Alternatives to TotalEclipse
Compare TotalEclipse alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to TotalEclipse in 2026. Compare features, ratings, user reviews, pricing, and more from TotalEclipse competitors and alternatives in order to make an informed decision for your business.
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1
Service Center
Office Ally
Service Center by Office Ally is a trusted Revenue Cycle Management and patient payments platform used by more than 80,000 healthcare providers and health services organizations, which process more than 950 million transactions annually. Service Center is a cost-effective solution enabling providers to control their revenue cycle. With a user-friendly interface, Service Center helps providers check and verify patients’ eligibility and benefits, submit, correct, and check the status of their claims online, and receive remittance advice. Accepting standard ANSI formats, data entry and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers. -
2
Epicor Eclipse
Epicor Software
Eclipse automates sales, supply chain, warehouse, and financial management for electrical, HVAC, plumbing, and PVF distributors. By integrating advanced data management and AI capabilities, Eclipse ensures more efficient processes, accurate, real-time information, and actionable insights across the business. This leads to improved operational efficiency, optimized sales and margins, enhanced decision-making, and overall, better customer experience. -
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Parascript
Parascript
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. -
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Virtual Examiner
PCG Software
Virtual Examiner®, PCG Software’s flagship product, monitors the internal claims process of an organization to trend provider data for fraudulent and abusive billing patterns, and maximizes financial recoveries. PCG Software’s Virtual Examiner® allows healthcare organizations to enhance their current claims adjudication system with more than 31 million edits per claim. The software solution monitors an organization’s internal claims process to identify unclean claims and reduce payment for improper or erroneous coding to conserve premium dollars. Virtual Examiner® is more than a claims review solution with a focus on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports. -
5
SpyGlass
Beacon Technologies
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. -
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Hi-Tech Series 3000
Hi-Tech Health
Series 3000 is a cloud-based claims administration solution for businesses within the healthcare industry. No matter what your adjudication, reporting, or plan needs are, this platform reduces time processing claims and increases productivity as it assists with: •Client management •Benefits input •Electronic claim submissions •Claims processing •Real-time status tracking Our built-in database efficiently manages clients and employee benefits. This platform allows users to make real-time updates including: •Claims statuses •Currency conversion •ACH deposits and disbursements •Document printing No matter what happens, our cloud-based software is reliable, and we pride ourselves on 99 percent up time. Series 3000 is HIPAA compliant and ensures secure data management and backup. We upgrade our communications and IBM hardware every two to three years and maintain System Critical Support with all our vendors, keeping our technology up to date.Starting Price: $3500 per month -
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SSI Claims Director
SSI Group
Elevate your claims management process and decrease denials through unmatched edits and an industry-leading clean claim rate. Health systems require access to technology that facilitates accurate claim submission and rapid reimbursement. Claims Director, SSI’s claims management solution, streamlines billing practices and provides visibility by guiding users through the electronic claim submission and reconciliation process from beginning to end. As payers change or modify reimbursement criteria for services, the system actively monitors and incorporates these changes and requirements. And with a comprehensive mix of edits at the industry, payer and provider levels, the solution aids organizations in making the most of reimbursement efforts. -
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Majesco ClaimVantage
Majesco
Digital technologies are having a significant impact on insurance, and those keeping pace with this evolution are on track to maintain a competitive advantage. Traditional claim management tools, involving multiple systems, paper files and manual processes, are being replaced with cloud-native enterprise claim management platforms. The Majesco ClaimVantage Claims Management Software for L&H platform streamlines the claims process through the full life cycle of a claim, from intake through payment calculation, integrating multiple systems to improve the flow of information across your business. Improve the customer experience and drive operational effectiveness with accurate and timely claim decisions. Built on the Salesforce Lightning Platform, Majesco ClaimVantage Claims Management Software for L&H enables insurance companies and TPAs to modernize and optimize their claims operations today and into the future. -
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Origami Risk
Origami Risk
