| IN THE NEWS |
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ClaimScape Health Claims System - 05/15/2011
DataGenix adds enhanced international and multicurrency capabilities to ClaimScape Claims Processing Software system
ClaimScape Health Claims System - 06/15/2010
DataGenix partners with new Middle East Reseller to assist expansion in the region
ClaimScape Health Claims System - 02/01/2010
DataGenix implements ClaimScape for Non-Profit Foundation to provide Health Care Benefits to Amish Community in five U.S. states
ClaimScape Health Claims System - 06/01/2009
DataGenix launches advanced scanning system integrated with ClaimScape for international and nonstandard claims
ClaimScape Health Claims System - 04/01/2009
DataGenix expands ClaimScape abroad with new installations in three countries
ClaimScape Health Claims System - 03/01/2008
DataGenix partners with International Resellers to distribute ClaimScape System
ClaimScape Health Claims System - 11/15/2007
DataGenix partners with NCN to provide integrated Hospital Repricing in ClaimScape System
ClaimScape Health Claims System - 11/1/2007
DataGenix expands international sales program for ClaimScape System
ClaimScape Health Claims System - 10/10/2007
DataGenix installs the ClaimScape Health Claims Benefits System at international client sites
ClaimScape Health Claims System - 6/1/2007
DataGenix installs the ClaimScape Health Claims Benefits System at Additional US Customer Sites
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| KEY FEATURES AND BENEFITS |
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 Claims Adjudication with Auto Adjudication options
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
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/Preapproval, and Customer Service Queues for maximum efficiency and optimized workflow
Support for Non Standard Provider Codes and Fee Schedules
Instant Access to Plan Documents, Policies, and Monthly Reports
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
Advanced Claim Processing with Electronic Processing and AutoAdjudication
Entry of Claims by Batch Entry, Manual, Electronic Queue or EDI Files
Automated Claims Analysis of proper payment from Provider with rules database of 3.5 million rules ( CPT Codes)
All user claims messages into Single Window to allow quicker claims entry and require user to view one window instead of several while processing claim
Automated Claims and Document Scanning
Built In Document Imaging for document access to provider, group, and insured related documents
Rapid Searching for Insured, Claim, Preauthorization and Provider Information
Customer service call and correspondence
SMS or email to Responses to callers
Streamlined Customer Servicing with multi window support
On-Screen Phone Log and Customer Service Queue
Route to Supervisor Capability
Advanced Correspondence Logging with One Click Links to Original Document
Instant Links to Word, Excel and Outlook with Auto Fill Letters and Correspondence
One Touch Access to Plan Docs, Claims and Original Patient Records
Utilization Review and Case Management
Simultaneous Access to Multiple Patient Screens
Handy Correspondence Tracking and Pop Up Notes and Reminder System
Preauthorization Workflow Queue for rapid processing of Pre-authorizations received from multiple sources
Integrated Pre-Approval & Case Management Workflow
Rapid Preauthorization Queue Processing from Electronic or other links
Built-In Support for Electronic Pre-authorizations and Scanned Claims
Automated Process for Claims and Pre Approvals allows High Speed turnarounds
Pre-authorizations and Referrals directly Linked to Claims
MultiCurrency and International Claims Support
Provider Web Portal for Instant Accesss to Eligibility, Preapprovals, and Claims
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