Claims Processing

National Dental Insurer United Concordia Successfully Launches Real-Time Claims Processing with Tesia-PCI

February 18th, 2009

Tesia-PCI has successfully implemented and launched Real Time Claims processing capabilities with United Concordia Companies, Inc., a national dental insurer headquartered in Harrisburg, PA.
The implementation process took just over two months from plan to launch. Tesia-PCI’s 18 years of Real Time Claims experience and expertise helped United Concordia to avoid common Real Time Claims processing [...]

BrickStreet Insurance First Workers Compensation Company To Apply Advanced Analytics to Claims Processing

November 17th, 2008

BrickStreet Mutual Insurance Company is the first workers’ compensation company to use uReveal™, a next-generation advanced analytic software, according to an announcement today by IxReveal, the software’s manufacturer. BrickStreet is one of the largest writers of workers’ compensation insurance coverage in the nation and the largest in West Virginia.
“BrickStreet is the first workers’ compensation company [...]

Rollout of New Health Care Provider Tools Creates Meaningful Transactions to Streamline Medical Claims

June 16th, 2009

Collaboration within the health care system and administrative efficiencies are fundamental elements to any number of today’s health care reform proposals in Washington, DC. New tools from Highmark to conduct real-time claims processing and real-time member liability estimation are driving collaboration and streamlining medical claims processing right in health care provider offices.
Real-time claims processing and [...]

Bloodhound Technologies Unveils ConVergence Point Claims Editing Service

February 9th, 2009

Bloodhound Technologies defines real-time editing and transparency for the healthcare industry with the announcement of the ConVergence Point claims editing platform. ConVergence Point contains costs, increases auto-adjudication rates and improves payer-provider relations all in sub-second response time.
The result of a $14 million investment, ConVergence Point can process a claim or multiple claims simultaneously against full [...]

WPS Health Insurance Improves the Claims Experience With Cincom Eloquence

November 10th, 2008

Worldwide software provider Cincom Systems announces that WPS Health Insurance, one of Wisconsin’s largest health insurers, has successfully implemented Cincom Eloquence® document automation software and is now realizing significant improvements in the speed, quality and relevancy of correspondence to its over nine million customers.
“With claims processing within our TRICARE division exceeding 58 million claims [...]

Strategic Initiatives Focus Intercare Holdings Insurance Services, Inc. on Core TPA and Managed Care Services

October 9th, 2009

As a result of the development of a new long-range plan for 15-year-old Intercare Holdings Insurance Services, the firm’s senior management team has announced a series of strategic moves that have focused the Roseville-based company on its core competencies.
CEO George “Mac” McCleary detailed the plan, highlighting the divesture of an insurance brokerage operation and other [...]

ICW Group Insurance Now Offers Workers’ Compensation in Illinois

July 10th, 2009

ICW Group Insurance Companies, which partners with 3,800 agents and brokers across the United States, is now offering workers’ compensation insurance in the state of Illinois.
The super-regional carrier’s industry-leading claims services and forward-thinking risk management has helped thousands of companies create a safe and productive work environment, while lowering the costs associated with workers’ compensation [...]

Universal Insurance Holdings, Inc. Named One of America’s Fastest-Growing Small Public Companies by Fortune Small Business Magazine

July 9th, 2009

Universal Insurance Holdings, Inc, a vertically integrated insurance holding company, announced that it has been named to the Fortune Small Business magazine 2009 ‘FSB 100′ list of ‘America’s fastest-growing small public companies.’ Universal Insurance Holdings ranked #2 on the list, which can be found at the following Web address: http://money.cnn.com/magazines/fsb/fsb100/2009/full_list
According to Fortune Small Business, the [...]

The Protection Insurance Industry and IT – A Mixed Picture of Success, Reports FINEOS

June 26th, 2009

FINEOS Corporation, a global provider of innovative enterprise software solutions for insurance, announced the findings of the Protection Review survey carried out for the Personal Finance Society (PFS) and sponsored by FINEOS. The survey offers a snapshot of the protection market and the results help the life insurance industry develop the right solutions to meet [...]

Columbian Financial Group goes live with FIS’s Agency Management System, a component of the ALIS Policy Administration Platform

June 18th, 2009

FIS Software, a provider of enterprise level end to end insurance policy administration systems, today announced that Binghamton, New York based Columbian Financial Group (CFG) has completed the implementation of FIS’s Agency Management System (AMS), a component of FIS’s flagship ALIS policy administration platform. With AMS, CFG now manages its independent agent workforce using a [...]