Origami Risk provides integrated SaaS solutions designed to help organizations—insured corporate and public entities, brokers and risk consultants, insurers, third party claims administrators (TPAs), risk pools, and more, transform their approach to managing critical workflows, leveraging analytics, and engaging with stakeholders. Origami Risk is a 5-time Business Insurance Innovation Award Winner, and we've kept that title because we collaborate closely with our clients to develop solutions that address real-world challenges they're facing. Since our founding, Origami Risk has aimed to deliver industry-leading, real-world solutions for risk professionals around the globe. Our acceptance of the 2021 European Risk Management Award for Technology Innovation of the Year underlines this continuous effort. Fully-integrated, comprehensive solutions for reducing incidents & hazards. -
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MyEclipse
Genuitec
MyEclipse is the best Java IDE for enterprise development, providing easy access to popular technologies in a single solution. From Java EE to Maven, from Spring to WebSphere, MyEclipse increases productivity and helps you write your best code. With better tools, it is simple to create a dynamic frontend along with a powerful backend, a winning combination for success. Java developers have so much more to consider than just writing great code. From keeping up with the latest Java versions and web frameworks, to implementing version control and deploying to a variety of application servers, there is a lot to manage. MyEclipse unifies your development tools in a single download, so you can stay focused on coding. MyEclipse is the same feature-rich Eclipse IDE that over 17,000 companies have relied on to build powerful applications for over 2 decades. Originally created by developers that noticed a real need for better software development tools. -
11
PlanXpand
Acero Health Technologies
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. -
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Ahshay
DataCare
Ahshay Platform by DataCare is a database of multiple software solutions for medical management. It includes medical process manager, nurse care management software, utilization review software, auto case management software and more. The platform caters to the needs of companies from insurance providers, self-insured groups, managed care, and individual nurse case managers.Starting Price: $150.00/month/user -
13
HEALTHsuite
RAM Technologies
HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans administering Medicaid and / or Medicare Advantage benefits. HEALTHsuite is a rules-based auto adjudication software solution designed to automate all aspects of enrollment / eligibility, benefit administration, provider contracting / reimbursement, premium billing, medical management, care management, claims adjudication, customer service, reporting and more. RAM’s Medicare Advantage-in-a-Box offering is unique in the industry; the product of RAM’s extensive experience in Medicare Advantage and an unwavering commitment to changing our industry. HEALTHsuite Advantage™ and eHealthsuite™ are the cornerstones of our pre-configured Medicare Advantage-in-a-Box offering. HEALTHsuite Advantage is a fully integrated suite of modules providing our clients with an unmatched solution to administer their Medicare Advantage and Special Needs Plans (SNP’s). -
14
Assurance Reimbursement Management
Change Healthcare
An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, prevent denials, and accelerate cash flow. Increase your first pass claim acceptance rate. Our comprehensive edits package helps you stay current with changing payer rules and regulations. Heighten your staff’s productivity with intuitive, exception-based workflows and automated tasks. Your staff can access our flexible, cloud-based technology from any computer. Manage your secondary claims volume through automatic generation of secondary claims and explanation of benefits (EOB) from the primary remittance advice. Focus on claims that need your attention with predictive artificial intelligence into problem claims. Resolve errors faster, and avoid denials before submittal. Process claims more efficiently. Print and deliver primary paper claims, or add collated claims and EOBs for secondary claims. -
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Eclipse Dirigible
Eclipse Foundation
Eclipse Dirigible™ is a high-productivity application platform that provides development tools and a runtime environment. It supports the full development lifecycle of applications by leveraging an in-system programming model and rapid application development techniques. Eclipse Dirigible provides capabilities for end-to-end development process from database modeling and management, through RESTful services authoring using various dynamic languages, to pattern-based user interface generation, role-based security, external services integration, testing, debugging, operations, and monitoring. All the Eclipse Dirigible project's source code and sample applications are licensed under Eclipse Public License v 2.0 and maintained at GitHub. You can develop student projects, test different technologies and scenarios, learn popular programming languages. Eclipse Dirigible provides everything you need for your development project. -
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PLEXIS Payer Platforms
PLEXIS Healthcare Systems
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. -
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Eclipse
North American Software Associates
