Complete Claims

Complete Claims

Complete Health Systems
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About

Claims Adjudication for medical, dental, vision, prescription, short and long-term disability claims. Available for on-site license or as a hosted application (ASP). Microsoft technology: SQLServer database with a Windows front end. Acclaimed Customer service staffed by health care claims experts with a minimum of 12 years’ experience in the field. Support calls are logged with status available via the internet. Plan copy and modification feature enable quick setup of plans. Auto-adjudication using benefit codes built using business rules based on over 25 variables from both the claim and the claimant records made available to the adjudication engine. Inbound claims can be scanned images, EDI or paper. HIPAA EDI 5010 transaction sets. Re-pricing fee and UCR Schedules can be loaded on the system in advance of the effective date. The date-driven logic will re-price based on the date of service.

About

This application automates the repricing of claims in a Web environment. WebCR verifies provider participation and patient coverage, validates dates of service, and identifies possible duplicate claims. It is supported by a data management team and system, WebDM, that works to ensure accuracy and currency of data. This application automates the repricing of claims in a client/server environment. WebCRX verifies provider participation and patient coverage, validates dates of service, and identifies possible duplicate claims.

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Audience

Businesses in need of a tool to manage their claims adjudication processes

Audience

Organizations that need a claims management solution

Support

Phone Support Supported
24/7 Live Support Not Supported
Online Supported

Support

Phone Support Supported
24/7 Live Support Supported
Online Supported

API

Offers API Not Supported

API

Offers API Not Supported

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported

Pricing

$1000.00/month
Free Version Not Supported
Free Trial Not Supported

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation Not Supported
Webinars Not Supported
Live Online Not Supported
In Person Not Supported

Training

Documentation Not Supported
Webinars Not Supported
Live Online Not Supported
In Person Not Supported

Company Information

Complete Health Systems
completehealthsys.com/claims/

Company Information

ppoONE
Founded: 1996
United States
www.ppoone.com

Alternatives

Alternatives

Complete Claims

Complete Claims

Complete Health Systems
CyberSource Medical

CyberSource Medical

ComCom Systems
PlanXpand

PlanXpand

Acero Health Technologies
IMPACT

IMPACT

Managed Care Systems
Hi-Tech Series 3000

Hi-Tech Series 3000

Hi-Tech Health
ClaimsControl

ClaimsControl

Claims Control
HEALTHsuite

HEALTHsuite

RAM Technologies

Categories

Claims Processing Supported
Health Insurance Supported

Categories

Claims Processing Supported

Claims Processing Features

Adjustor Management Not Supported
Case Management Not Supported
Claim Resolution Tracking Supported
Co-Pay & Deductible Tracking Not Supported
Compliance Management Not Supported
Customer Management Supported
Electronic Claims Supported
Forms Management Not Supported
Paper-Based Claims Supported
Payor Management Not Supported
Policy Administration Not Supported

Integrations

No info available.

Integrations

No info available.
Claim Complete Claims and update features and information
Claim Complete Claims and update features and information
Claim ppoONE Connect and update features and information
Claim ppoONE Connect and update features and information