Best Healthcare Claims Management Software for Windows

Ensure faster, more accurate mortgage and loan document processing automation with Parascript software; automate insurance document-based tasks for the intake and review of healthcare insurance data. Optimize health plan process efficiencies, increase data accuracy and reduce costs through document processing automation. Parascript software, driven by data science and powered by machine learning, configures and optimizes itself to automate simple and complex document-oriented tasks such as document classification, document separation, and data entry for payments, lending, and AP/AR processes. Every year, over 100 billion documents involved in banking, government, and insurance are processed by Parascript software.

Enhance patient care, office efficiency, and profitability with ChartLogic, an integrated Electronic Health Record (EHR) software suite for private physician practices. Designed to intuitively match a practice's workflow, as well as its specialty and personal preferences, ChartLogic EHR helps physicians document patient encounters and store information securely and cost-effectively. ChartLogic EHR suite includes Electronic Medical Record (EMR) tools, practice management, and medical billing services.

Processing high volumes of medical claims through intelligent automation helps businesses deliver higher levels of efficiency that does more than reduce costs. For organizations that rely on manual processes, managing medical claims documents and data is labor-intensive and error-prone, injecting unnecessary risk into the process. With ClaimAction medical claims processing software from Artsyl, your organization can improve margins, minimize touch points and eliminate processing bottlenecks. Capture medical claims data without the need for custom software coding. Route claims data and documents automatically to the right claim examiner, based on your business rules. Configure complex benefits and reimbursement rules to streamline processing and reduce payment delays. Respond quickly to changing government regulations and support data, document and process compliance.

We understand that people don't need their software to do everything. Especially not across specialties, practices, clinics, and hospitals. That is why we have created systems that are modular and will fit what YOU need. The front end (users) offers an intuitive, clutter-free interface; while the back end utilizes cutting-edge technology and database engines to ensure your data is safe and secured. And so you get paid... the first time! Used and loved by over 1,200 Ontario physicians, billing agencies and small to large multi-location clinics and hospitals. QuickClaim’s finesse has the feel of a well-thought-out tool. QuickClaim fulfills many roles. QuickClaim works with other systems like QuickReq, QuickDOCs and third-party systems via HL7 and flat files. Additionally, QuickClaim acts as the offline version of HYPE Medical during rare occasions of Internet failure. As an offline system, it runs independently of the Internet.

SpyGlass, our enterprise-class health claims management software, offers a powerful, flexible solution for precise and timely claims processing. SpyGlass makes benefit and plan setup remarkably straightforward. BenefitDriven, fully-integrated with SpyGlass, delivers eligibility, contribution accounting, and pension management to the Taft-Hartley industry with the full range of data and processes for Participants and Employers. HIPAA Director, our all-in-one EDI gateway & scheduler, works as a hub by allowing you to directly connect with vendor partners to help avoid transaction costs, manage batch transfers, and automate transfers. SpyGlass provides a deep, landscape view of your population, with the ability to easily drill down to the higher resolution details. Hundreds of unique reports, fully customizable dashboards, and total control over your system are at your fingertips.

PLEXIS’ suite of best-in-class apps has a proven record of giving payers the extended functionality necessary for modern core administrative ecosystems. From real-time benefit administration and adjudication to automatic EDI transmission and self-service customer portals, PLEXIS Business Apps have you covered. Passport provides essential connectivity from the core admin and claims management engines to PLEXIS business apps, your own apps, and existing in-house systems. With its flexible API layer, Passport delivers real-time integration with portals, automated workflow toolsets, and business apps. Connectivity is limitless. Streamline workflows with a centralized, modern core administration & claims management platform. Process claims in a timely and accurate manner, and automate the complexities of benefit administration to capture a quick ROI and deliver superior customer service.

PlanXpand™ is Acero’s proprietary transaction processing engine, one that powers each of our products for health benefits administrators. Leveraging this engine, clients may choose to implement Acero’s products concurrently or incrementally. In addition to selecting one of our standard products, administrators also may choose to utilize PlanXpand™ to develop a custom solution to extend existing system capabilities. Acero’s unique, integrated solutions feature Service-Oriented Architecture, allowing health benefits administrators and insurers to add features and functions to existing adjudication platforms. At the same time, our sophisticated design and engineering enables real-time adjudication of every type of claim, all in direct interaction with the core claims system, resulting in more accurate processing, more satisfied customers and less need for claims adjustments.

OneTouch is a tool that allows a user to conveniently transmit claims or statements to Apex, login to the Apex website, or search for claims that have been sent in the past all from of your computer desktop. In order for OneTouch to work, the user must be a registered client with Apex EDI and have a username and password setup. Once a user has a username and password OneTouch can be configured so the user can utilize the tools described. With OneTouch Search you can search your claim and statement files that have been sent to Apex from the convenience of your desktop. The OneTouch search feature allows you to search your statement and claim files for patient names, subscriber IDs, or several other options. After you click the search button you will be logged into your Apex webpage and shown the results of your search. To perform a search first choose what you want to search for by clicking on the magnifying glass dropdown menu.

MedVision Solutions' QuickCap is an administrative and clinical data process management solution that lets users focus on business and not the paperwork. With QuickCap, users have scalable control over their workflow and information to work smarter. QuickCap features a customizable dashboard for ease and gives them automation of their process for speed. QuickCap also streamlines claims work that makes users' work easier. QuickCap also allows users to easily determine profitability for individual providers with analytics.

