The Adjudicare software application is simple to use, simple to understand, increases output and decreases operational costs. It lets you process health and dental, weekly indemnity and stop loss claims with ease, with speed and with an increased efficiency that you never thought possible.

WHAT IT HANDLES
Adjudicare lets you control your entire claims management experience. You can design and set up the exact plan they need, a feature unique to Adjudicare within the claims adjudication software field. And Adjudicare users can also define their own service standards within the software, so you have the freedom and flexibility to adjudicate and pay claims the way you want.

The Adjudicare system recognizes and manages any type of claim, be it a union group, association, single employer or individual plan. Benefit plans – cost plus, HSCA, traditional – can all be accommodated with Adjudicare. Concerned about managing both fully insured and self insured plans with the same software? Adjudicare lets you handle both with no extra costs.

Many claims adjudicators are at a crossroads. They use their adjudication software to process claims manually, but they recognize the importance of being able to process claims electronically. This transition can take longer for certain clients, so an application that can process both types of claims is really significant.

Being compliant among the many agencies and companies you work with can be exhausting. Adjudicare makes it easy by offering customizable reports that give you the exact information you need.

WHAT IT OFFERS
Adjudicare is user friendly, because sometimes claims aren’t. The software itself is a system of repetitive actions which actually makes learning the software a simple task. With repeated use, Adjudicare actually gets easier to use.

The claims history feature of Adjudicare is one of its most exciting features. Claim history data can be imported into our system, no matter what software it lived in before.

Worried about client information being compromised? Don’t be. Adjudicare group reports actually scramble the output. Client information is never listed in the same order, so clients and their claim history can never be decoded.

Adjudication can be done instantly with electronic dental submissions. E-dental claims are processed in real-time, making adjudication an instant process.

Adjudicare lets you manage, view and access all client information at any given time. You can view your clients' activities and make better business consulting decisions based on that information. You can brand all pieces of the claims management process since Adjudicare, a white label solution, will not be referenced on any piece of claims management materials that you issue. You use your logo and branding standards on reports, cheques and drug cards for your clients. No other company will come between you and the clients you serve.

Adjudicare is the only claims adjudication software that does not go direct to market in Canada. No other software provider in this industry can say that.

The team at Automated Benefits is made up of dynamic, intelligent, responsive professionals committed to putting you first. We work with our clients to develop features that are important to them. Ideas and feedback are always welcome.

BEHIND THE SCENES
Adjudicare software is a complete rules based engine. The desktop client is a rules-based component of the software that aids you in managing, processing and paying claims. This means that all rules within the system are Canada Revenue Agency (CRA) compliant, keeping the system secure and protecting the integrity of our clients and their customers.

The security of your business is as important to us as it is to you so we take great measures to ensure your information is always protected. The Adjudicare system is supported by the Secure Sockets Layer (SSL), a feature that establishes a secure connection between the client application and our server.

Legal reporting standards are easily adhered to since all reports in Adjudicare are Bill C-6 (PIPIDA) compliant.

For the full details on the technology behind Adjudicare, check out our Technical Capabilities flyer on our Downloads page.