Spyglass software offers dramatically improved solutions to the Health Claim management process used by the insurance industry today.  Our easy-to-use, comprehensive software suite offers dynamic flexibility compared to traditional systems. The SpyGlass web solution is open, scalable, secure and helps you gain control of operations. Our automation tools manage and streamline the claims process while they reduce overall claim costs and paperwork. We focus on improving accuracy, enhancing productivity and maximizing profitability with the ultimate goal of improving member and family health.

features:

  • Easily configurable for new mandates and changing HIPAA requirements
  • Highly secure including PLYNT certification, SSL encrypted websites and secure file transfers via PGP
  • Auto-adjudicate claims based on parameters set by your company
  • Reduce fraud and abuse by identifying duplicative services
  • Includes web portals for key roles
  • Flexible, standard reports with ad-hoc capabilities and export options to Excel and PDF
  • Automates operations via scheduled check cycles, correspondence and vendor partner transactions