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SmartSimple CMS360

Name: SmartSimple CMS360
Rating: 4.5 (2 reviews)

By SmartSimple Software

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Highlights : About SmartSimple CMS360

Patient account management

Medical history records

Data capture and transfer

About SmartSimple CMS360

SmartSimple CMS360 is a accident benefit claims and referral management solution for medical insurance businesses, designed to bridge the gap between insurers, health care providers, and independent medical examiners. The platform provides features for medical case management, employment services, community care cases, structured settlement cases, and more. The SmartSimple CMS360 platform allows insurers to manage their cases, request evaluations from health care providers, arrange appointments, share data, create invoices, and more. To aid with managing medical cases, SmartSimple CMS360 provides insurers with a 360 degree view of their pending claims within a personal list view of their cases and tasks to be completed. Claim information is provided such as the claimant, claim number, date of loss, status, and profit centre, and summary files provide additional information on aspects such as the policy type, legal details, attached files injury details, services required, and any notes or comments on the accident. Claims can be viewed within the calendar in order to gain an overview of any scheduled appointments or activities relating to that claim, and insurers can add new appointments with health care providers or medical examiners to aid with the claim. SmartSimple CMS360 also facilitates the management of attendance and disabilities with tools for tracking employee disability claims within places of work. Claims of short and long term disabilities can be handled, users can schedule ‘return to work’ activities, and appointments and treatments can be booked with service providers internally, or externally. The platform also provides the tools to manage career counseling, employment assistance, community care, and structure settlements with claimants, annuity, life, and casualty companies.

Specifications

24/7 Support

Yes

Business Size

Mid-Market

Deployments

Cloud

Language Support

English

Platforms

Product Details

Features

Adjustor management

Appointment management

Assessment & treatment plans

Attendance management

Benefit programs support

Business process control

Case list management

Claim file documentation

Claim resolution tracking

Co-pay & deductible tracking

Data capture and transfer

Employee management

Medical history records

Patient account management

Role-based permissions

Self service portal

Third party integration

Workflow management

Benefits

Manage medical cases all from one dashboard with CMS360 which provides a personal case list with details on pending cases. Users can also save and share medical documents and exchange information with independent medical examiners.

Generate customized or standardized health claim forms, documents, and letters within CMS360 and send them to others involved in the case from within the platform. Save documents as templates to reuse in future cases.

Arrange appointments for patients within the case management solution and view all appointments relating to an individual case, or for all cases, within the calendar tool.

Store and share data within CMS360 such as government forms, referrals, objectives, outcomes, performance reports, assessments, and more.

Manage and create invoices and process payments between patients, insurers, health care providers, and independent medical examiners. Invoice by company, referral, case, or service.

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