Eclipse offers the robust features independent insurance agencies need, without burdening their budget. It’s the ideal tool for tracking data and hitting sales goals. Make digging for client data and deal with external accounting platforms' problems of the past. With Eclipse, your agency can automate many of its manual processes and give agents more time to connect with current and prospective customers. The Eclipse Agency Management System follows a per-user pricing model. With per-user pricing, there is no mystery behind how much the software will cost. Instead, agencies always have a clear idea of what their investment will be, and they are in control of whether the costs go up or down. When your agency grows and you add more agents, those agents will become new users. If your agency operates or acquires additional locations, Eclipse's Multi-Agency scalability allows your system to grow with your business. -
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OneTouch Claims Processing Software
Apex EDI
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. -
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FINEOS
FINEOS
The FINEOS Platform provides clients the only complete end-to-end SaaS core product suite that includes FINEOS AdminSuite enabling quote to claim administration as well as add-on products, FINEOS Engage to support digital engagement and FINEOS Insight for analytics and reporting. The foundation of your digital insurance strategy. The FINEOS Platform seamlessly blends FINEOS AdminSuite + FINEOS Engage + FINEOS Insight + Platform Capabilities to create the most modern single core insurance platform for Life, Accident and Health. Legacy core systems utilized a ‘one size fits all’ business technology approach that no longer fits the needs of an agile business. Today, consumers, employers and brokers have access to powerful SaaS computing platforms and software tools that set a much higher bar for an insurer’s digital strategy. Monolithic insurance software models of the past focused solely on details of the insurance contract. -
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QuickCap
MedVision
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. -
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Eclipse AI
Eclipse AI
Eclipse AI is a plug-and-play AI tool that detects the risk indicators that lead to customer churn. Eclipse AI allows you to plug in your voice-of-customer data from different channels (surveys, reviews, chat logs, phone logs, etc.). Eclipse AI then generates risk mitigations to reduce customer churn based on analysis of your voice-of-customer data and industry best practices. -
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Eclipse Che
Eclipse Che
Eclipse Che makes Kubernetes development accessible for developer teams, providing one-click developer workspaces and eliminating local environment configuration for your entire team. Che brings your Kubernetes application into your development environment and provides an in-browser IDE, allowing you to code, build, test and run applications exactly as they run on production from any machine. Eclipse Che runs in containers. All of the developer tools, the IDE and its plugins are running as containerized services. You don’t have to worry about how to configure them, install their dependencies or keeping them alive - everything is packaged together in the container. Che allows you to establish a centralized configuration for your team’s development environment and technology stacks. Eclipse Che comes with a web-based IDE, based on Eclipse Theia which provides an in-browser VSCode experience complete with the latest tooling protocols. -
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Apex.AI
Apex.AI
Analyzing your current automotive or robotic software systems to assess a path to commercialization. Transitioning your existing software to Apex.OS. Transitioning your existing environment to a state-of-the-art continuous integration, continuous testing, and continuous delivery framework. Providing software architecture reviews and recommendations. Providing functional safety training to enable your team to build your safe autonomous system. Apex.OS is a fork of ROS 2 that has been made real-time, reliable, and deterministic so that it can be used in safety-critical applications. Apex.OS is developed in sync with future releases of ROS 2 and APIs stay compatible to ROS 2. Based on the integration of Eclipse Cyclone DDS™ and Eclipse iceoryx™, both are available as open-source and proven in automotive and mission-critical distributed systems. -
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Eclipse Papyrus
Eclipse Foundation
To address any specific domain, every part of Eclipse Papyrus may be customized: UML profile, model explorer, diagram notation and style, properties views, palette and creation menus, and much more. Eclipse Papyrus enables model-based techniques: model-based simulation, model-based formal testing, safety analysis, performance/trade-offs analysis, architecture exploration. Eclipse Papyrus is an industrial-grade open source Model-Based Engineering tool. Eclipse Papyrus has notably been used successfuly in industrial projects and is the base platform for several industrial modeling tools. Eclipse Papyrus provides also a complete support to SysML in order to enable model-based system engineering. All the modeling features of Eclipse Papyrus are designed to be customizable and to maximize reuse. -
25
DVT Eclipse IDE
AMIQ EDA
The DVT Eclipse IDE enables engineers overcome the limitations of plain text code editors and address today’s project complexity more efficiently. It enables faster and smarter code development and simplifies legacy code maintenance for novices and experts alike. The DVT Eclipse IDE consists of a parser, a smart code editor, an intuitive GUI, and a comprehensive set of features that help with code inspection, navigation, and debugging. In addition, DVT includes several capabilities that are specific to the hardware design and verification domains, such as class and structural browsing, signal tracing, and verification methodology support. The DVT Eclipse IDE is built on the powerful Eclipse Platform used by tens of thousands of engineers worldwide and inherits the best features and practices collected into the platform core. The Eclipse Platform’s extensible architecture allows DVT to integrate within a large plug-in ecosystem and work flawlessly with third-party extensions. -
