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Healthcare Software & Services

Healthcare Claims Management Software Development Services

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Healthcare claims management is an intricate process necessary for the financial health of medical providers and the satisfaction of patients.

Why Choose Orases?

5.0 / 5.0

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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.

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Established
2000
About us
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Client Retention Rate
96%
Reviews
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Clients
950+
Results
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Net Promoter Score
84
Awards
USA Orases logo
USA Based
100%
Culture
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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:

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Advanced Web Applications

We will design and develop applications for your organization’s website. These applications are well-optimized for performance without sacrificing security.

Advanced Web Applications
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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.

API Development
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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 Modernization
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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.

Application Re-Engineering
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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.

Auditing Software
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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.

Case Management Software
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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.

Cloud Applications
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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.

CRM Software
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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.

E-commerce Applications
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Enterprise Applications

Enterprise applications allow companies to conduct important business operations. We will assist your organization in the development of a custom enterprise application.

Enterprise Applications
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ERP Software

The custom ERP software solutions we develop have been proven to effectively consolidate data and streamline processes with advanced automations and integrations.

Custom ERP Software
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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.

Grant Management Software
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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.

HIPAA Compliant Applications
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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.

Inventory Management Software
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Legacy Systems

Regardless of the system your organization works with, our team will modernize 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.

Legacy Systems
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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.

SaaS Applications
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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.

System Integration
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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.

Warehouse Management Systems
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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.

Web Portals
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Application Replatforming

Upgrade your systems and boost performance with our replatforming services. Seamlessly transition to cutting-edge technologies for enhanced performance and future-proofing.

Replatforming
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Data Strategy Consulting

Data strategy consulting offers expert guidance to help organizations develop and implement a comprehensive data strategy aligned with their business objectives.

Data Strategy Consulting
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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.

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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.

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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.

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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.

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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.

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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.

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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.

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Improved Revenues

With streamlined claims processing, our software enables more assessments per day without needing additional staff, thereby boosting revenues.

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Tailored Solutions

Healthcare claims management software is built to meet specific requirements, ensuring it addresses the unique needs and challenges of the user.

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Better Patient Experience

Faster and more accurate claims processing ensures patients can focus more on their treatment and less on financial logistics.

Transforming Healthcare Claims with Advanced Software Solutions
Figure 1.1: Transforming Healthcare Claims with Advanced Software Solutions
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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.

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$50,000 – $200,000

Developing smaller general software solutions with some complex features.

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$500,000 – $1,500,000

Developing specialized software programs that can be designed for customer use.

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$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 Software
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The 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.

01

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.

02

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.

03

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.

04

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.

05

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.

06

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.

07

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.

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Healthcare Claims Management Software Migration Strategy from Legacy Systems

Our proven migration strategy ensures a seamless transition without disrupting your revenue cycle.

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Data Preservation & Validation

Our comprehensive data migration approach ensures zero loss of historical claims data while validating accuracy throughout the transfer process. We maintain complete audit trails and verify every data point to ensure compliance and continuity of your revenue cycle.

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Phased Implementation

Our staged migration approach allows your team to continue processing claims while transitioning to the new system. This parallel processing period ensures business continuity and gives staff time to adapt while maintaining operational efficiency.

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Integration Management

We carefully map existing workflows and integrate with your current healthcare systems, including EHR platforms and billing software, ensuring all critical connections remain intact throughout the migration process.

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Awards & Recognitions

Proof our healthcare claims management software development services continue to excel.

Orases Firmstalk Award 2024
SelectedFirms Top Web Development Company 2023
TopDevelopers Top Web Developers 2023 Award
Clutch award
digital best
Find Best Web Dev May 2021 Award
View All Awards
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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.

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Automotive
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Cannabis
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FinTech
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Healthcare
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Hospitality
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Insurance
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Logistics
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Media & Entertainment
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Manufacturing
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Oil & Gas
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Professional Services
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Restaurant
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Retail
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Shopper Marketing
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Sports
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Transportation
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Travel
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Our Healthcare Claims Management Software Development Service Speaks For Itself

But so do our clients.

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Logan Gerber – Marketing Director at NFL Foundation

“Orases successfully built efficiencies into our prototype and delivered a high-quality platform.”

See The Project
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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.”

See The Project
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Donald J. Roy, Jr., CPA – Executive Vice President at American Kidney Fund

“Orases built a platform that’s boosted productivity by about 30%…”

See The Project
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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.”

See The Project
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Frequently Asked Questions

Answers to the questions that’s been on everyone’s mind.

What Is Healthcare Claims Management Software?

Healthcare claims management software is an automated system that handles the complete lifecycle of medical claims processing. It streamlines everything from initial charge capture and coding to submission, tracking, and payment reconciliation.

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.

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Featured Insights

Take a deeper dive into the world of possibilities healthcare claims management software development services offer.

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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.

Read More
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From Paper to Digital: How Medical Claims Software is Revolutionizing Healthcare Billing Processes

The emergence of medical claims software represents a significant advancement when it comes to handling billing in a medical setting.

Read More
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Related Services & Solutions

We’ve got everything you need.

Application Services

Infrastructure Services

Consulting & Advisory

Integration/Modernization

Custom Web Application

Testing & QA

Mobile Applications

UI/UX Design

Our client relationships go beyond technology.

Orases Clutch Reviews Widget

Orases successfully built efficiencies into our prototype and delivered a high-quality platform.

See the project
NFL Logo

Logan Gerber

Marketing Director at NFL Foundation

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They’re so approachable and willing to go above and beyond.

See the project
ASID

Joseph Cephas

VP of Communications

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I don’t believe that we would have been successful without our collaboration with Orases.

See the project
SCI

John Dumas

CEO

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They plug in seamlessly to a team and can handle the full project end-to-end.

See the project
MLB

Ken Isaacson

VP of Project Management

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They’re honorable, reputable, and easy to work with. They genuinely care about the outcome and want to do a good job.

See the project
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Matt Owings

President

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84
Net Promoter Score
(17 is the industry average)
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100%
U.S.-Based
(We never outsource coding)
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5.0
Clutch Rating
(First in industry)
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4.8
Google Review
(in business since 2000)

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