Healthcare Software & Services
Healthcare Claims Management Software Development Services
Tell us about your project.
Healthcare claims management is an intricate process necessary for the financial health of medical providers and the satisfaction of patients.
Why Choose Orases?At Orases, we offer intelligent, comprehensive, and automated Medical Claims Management Software that simplifies the entire healthcare claim lifecycle.
From claim integration to remittance management, our platform is engineered to maximize efficiency, reduce errors, and improve revenue cycles.
Custom Software We Develop
Engaging solutions that are proven to work.
Orases has developed a wide range of custom software solutions across a multitude of industries over the years. Here is what we offer our business clients, regardless of the size or industry they operate in:
Advanced Web Applications
We will design and develop applications for your organization’s website. These applications are well-optimized for performance without sacrificing security.
API Development
The APIs developed at Orases provide businesses with the ability to run testing automations to check app performance, are able to integrate with multiple apps & systems and can be adapted to new processes & software.
Application Modernization
If your product is using legacy software and needs to be updated, Orases will perform a complete refactor of the code. This will allow it to be faster and more customizable when attempting to use or update the program.
Application Re-Engineering
Our custom software developers are committed to eliminating bugs and issues with all types of software solutions and applications. We will work to keep your organization’s software up and running without problems.
Auditing Software
Businesses that acquire custom audit software are able to improve efficiencies by automating audit-related processes. All custom audit software we develop adheres to all industry compliance regulations.
Case Management Software
Organizations in fields that involve case work can benefit from case management software. Our case management software improves internal communication, information sharing between departments & report generation.
Cloud Applications
Our custom software development team develops cloud applications that use remote servers for processing logic, can be accessed through internet browsers and offers the same functionality of a native app with additional key advantages.
CRM Software
With CRM software, businesses are not only able to improve customer relationships but can also increase productivity, improve lead generation and strengthen their security.
E-commerce Applications
We will develop an e-commerce application for organizations looking to sell their products online. These applications will enable companies to accept payments and handle every portion of commerce online.
Enterprise Applications
Enterprise applications allow companies to conduct important business operations. We will assist your organization in the development of a custom enterprise application.
ERP Software
The custom ERP software solutions we develop have been proven to effectively consolidate data and streamline processes with advanced automations and integrations.
Grant Management Software
The grant management software solutions developed at Orases are designed to simplify the grant application process, provide advanced reporting capabilities and can integrate with existing CRM, BPM or ERP software systems.
HIPAA Compliant Applications
Businesses and organizations which operate within HIPAA compliant industries are required to have secure applications which adhere to HIPAA compliance guidelines. We have years of experience developing secure and innovative HIPAA compliant applications.
Inventory Management Software
By integrating inventory management software with a custom warehouse management system, organizations are able to view precise inventory levels, improve order management efficiency, and increase the accuracy of sales forecasting.
Legacy Systems
Regardless of the system your organization works with, our team will develop legacy software for you to use. We have extensive experience with a range of technologies & will work to create your application using the legacy software.
SaaS Applications
Software as a service (SaaS) allows companies to purchase your software on a subscription basis. Our team will develop a SaaS application to maximize your organization’s profitability.
System Integration
We are able to integrate systems & applications that handle accounting, customer relationship management, content management, enterprise resource planning and reporting to provide businesses with seamless communications.
Warehouse Management Systems
Through the implementation of a custom warehouse management system, supply chain organizations are able to optimize workflows, streamline processes, and view real-time data across all locations and points of the supply chain lifecycle.
Web Portals
The development team here at Orases has years of experience building highly custom web portals which focus on improving process efficiencies and enterprise-wide collaboration through user-centric features, advanced automations, and seamless third-party software integration capabilities.
Notable Features & Functionalities Healthcare Claims Management Software Development Services Offer
What Orases healthcare claims management software can provide for you.
Our software comes packed with features essential for modern healthcare claims management. From automating routine tasks to providing intelligent analytics, these tools are engineered to enhance efficiency, accuracy, and overall productivity.
Claims Integration
By integrating digital archives of all health records—medical, dental, prescription, and vision—our software enables seamless access and management of claims. This automated framework manages everything from claim submission to payer notifications and denial information, allowing for maximum productivity and compliance.
Claim Review Management
Our advanced systems are designed to reduce errors and subsequent claim denials by complying with industry standards. Our integrated tools identify coding inconsistencies and offer corrective recommendations, all in the interest of optimizing the overall claims process.
Claim Reporting
Claims management is incomplete without robust reporting capabilities. Our platform comes with intuitive dashboards to identify common reasons for claim denials and rejections. We offer customizable reporting options to deliver actionable insights, giving you a complete understanding of your claims data for better revenue management.
Electronic Data Interchange (EDI)
Orases recognizes the importance of a reliable EDI system, especially when it comes to transmitting sensitive claim information. Our software incorporates next-gen EDI systems that efficiently handle millions of claims transactions, ensuring both speed and compliance.
Status & Remittance Management
Our platform retrieves data from payers to generate a list of approved, rejected, and denied claims, thus enabling timely action and reducing accounts receivable (A/R) days. Manual payment postings are history with our automated remittance management module. Our system captures ERA transactions from payers, reducing follow-up and manual corrections.
Efficient Claims Assessment
Our software is engineered to optimize the claims assessment process, making it easier to detect and reject suspicious claims, saving insurers from incurring losses.
Improved Revenues
With streamlined claims processing, our software enables more assessments per day without needing additional staff, thereby boosting revenues.