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Nisoft Eclipse Suite
NiSoft
Built with mobility in mind, the Eclipse Suite offers functionality that can be represented in numerous ways to display the appropriate information in the most effective format for the user level. Scalable software that has the flexibility to work in a large multisite environment as well as small single-site operations. The Eclipse Suite is designed with engineering and safety professionals in mind. Our intuitive UI allows your employees to leverage a powerful safety tool that complements, not complicates, your process. Reach your workforce easily with the Eclipse Suite's powerful toolset deployed in a browser. No requirements for 3rd party application distribution or costs to deploy. Create powerful digital safety solutions for your workforce, increasing employee engagement with important processes and procedures efficiently whilst ensuring the highest levels of compliance. -
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Eclipse GlassFish
Eclipse Foundation
Eclipse GlassFish is a Jakarta EE compatible implementation sponsored by the Eclipse Foundation. We are happy to announce the final release of Eclipse GlassFish 6.1. This release provides implementations of the Jakarta EE 9.1 Platform and Web Profile specifications. Download links are available from the GlassFish Download page. Eclipse GlassFish 6.1 implements the Jakarta EE 9.1 specification (Jakarta EE 9.1 Platform, Jakarta EE 9 Web Profile). This is the first release candidate of Eclipse GlassFish 6.1 and is available for download. Eclipse GlassFish 6.1 is targetted to be a Compatible Implementation of Jakarta EE 9.1. Note this release requires JDK 11. The final release is scheduled to coincide with the final release of Jakarta EE 9.1. -
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Eclipse Web Tools Platform (WTP)
Eclipse Foundation
The Eclipse Web Tools Platform (WTP) project extends the Eclipse platform with tools for developing Web and Java EE applications. It includes source and graphical editors for a variety of languages, wizards and built-in applications to simplify development, and tools and APIs to support deploying, running, and testing apps. The Libra project integrates the existing tooling provided by the Plug-in Development Environment project and the Web Tools Platform project to work together for implementing OSGi Enterprise scenarios. The JavaScript Development Tools provide plug-ins that implement an IDE supporting the development of JavaScript applications and JavaScript within web applications. It adds a JavaScript project type and perspective to the Eclipse Workbench as well as a number of views, editors, wizards, and builders. -
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Anagram
Anagram
Anagram Prosper puts money back in the hands of your patients — at no cost to your practice. Increase your margins, delight your patients, and forget courtesy discounts. We partnered with the best vendors to develop wholesale price lists that better align with the needs of you and your patients. Provide rebates on the same products you already stock. Incentivize your patients, drive more conversions, and collect more revenue. With Anagram Prosper, you can save patients money without offering discounts or lowering your margins. Use our rebate program to drive more sales and make your patients happy. Most patients don’t know about their out-of-network benefits. Anagram Access can pull real-time vision plan eligibility to maximize savings for your patients. With Anagram Access, you can quickly calculate how much your patient owes and how much their vision plan reimburses. -
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Eclipse PHP
Eclipse Foundation
The PHP IDE project delivers a PHP Integrated Development Environment framework for the Eclipse platform. This project encompasses the development components necessary to develop PHP-based web applications and facilitates extensibility. It leverages the existing web tools project in providing developers with PHP capabilities. The essential starting point for PHP developers, including a PHP language support, a Git client, XML Editor and Mylyn, terminal. The experience of developing PHP application with PDT can be extended with a large variety of plugins created by the Eclipse ecosystem. Syntax highlighting, syntax validation, content assistance, code navigation, PHP debugging (Zend Debugger / Xdebug), PHP Profiling (Zend Debugger / Xdebug), PHPUnit, code formatted, refactoring, code templates, remote projects, and the whole power of the Eclipse Ecosystem. -
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Eclipse IDE
Eclipse Foundation
Eclipse IDE The Leading Open Platform for Professional Developers used in computer programming. Better Than Ever. The Eclipse IDE delivers what you need to rapidly innovate. Easier IDE configuration The Eclipse IDE Installer 2020-09 and several packages now include a Java Runtime Environment (JRE). Improved theming and styling. Improved Windows dark theme and GTK light theme. Moving to bleeding edge. Eclipse IDE now needs Java 11 as a minimum version to run on, but you can compile any version as usual. New experimental features. Support for aarch64. Linux support landed this version. Node.js is now embedded For all our LSP-based toolings, Node.js is now embedded to make things work out of the box Free and open source Free and open source; released under the terms of the Eclipse Public License 2.0. Powered by Participation. A vast ecosystem of plugins from an active community -
