or an overrated waste of money? Let's figure it out together below. Speed and Satisfaction According to a study by Ernst and Young, 87% of policyholders admit that they will change their insurance providers if their claims aren't handled the proper way. Thus, there are no doubts that speed is a major influence is giving customers the satisfaction and claims processing they want. Usually, claims processing used to take around 6 months or even up to a year when claims were manu...

Hundreds of TPAs and insurance companies rely on online claims management software systems for faster adjudication and reimbursement process. However, their requirements aren't the only factors on which the development of these applications entirely relies. Several consumer demands are also prioritized to help the TPAs in providing top-notch service to insurance companies. Some of these consumer demands on which the future of online claims management software depends are: Claims Processing Time Both TPAs and insurance companies understand the importance of time in processing claims. Nearly half of the customers change their insurance providers if their claims are delayed. However, there is no fixed duration in which claims are processed. Meaning, for some cases it can take 2-3 weeks, and in some nearly 6 months. To decrease this processing time, online claims management can simplify procedures like eligibility checks and plan management. Multi-User Support The ...

The insurance industry is ever-growing, providing insurance for all sorts of purposes and types. Still, the most lucrative insurance plans are medical insurance plans. They are inclusive of several health benefits that act as a shield for families. If you own a TPA company or are regular in claims processing, you understand the trouble that arrives during the entire process very well. Staying away from fraudsters is another issue. However, experts at DataGenix have developed the ClaimScape claims processing software that can resolve all your trouble and provide efficient and faster claims processing. In the following ways, ClaimScape makes claims processing faster. Automates Adjudication The ClaimScape Claims software comes with the features to update and confirm reports. You can share the files between various departments, perform eligibility checks, manage benefits, review insurance plans, and even send reminders to the insured via email. With these features, there is...

Healthcare claims management software eases the claims processing work for thousands of TPAs and medical insurance agencies. Being a progressing and new industry, the competition in the medical industry for claims software is still growing. With the fast solutions and overall support for wide features and functionality, these applications have marked their stronghold in the United States. Market Share According to forecasts, the healthcare claims management market is speculated to grow over $13 billion by the year 2025, at a CAGR of +5%. The current market share in the US economy of the claims software systems is over $10 billion. Counting the fact that this software saw their inception in the later 2000s, the $10 billion mark sounds unbelievable for such a young industry. Applications and Usage The most useful features, high in demand in health care management software are invoicing, report management, customer service, and online server access. The software make...