In 1989, Richard M. Mehan, founder and CEO of Noble House, Designed Noble*Direct software, with four goals in mind: to design a software that is easy to use, efficiently gets the job done, to innovate current and new features, and the most important goal is to make his customers happy. With his son, Evan Mehan coming into the scene, his plans are to establish the four goals at hand and take Noble House to the next level. Training new billing personnel becomes a quick and painless process allowing you to spend more time providing optimal service to your clients. Noble*Direct has many fully automated features that allows providers to run their company smoothly as possible while growing their patient clientele. We listen to our clients and learn their needs. This is why we continue to design and implement new features to assist in streamlining day to day processes.

Chart Talk gives you many options for configuring how you use the program, create documents, submit claims, and work with your patients. Easily send, edit claims and receive remits electronically. Patients have secure information to their health information 24/7 from any web-enabled device. A full day of claims can be submitted in seconds by single providers or staff. Chart Talk Billing Service can even be your outsourced billing specialists. Create custom templates, attach files, import received documents. The Chart Talk file cabinet is a versatile document repository to securely store and access patient records. Fully encrypted, backed up, and secured. Your PHI is protected 24/7 when you use Chart Talk. Our intuitive web-based calendar lets you, schedule patients, in seconds accurately and efficiently. Chart Talk comes with tons of clinic reports. Users can access patient, financial, and performance data from any web-enabled device.

Medical Office One. A HIPAA Compliant - NPI Compliant and feature-rich medical billing software package. Fast and easy to use, it allows the creation of the new CMS 1500 02/12 or UB-04 claims. Provides full customization, excellent reporting features and points of integration with popular software packages including Microsoft Word, Excel & Outlook. Data for claims can be entered directly or can be retrieved for the Electronic Medical Records portion of the software. Print the CMS 1500 and UB-04 Form, or send claims electronically to clearinghouses. Medical Office One provides QuickBooks® integration, an advanced SOAP Notes module, and a powerful chart generator. You can create additional databases for unlimited providers - practices! and handle all from the same interface. Start a successful medical billing from home business. Handle with one software package billing and clinical side of your healthcare practice. A powerful CMS 1500 Form Filler or UB-04 Form Filler.

PDS Cortex makes your practice more efficient by providing tools for managing patient appointments, billings, collections and more. It makes it easy to navigate the complexities of today’s health insurance environment. Here is a look at a few of the features: Medical billing – The heart of Cortex; dynamic cash flow, reduced A/R, efficient retrieval and analysis of information. Managing insurance – Robust tools you need to manage, track, report and save time. Bad debts/collection agency tracking – Monitor collection agency activity and effectiveness; improve A/R efficiency. Appointment scheduling – Intuitive scheduling, with custom layouts and a powerful workflow. Electronic remittance distribution – Take control with electronic posting of insurance payments and streamline your insurance transactions. Reporting – Flexibility and control in the more than 270 standard reports

From hassle-free hosting, to exclusive integrated features to a mobile OPIE experience, you can get more from your practice management software. The ultimate tool every O&P business owner should have to track trends from patient satisfaction to financial reports. Get insight on time spent during the episode of care along in the episode of care and learn how to reduce errors and maximize cash flow. Visualize the payment process and access all the details to fine-tune your insurance verification and authorization process. Following the OPIE Workflow provides a defined plan for the way you work – from collecting patient data and defining L-codes for a patient, to ordering products and billing a claim electronically.

Give your front desk staff the flexibility they need to manage patient visits smoothly. Before, during, and after each appointment. MicroMD’s Practice Management scheduling capabilities help manage your busy workday with simplicity and precision. Easily search for an open slot according to patient needs and staff availability, attach notes and assign appointment classes. Intelligent patient waiting lists that match the correct duration, physician, time and location help maintain productivity and patient satisfaction. Use template-based displays to view appointment schedules by week, day, location and provider. Color-coded views, determined time slots and repeating schedules make scheduling smooth and precise. Allow patients to schedule appointments or create appointment requests using the Henry Schein Secure Chart Patient Portal. Patients with an account can log in and see what appointment times are available with what providers and schedule their appointment right then.

EzyMed Online 4 is a fully integrated Medical Practice Management software for General Practices, Radiology and Specialists Centres. Developed for the Australian medical practice environment, EzyMed Online 4 encompasses all functions required for the Medicare Australia's Online Claiming Online process, Department of Veterans Affairs (DVA) Claims and Australian Childhood Immunisation Register (ACIR) claims. EzyMed Online is a comprehensive system designed to manage your practice efficiently with just a few clicks of the mouse. A secure database management ensures your system consistently maintains its performance even with a million or more records. From the time a patient is registered at the reception, the consultation is tracked by EzyMed Online 4 and stored in the patient’s database as paperless recording. The patient’s medical history can be retrieved at anytime even to all appointments ever recorded.

The financial and administrative challenges facing healthcare providers are daunting. Waystar’s technology platform simplifies and unifies healthcare payments across the revenue cycle. We empower healthcare organizations to automate manual work, gain insight into processes and performance, and ultimately collect more revenue. At Waystar, we know there’s a better, more efficient way forward. Let’s climb the mountain ahead of us to reach new heights in healthcare. We know that adopting new revenue cycle technology can seem like an obstacle. Whatever your existing systems, our cost-effective technology is compatible and gets up and running quickly. Our single sign-on platform lets you manage commercial, government and patient payments all in one place, so you can consolidate vendors and eliminate the hassle of multiple systems. Give your staff intuitive solutions that will make their jobs easier and their workflows more productive.