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Eclipse
Explorer Software
Eclipse is a fully integrated browser-based construction management software solution built by Explorer Software. Powerful, flexible, and easy to use, Explorer Eclipse helps contractors to seamlessly manage various functions, such as project management, accounting, work order management and procurement, document management, sales, data capture and analytics, and more. As the flagship product of Explorer, Eclipse delivers a plethora of modules, such as Accounts Receivable, Cash Management, Equipment Control/Fixed Assets, General Ledger, Financial Report Writer, Job Costing, Template Designer, Payroll, among others. -
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Oracle's Digital Insurance Platform empowers insurance providers to deliver innovative solutions and exceptional digital customer experiences. This comprehensive insurance management system streamlines operations from sales channels to back-office processes, enabling rapid deployment of new offerings and seamless implementation of necessary changes. With real-time analytics, insurers gain valuable insights into their business, facilitating informed decision-making. The platform supports both individual and group life and annuity insurance, consolidating underwriting, policy processing, billing, and claims into a single, efficient system. Health insurers benefit from simplified enrollments, premium billing, and claims adjudication, enhancing member satisfaction through transparent and personalized services. Additionally, the platform accelerates the bancassurance lifecycle by providing real-time connectivity between banks and insurers, ensuring speed, consistency, and reliability.
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Smart Data Solutions
Smart Data Solutions
Streamline Your Complete Healthcare Data Workflow. Smart Data Solutions has the tools and experience needed to streamline both your paper and electronic workflows. Our integrated validation, matching, and normalization tools ensure the highest quality data possible, increasing auto-adjudication and reducing manual processing. Whether you’re new to Smart Data Solutions or a long time partner, our development process helps guide you through projects to ensure the best possible position for overall success. Whether your needs are basic or complex, our staff will work with you to understand your needs and the impacts of your workflows. We believe in focusing on your goals, what you want to accomplish, and from that, identifying the best way to get there. Smart Data Solutions provides complete front-end pre-adjudication solutions for hundreds of Payers nationwide. Whether you need basic services or a completely custom workflow, Smart Data Solutions offers a variety of solutions. -
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Total Loss Pro
Vemark
The frequency of total loss claims continues to rise, now accounting for some 20 percent of collision and liability losses across the auto insurance industry. Yet, far too often, carriers’ total loss operations lack cohesive integrated digital workflows, leading to excessive costs, customer dissatisfaction, and poor visibility and oversight. Enter Total Loss ProTM from Vemark. It’s the one solution you need to transform total loss claims processing from a frustrating black hole to a well-oiled machine while allowing you to keep up with the rapid pace of change. Faster settlement for Improved policyholder experience and satisfaction. Higher employee morale from reduced frustration, and fewer tedious processes. Increased visibility and transparency for data-driven decision-making. Auto claims that result in a total loss are more complex than vehicle repair claims. Total Loss Pro is a cloud-based solution that improves all stages of this complex salvage vehicle workflow. -
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Waystar
Waystar
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.Starting Price: $100 per month -
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KMR Medical Claims Manager
KMR Systems
KMR Claims Processing Manager is a state-of-the-art, fully integrated, customizable claims processing solution for TPAs, Self Insured and Claims Administrators. Our system includes a comprehensive Medical & Dental Reimbursement module, allows for electronic claims, integrates with Document Imaging systems, has the ability for debit card processing and is totally HIPAA compliant. -
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Veritable
314e Corporation
Veritable accelerates patient insurance eligibility verification and claims-status checks by providing instantaneous results in a clean, intuitive interface. It supports real-time, batch uploading of patient lists to verify eligibility across more than 1,000 payers (including national Medicare and all state Medicaid) and multiple service types. It also enables tracking of claims status, from submission through reimbursement, so practices and billing companies can proactively identify issues to reduce payment delays and denials. Key benefits include automating eligibility and claims workflows to reduce manual entry and phone calls, improving front-desk patient experience by validating coverage and copayments at check-in, and offering seamless integration for both technical and non-technical users with strong data-security controls. It includes a “Code Explorer” for instant lookup of ICD-10-CM, ICD-10-PCS, HCPCS Level II, and CPT codes.Starting Price: $50 per month -
