ClaimScape

ClaimScape, developed by Datagenix, is a Benefit Administration solution designed to streamline and automate the management of health benefits. According to the vendor, this system caters to insurance companies, third-party administrators (TPAs), healthcare providers, employee benefits consultants, and human resources departments. With its wide range of features and functionalities, ClaimScape aims to simplify the complex processes involved in benefit administration, making it a potential solution for businesses of various sizes.

Key Features

Multiple Currency Support: ClaimScape Health Benefits System reportedly supports multiple currencies, accommodating international operations and transactions.

Support for Non-Standard Provider Codes and Fee Schedules: ClaimScape Health Benefits System allows for the use of non-standard provider codes and fee schedules, potentially providing flexibility for unique provider arrangements.

Unattended Claims Auto Adjudication Capability: ClaimScape Health Benefits System claims to offer unattended claims auto adjudication capability, allowing for automated processing of claims without manual intervention.

Automated Web Ad-Hoc Reporting System: ClaimScape Health Benefits System features an automated web ad-hoc reporting system, which the vendor states empowers users to generate custom reports on-demand.

Real-Time Dashboard Web Charts and Graphs: ClaimScape Health Benefits System provides real-time dashboard web charts and graphs, presenting key performance indicators in a visual format, according to the vendor.

Support for Custom and User-Defined Fields: ClaimScape Health Benefits System reportedly supports custom and user-defined fields, allowing users to capture and track additional information as needed.

Built-In Electronic Pre-Authorizations and Scanned Claims Support: ClaimScape Health Benefits System includes built-in electronic pre-authorizations and support for scanned claims, which the vendor claims streamlines the authorization and claims submission processes.

Integrated Pre-Approval & Case Management Workflow: ClaimScape Health Benefits System integrates pre-approval and case management workflows, aiming to ensure a seamless and efficient process, according to the vendor.

Rapid Preauthorization Queue Processing from Electronic or Other Links: ClaimScape Health Benefits System enables rapid preauthorization queue processing from electronic or other links, potentially expediting the authorization process, according to the vendor.

Single Server or Clustered Server Support: ClaimScape Health Benefits System reportedly supports both single server and clustered server configurations, providing flexibility in deployment options, as claimed by the vendor.