Ahshay
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.
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InQuery
InQuery is an AI-powered medical record review platform that automates document organization, indexing, and case summarization for insurance and legal teams. Built for carriers, TPAs, law firms, IMEs, and MSP vendors, it replaces tedious manual review with automation that delivers insights in minutes. The system intelligently organizes unstructured records, extracts key medical facts and ICD codes, and generates detailed summaries with a single click. Teams can process up to three times more cases without adding staff while improving speed and accuracy. With built-in compliance and quality checks, InQuery minimizes risk and reduces operational costs. It’s the fastest way to turn complex medical records into clear, actionable intelligence.
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Qantev
Automated end-to-end claims platform with AI decision models for data acquisition, policy & coverage checks, medical coding & consistency checks. Reduce leakage and improve your loss ratios with our robust & specialized AI fraud, waste, and abuse detection models for health and life. Qantev enhances the performance of health and life insurers around the globe, helping them reduce losses, optimize their processes, and increase client satisfaction. By blending artificial intelligence with medical expertise, our team of specialized data scientists and engineers has built innovative solutions that boosts the claims management process and uncover instances of fraud, waste, and abuse. Specialized and contextual AI-driven tools to capture, clean, enrich & digitize data from any type of claims document, in any language. Improve your medical provider network's performance through automated AI-driven insight, pricing gap detection, strategy recommendations, simulations, and more.
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Oracle Digital Insurance Platform
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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