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I-CAPS
W.O. Comstock & Associates
I-CAPS is an Intelligent Claims Administration System that addresses all functional areas of the health claims payment environment with a single common architecture that spans the needs of payers including membership, billing, enrollment, mailroom, claims, network management, contracting, pricing, utilization review and customer service. Our Intelligent Claims Administration System (I-CAPS) and our coding compliance software (Advanced Value Scale-AVS) , support knowledge-based decision-making to help our clients contain costs. Guaranteeing the integrity of Provider information has never been easier with (Advanced Network Administrator-ANA) while our (RB-UCR) is the industry's first Resource-Based, Usual Customary, and RESPONSIBLE fee schedule based on RBRVS and NCCI. Need a check-up for your plan or provider, use Cost Containment Audit and Recovery Services (CCARS) for a completely noninvasive audit retrospective look at claims effectiveness. -
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Eligible
Eligible
Eligible's powerful APIs are the easiest way to add insurance billing experiences into your applications. These accreditations assure patients and providers that Eligible has accomplished the strictest compliance with privacy and security best practices while processing millions of healthcare cases each month. We fully understand the role of a mature and proven information security program in meeting Eligible and customer goals. We are happy to announce the successful completion of our Type II SOC2 review. Achieving this certification helps us assure our customers and the companies with which we interact that we understand our responsibilities in keeping protected health information safe. Instantly deliver exceptional experiences for patient insurance billing to your end users. Run estimations, perform insurance verifications and file patient's claims all with simple APIs.Starting Price: 3% Fee -
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ClaimAdept
Isoft
This product is an end to end claims system. The primary functions are claims adjudication, claim workflow and payment disbursement. The flexible design allows the addition of adjudication modules on a line of business basis. Each new line of business added reuses the core functionality of the system. This system takes advantage of the user friendly windows screen design and makes use of a relational database to store information within the system. The software platform is Powerbuilder with an SQL database such as Oracle or Sybase. This combination of software supports a client server based environment that is capable of processing large volumes of claims. Installation and training are available and source code is included as part of the licence fee. Expert staff is available for customizations and tailoring of the system to meet any special requirements identified by the client. All modifications are available with detail design and support for acceptance testing. -
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Eclipse Theia
Eclipse Foundation
Eclipse Theia is an extensible platform to develop multi-language Cloud & Desktop IDEs with state-of-the-art web technologies. Not sure whether you need a web or desktop version or both? With Theia you can develop one IDE and run it in browsers or native desktop application from a single source. The Theia project is hosted at the Eclipse Foundation, a not-for-profit corporation, and is developed by a diverse community. Unlike other "open-source" projects, projects hosted at an Open-Source Foundation are protected against single-vendor decisions against the interest of the diverse community. Theia is designed in a modular way to allow extenders and adopters customizing and extending every aspect of it. Composing a custom IDE-like product is as easy as listing all needed extensions in a package.json file. Adding new functionality by implementing your own extensions is easy, too and provides all the flexibility you need.Starting Price: $0 -
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DWF 360
DWF Group
Our software is built on industry expertise and with expert consultancy. We use this knowledge to inform the business processes that need to be embedded into our platform. 360 delivers end-to-end claims and risk management transparency and integrity that allows our clients to lower their total cost of claims. We create better outcomes for our clients by providing cost-effective technology that transforms how they do business. Our software can be configured to specific client needs and is pre-built to ensure a smooth integration into existing systems, releasing in-house resources for value-added activities that allow businesses to differentiate and grow. -
44
Proclaim
Eclipse Legal Systems
Headquartered in West Yorkshire, Eclipse is UK’s leading provider of case management, practice management, matter management, and process management software solution. The company’s Proclaim software solution integrates document management, file management, reporting, time recording, accounting, workflow, and task and diary functions into one centralized platform. Flexible and scalable, Proclaim by Eclipse helps businesses streamline their operational processes, manage risk and compliance, and keep critical data safe and secure. -
45
ECLIPSE Suite
Sapienza Consulting
