claims processing

APS is a comprehensive, end-to-end business process automation firm focused on workers' compensation and auto casualty claims. Founded with the mission of reducing the cost of risk for clients, APS helps maximize cost savings, gain efficiency, and grow productivity over the lifecycle of a claim with little-to-no disruption to daily workflow.

business process automationdata capturedocument intakeeBill processingmedical bill negotiationmedical bill reviewreporting and analytics

AGT Medical Billing Solutions is a professional billing service based in Tamarac, Florida, dedicated to meeting the insurance and patient billing needs of individual and small group medical and dental practices. Founded by CEO Tamara Peart, the company offers personalized services designed to improve cash flow and lower operating expenses, including claims processing, practice management, collections, credentialing, and financial consulting.

Collectionscredentialingdental billingdocument scanning and storageelectronic funds transferfinancial consultingMedical billingPractice Managementremote data backupsoftware training and support

AgWorks provides software for the crop insurance industry, helping agents and farmers mitigate risk with agricultural and livestock software. Its AgWorks Application Framework handles policy processing, quoting, claims, accounting, reporting, document imaging, and mapping, and integrates with its Disconnected Adjuster System and mobile applications.

Accountingdocument imagingmappingMobile Applicationspolicy processingquoting and estimatingReporting and Data Analysis

Allyque Advanced Solutions LLC is a professional billing service dedicated to meeting the insurance and patient billing needs of individual and small group medical practices. It offers premium claims processing and practice management services, along with medical billing, MD Audit Shield - RAC, digital scanning and archiving of medical records, and remote data backup and recovery services.

digital scanning and archivingMedical billingMedical CodingPractice Managementremote data backup and recovery

ALPS Services, Inc. (American Loss Prevention Services) is a Service-Disabled Veteran-Owned Small Business founded in 1987 that specializes in Medical Quality and Cost Control consulting. It provides comprehensive medical cost control services including utilization management, cost control, and quality assessment across all health care settings, and primarily works with prime contractors on state and federal contracts as well as health care insurers.

case managementclaims auditcoding and DRG validationCost Controlmedical bill reviewmedical record abstractionmedical record reviewprovider credentialingquality assessmentsubrogationutilization management

American Correctional Healthcare Inc. (ACH) provides all-inclusive, fully integrated healthcare for correctional inmates, combining healthcare and Federal Bureau of Prisons experience. Founded in 2009 and headquartered in Fort Worth, Texas, ACH services clients nationwide, offering Third Party Administration services, on-site and telemedicine providers, and claims processing with detailed reporting.

lab servicesmobile imagingOn-site medical staffingPatient management system (PTRAX)telemedicinethird-party administrationutilization review

ARDEM provides business process outsourcing and managed operations, combining industry expertise, process design and in-house automation to build and run recurring back-office, finance, data, document and transaction workflows. The company manages transition, delivery and continuous improvement, and has supported business operations since 2004.

accounts payable processingback-office processingbusiness process automationbusiness process outsourcingdata entrydata extractiondata processingdocument indexingfreight bill auditinginvoice processinglitigation supportOCR & ICR data capturerobotic process automationutility bill processing

Assured Healthcare Billing Solutions LLC is a professional medical billing service dedicated to meeting the insurance and patient billing needs of individual and small group medical and dental practices. It offers claims processing, practice management, coding, transcription, remote data backup, and patient well-care outreach services.

data entrydigital scanning and archivingMedical billingmedical coding (ICD-9CM, ICD-10, CPT, CMS, HCPCS)Medical transcriptionpatient outreachPractice Managementremote data backup and recovery

Carelon is a healthcare services company that brings together clinical expertise, technology, and connected services to help make care more integrated, personalized, and sustainable. It serves healthcare payers, employers, governments, care providers, and life sciences companies, offering capabilities across pharmacy, behavioral health, medical benefits management, research, and healthcare operations.

analyticsbehavioral health servicesbusiness process automationcare navigationclinical reviewcloud adoptionPharmacy Benefit Managementutilization management

CGS Administrators, LLC (CGS) is a Medicare Administrative Contractor (MAC) for the Centers for Medicare & Medicaid Services (CMS), and it is part of BlueCross BlueShield of South Carolina's Celerian Group of companies. Around 1,000 CGS employees provide a variety of services for over 28 million Medicare beneficiaries and 105,000 health care professionals across 38 states.

appealscustomer supportmedical reviewoverpayment recoveryprior authorizationprovider enrollmentredeterminationsreopenings

Chloen Systems builds secure data collection and reporting systems for government agencies and data submitters. They have collected and processed medical, dental, and pharmacy claims for over 20 years, and have 15 years of experience with case management systems. They are a State of MA ITS74 IT Project Services vendor who has completed 50+ software projects on behalf of MA government agencies.

case management systemsdata collectiondata warehousingETLreportingsoftware developmentweb-based user interface development

ClaimRev is a Native Woman-Owned medical claims clearinghouse built for healthcare billing workflows. It lets providers submit cleaner claims, verify eligibility upfront, track claim status, and manage revenue cycle from one platform. It serves clinics, billing companies, Tribal health and IHS programs, and EMR platforms, offering real-time eligibility checks, claim tracking, and ERA processing with no long-term contracts.