Tailored Solutions
Healthcare claims management software is built to meet specific requirements, ensuring it addresses the unique needs and challenges of the user.
Better Patient Experience
Faster and more accurate claims processing ensures patients can focus more on their treatment and less on financial logistics.
Custom Software Development Costs
A frame of reference when planning for your organization’s healthcare claims management software project.
Pricing for custom software development can vary greatly, depending on functionality/feature requests, technology stack requirements, and expected completion timeline.
$50,000 – $200,000
Developing smaller general software solutions with some complex features.
$500,000 – $1,500,000
Developing specialized software programs that can be designed for customer use.
$2,000,000+
Developing massive software projects designed fully automate large business operations.
Medical Claims Management Unlocked
With an intuitive interface, industry-compliant features, and cutting-edge technology, our Healthcare Claims Management Software is designed to revolutionize how you handle claims processing, reporting, and payments. Elevate the efficiency and accuracy of your operations, improve revenue streams, and enhance patient satisfaction by adopting our robust and customizable software solution.
Experience first-hand how our Healthcare Claims Management Software can transform your operations, optimizing workflows and creating value for your organization.
Improve Care & Engagement With Custom Healthcare SoftwareThe Orases Process
How we work, from start to finish.
Our healthcare claims management software development team has years of experience designing and developing unique & innovative custom software using a streamlined, repeatable process.
Idea
This involves documenting key business processes and eliciting needs and concerns from stakeholders. Additionally, risks associated with introducing new software are evaluated, and mitigation measures are planned. For commercial software products, this phase also includes conducting competition analysis, understanding the target audience’s needs, defining product differentiation, and addressing obstacles to market entry, such as regulatory barriers.
Define Goals
Defining goals involves composing a comprehensive list of requirements and expectations, ensuring alignment between stakeholders and the development team. By starting with a precise definition of the project’s specific requirements and scope, clarity and focus are ensured, laying a solid foundation for the development process to follow.
UX/UI Design
UX/UI design will determine the software’s appearance at the user level, defining app architecture, and integrating existing enterprise systems for cost-effectiveness and reliability. Additionally, UX research is conducted to outline user personas and scenarios, followed by the creation of wireframes and clickable prototypes to visualize user interactions.
Development
Our development team begins working on the essential components of the software. This involves continuous delivery of new software parts, with ongoing analysis of emerging needs and release planning. Mockups are delivered and reviewed to ensure alignment with requirements before developers proceed with developing, testing, and migrating approved software parts to staging and production environments for deployment.
Testing
Orases will conduct thorough verification of functionality and performance, including performance monitoring and utilizing analytics tools for ongoing evaluation. Feedback is gathered from project sponsors and users on the results of the release, and the outcomes are reviewed to approve the scope of the next release. Continuous improvement is prioritized through iterative testing and refinement based on insights gained from monitoring tools.
Deployment
Deployment involves pushing the finalized product to the live server and conducting user testing to ensure it meets stakeholder expectations. Additionally, software monitoring processes are established to track performance and address any issues that may arise post-deployment.
Training & Support
This step includes conducting project evaluations and performing knowledge transfer sessions to your in-house IT team or other vendors involved. Comprehensive training and documentation are offered to users, empowering them to utilize the software effectively. Finally, a final report is provided, and confirmation for project closure is requested to conclude the development cycle.
Awards & Recognitions
Proof our healthcare claims management software development services continue to excel.
Industries We Build Custom Software For
Software built to address specific needs of organizations everywhere.
We tailor fit software to address the specific needs, pain points, and processes for the following industries.
Our Healthcare Claims Management Software Development Service Speaks For Itself
But so do our clients.
Logan Gerber – Marketing Director at NFL Foundation
“Orases successfully built efficiencies into our prototype and delivered a high-quality platform.”
Matt Owings – President at Next Day Dumpsters
“They’re honorable, reputable, and easy to work with. They genuinely care about the outcome and want to do a good job.”
Donald J. Roy, Jr., CPA – Executive Vice President at American Kidney Fund
“Orases built a platform that’s boosted productivity by about 30%…”
Torey Carter-Conneen – Chief Operating Officer at American Immigration Lawyers Association
“Not only do they want to succeed, they strive to produce functionally and visually unique software.”
Frequently Asked Questions
Answers to the questions that’s been on everyone’s mind.
Can Healthcare Claims Management Software Handle Both Private & Public Insurance Claims?
Yes, most healthcare claims management software solutions are designed to handle claims for both private insurers and public programs like Medicare and Medicaid. They ensure compliance with varying payer requirements and streamline the submission process.
How Secure Is Patient Information With Healthcare Claims Management Software?
We prioritize security and comply with regulations such as HIPAA. Orases uses advanced encryption technologies and other security measures to protect patient information and ensure data privacy.
Can Healthcare Claims Management Software Integrate With Other Healthcare Systems?
Yes, many claims management software solutions offer integration with Electronic Health Records (EHR), practice management systems, and billing software. This integration streamlines workflows by allowing seamless data transfer between systems.
Can I Track The Status Of Insurance Claims With Healthcare Claims Management Software?
Yes, healthcare claims management software includes features for tracking the status of insurance claims. Users can monitor claims from submission to payment, identify and address denials or rejections, and ensure timely follow-up.
Featured Insights
Take a deeper dive into the world of possibilities healthcare claims management software offers.
Key Features to Look for in Healthcare Claims Management Software
Choosing the right healthcare claims management software is a key decision for medical-related businesses and practices.
From Paper to Digital: How Medical Claims Software is Revolutionizing Healthcare Billing Processes
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