A single end-to-end solution that brings value to every member of the team by enhancing and integrating Project Management, Project Assurance, Quality Assurance and Configuration Management activities. One project environment with complete visibility of project information and key performance indicators via real-time interactive dashboards and detailed custom reports. The only collaborative and integrated space software applications suite designed with the invaluable experience of space industry professionals. ECLIPSE helps your team keep projects on track by enabling them to make tactical and strategic decisions at the right time to ensure project success. The ECLIPSE software suite is widely used by various space sector organizations ranging from SMEs and Academia to industrial Primes, National Agencies and the European Space Agency. -
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Eclipse ioFog
Eclipse
Start building your first Eclipse ioFogTM application today. Eclipse ioFog is free, open source, and it always will be. By installing Eclipse ioFogTM to any device (with minimal amount of compute) you create a distributed Edge Compute Network (ECN), enabling you to run any microservice on it dynamically, securely, and remotely. Runs on each of your edge devices, giving you a microservice platform. Provides you remote control over the microservices. Brokers communication between microservices, across complex networks. Imagine a world where you can choose self-contained pieces of code (called microservices) and make them run anywhere you want at the push of a button. Where you can remotely control the code that is running on twenty iPhones in workers' pockets, thirty servers running in a factory building, and ten computers running in the trucks that ship your products. And you can do it all with the same technology. -
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CLAIMExpert
Acrometis
The Acrometis flagship claims processing solution offers unparalleled workflow management, with documents automatically routed by a configurable rules engine. Based around claim assessment scoring, body part to claim compensability matching, jurisdictional directives, relatedness scoring and a host of other claim elements the Acrometis business rules are designed to reduce claim duration and costs. CLAIMExpert automatically processes 65 percent of incoming medical bills and non-medical documents with no user intervention. Documents requiring adjuster intervention are flagged and sorted for easy review and straightforward decision making. Automatically processes incoming documents with NO adjuster intervention. Clients typically see between 11 and 23 points medical loss improvement in the first year. CLAIMExpert contains rules for over 190 different document types, quickly handling whitemail and any other documents that come across your adjuster’s desk. -
48
Newgen Claims Processing
Newgen Software
Newgen’s Insurance Claims Automation & Management software, built on AI-first low-code platform, streamlines the full claims lifecycle, from first notice of loss to final settlement, through automated workflows, smart routing, and integrated document management. Customers can register and track claims through a web or mobile self-service portal, while the system automatically retrieves policy details, prevents duplicate entries, and routes cases based on workload and expertise. Built-in rules classify claims as fast-track or non–fast track, with flexibility to add assessors, investigators, and other stakeholders. Adjusters gain a unified view for registration, adjudication, document review, and communication. AI-driven insights support fraud detection, highlight missing information, and improve decision accuracy. Real-time dashboards monitor KPIs, SLAs, and escalations for transparent and timely processing. -
49
Spring Tools 4
Spring
Spring Tools 4 is the next generation of Spring tooling for your favorite coding environment. Largely rebuilt from scratch, it provides world-class support for developing Spring-based enterprise applications, whether you prefer Eclipse, Visual Studio Code, or Theia IDE. Tailored for developing enterprise applications using Spring Framework and Spring Boot, the new generation of Spring Tools provides world-class development support for your Spring applications. Our tools have deep knowledge of Spring built in. The all-new Spring Tools can be used in various coding environments, ranging from Eclipse as a full-featured integrated development environment to Visual Studio Code and Theia as lightweight code editors. Continue to use your preferred environment and add great Spring tooling to it. The new generation of Spring Tools is largely built from scratch, incorporating modern technologies and developer tooling architectures. -
50
Mitchell WorkCenter
Mitchell International
Auto insurers need tools to simplify physical damage claims processing from the first notice of loss (FNOL) to settlement. Mitchell WorkCenter is an open, end-to-end modular solution that allows you to configure the modules and integrations specific to your unique business needs. Achieve better outcomes through improved accuracy and efficiency, while lowering the total cost of ownership. Our platform provides you with the ability to send and receive all information straight into your claims management system. With a proven track record of projects implemented in 90 days or less, your IT department will find integration with Mitchell WorkCenter simple. No two businesses work the same way. With WorkCenter, you can configure and manage your software based on your business needs. Access our entire suite or select certain features that best fit into your claims management workflow.