API integrationbatch claim submissionclaim status trackingeligibility verificationEMR integrationERA processingrevenue cycle management

Companion Data Services (CDS) provides secure health care IT infrastructure and solutions for government, commercial and education markets. It offers managed IT services, hosting and outsourcing, application development, and data center services, and owns and operates multiple data center complexes across the United States. CDS is a Celerian Group Company with more than 75 years of secure healthcare IT expertise.

application developmentcontent and business process managementcore administrative processingdatabase administrationdisaster recoverydocument and workflow automationhostingManaged It Servicesmonitoringnetwork servicesoutsourcingsecuritystorage

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AI-driven analyticsAutomation and analyticsdocument digitizationeDiscoveryHR and payroll administrationintelligent document processingomnichannel customer supportpayment disbursementsprocurement automationroad usage chargingtransit fare collection

Confie is a personal lines insurance distributor and agency in the United States, serving both standard and non-standard markets. Established in 2008, it offers insurance solutions through a nationwide family of brands and local agencies, with 160+ carrier partnerships and additional lines of business including a general agency, dealer services, and business process outsourcing.

bilingual supportbusiness process outsourcingdigital marketinginsurance distributiontelesales call centerthird-party administration

Crossborder Health Partners is a global health insurance intermediary based in London and Paris, authorised and regulated by the Financial Conduct Authority (FCA, reference no. 845998) and registered in England & Wales under company number 08608161. It offers customised cross-border health cover, travel insurance, critical illness cover, and VIP medical assistance, partnering with insurers worldwide.

24/7 supportcashless inpatient direct billingmedical evacuationplacing policies with risk carriersplan design

Cypress Property & Casualty Insurance Company provides property and casualty insurance products to clients in Florida and Texas. Headquartered in Jacksonville, Florida, the company offers homeowners, condominium, rental property, builder's risk, flood, artisan general liability, and service line insurance. It emphasizes fast, fair, and efficient claims handling, quality underwriting, and customer service, and is rated A (Exceptional) by Demotech.

deductible installment planReinsuranceunderwritingwind mitigation

DeCare is a benefits administration, network management, and dental benefits company powered by experienced associates, a unique digital platform, and augmented intelligence capabilities. It provides customized dental benefit administrative solutions to business partners, dental providers, and members, including claims processing, enrollment, provider network management, and international emergency dental coverage.

benefits administrationData Analyticsfinancial reportingfraud detectionnetwork managementunderwriting

DentaQuest, part of Sun Life U.S., is a dental benefits administrator and one of the largest dental benefits providers in the U.S. by membership, covering approximately 32 million Americans. It manages dental and vision benefits for employer groups, individuals, health plans and government-sponsored dental programs, and is the largest Medicaid and CHIP dental benefits administrator in the U.S.

authorizationsclaims management technologycredentialingnetwork trainingpatient engagement

Dosanjh USA (DUSA) is headquartered in San Jose, California and enables quantum-safe AI-driven solutions for Fortune 1000 companies, small-medium enterprises, Fed/Gov and business-to-consumer customers. DUSA provides comprehensive cybersecurity services that protect healthcare revenue cycles from quantum computing threats and cyber vulnerabilities, delivering compliant claims processing and revenue realization.

AI-driven solutionspost-quantum cryptography testingquantum-safe cybersecurity

Founded in 1993, ēlizur supplies state-of-the-art orthopaedic products and services to health care providers and their patients throughout western Pennsylvania, eastern Ohio, and West Virginia. Its team of over 100 credentialed staff provides delivery, fitting, patient education, and claims processing, and it is accredited through The American Board for Certification in Orthotics and Prosthetics (ABCOP).

at-home deliverydelivery and fittingindividualized patient educationorthotic and prosthetic care

EBMS is a third-party administrator of self-funded, customized benefit plans. It provides core administration, benefit management, reporting and analytics, healthcare, and prescription solutions designed to contain costs and simplify the benefit journey for brokers, employers and plan sponsors, members, and providers.

business intelligence and data analyticscare management programsclaims negotiationElectronic claims submissionMedical Case Managementplan customization

Evolent specializes in connecting care for people with complex conditions, working across specialties and primary care to improve the care journey for patients with cancer, cardiovascular diseases, musculoskeletal disorders, and other conditions. Its solutions span multiple medical specialties, offering health plans the potential to improve health outcomes and affordability across the member experience.

actuarial servicesBehavioral Healthcare managementclinical pathwayscontact center servicesdata managementdecision supportencounters managementenrollment and eligibilitymedical economics analyticsMSO for delegated provider servicesPharmacy Benefit Managementpopulation health managementprovider credentialingprovider/patient engagementrisk adjustment and quality

Express Freight Inc is a family-run logistics and freight brokerage company founded in 2012 and headquartered in Orlando, FL, with offices in Portland and Atlanta. It provides supply chain solutions across the United States, handling FTL, LTL, partial, air, ocean, show freight, and specialty equipment shipments through a brokerage network of carriers and its own asset trucks and drivers.

3PLasset trucks/driverscross dockingdistributionfreight brokeragerisk managementRMIS onboardingtracking (Macropoint)transportation management system (Aljex)warehousing