Medical Claims Software

Work through your medical claims management process faster and easier. Ahshay streamlines your claims tracking and management process by guiding users through each step. Accessed from any type of device, users receive clear indicators for approvals, referrals to Utilization/Preauthorization Review (UR), and adherence to company guidelines. Our innovative tools allow you to annotate bills digitally and track changes in real time, so every important detail is captured and stored.

Ahshay medical claims software helps you seamlessly generate and send bills and letters. Access direct email and faxes to maintain compliance at every level. You’ll receive an overarching view of all vital documents, including medical reports, treatment requests, and bills. The advanced functionalities— robust search capabilities, timely alerts, historical data access, and flagging features—greatly boost claims management workflow efficiency. By adopting Ahshay as your MPM, you elevate the quality of your service and significantly reduce claims processing costs by at least 25%.

My favorite thing about the system is that reports are automatically sent to those who receive it.

Our healthcare claims management software is designed to fit seamlessly into the daily routines of nurses, physicians, and adjusters. Users are discovering that it enhances patient care coordination and streamlines their workflow, leading to significant time savings in their daily tasks.

Adjusters have a pivotal role in managing claims. They need a system that helps them increase productivity and visibility when working on a claim. For managers, analytics make sure everyone is on track. Ahshay was created for this reason: to optimize the adjuster workflow with immediate communication and tracking, and to provide real-time reporting. DataCare’s solutions — built on the Ahshay Platform — is a comprehensive system that enables claims tracking through all steps of the process: case management, utilization review/preauthorization, and bill payment.

Jackie Payne, the Senior Director of Managed Care Operations, is one of our valued clients who implemented Ahshay into their organization. Jackie’s goal was to provide top-quality solutions to their clients, and our medical case management system does just that. It enhances the efficiency of their managed care team and facilitates a smooth integration with their bill review platform.

Our investment in the DataCare platform is a part of our ongoing commitment to utilize advanced technology to help clients manage their medical expenses.

Our clients rely on DataCare to streamline workflows, ensure compliance, and improve outcomes. Here’s what they’ve achieved with our solutions:

Craig Bates and Susan Kennon of  Timberline Medical Consultants, said, “Datacare has been an outstanding provider that meets our needs for all providers with no complaints from anyone. They provide ongoing attention for meeting increasing demand for the development of analytical reporting systems specific to our needs. Their staff of customer service, people and engineers have always been eager to help us with those needs. We believe that Datacare is the best case management software available in our industry.”

Michele Settel, President of Ascential Care Partners, emphasized, “DataCare really understands the case management and utilization review ecosystem. Their platform is robust and stable, a must-have in a systems provider. Our focus at Ascential Partners is to promote the right treatment so our patients get back to their lives using the most expedient, cost-effective, and solution-minded way. DataCare is an important partner, helping us with our mission.”

A Risk Management Supervisor said “The Datacare team is wonderful to work with and is always responsive! They continue to improve the software as well as their caliber of staff. Datacare is the best company I have worked with in a capacity of vendor because they truly care about the quality of their product and service! I would recommend Datacare to anyone looking for claims/bill review software.” 

Thomas Kokkines, Vice President of Optimal Case Management, stated, “The reporting offered through Ahshay, along with the evidence-based data that ODG provides, allows us to paint a clear picture to our clients on how our nurses are positively impacting return-to-work results. The information captured in Ahshay allows us to analyze various data elements that can be useful to not just our clients, but our nurses and management.”

Sean Mullen, Senior Management Analyst, Santa Clara County, said, “Just to put this in dollars and cents, at County of Santa Clara, we experienced over $600,000 additional savings based on this new utilization review platform. That’s over $600,000 beyond what we had experienced the year before, without this automated utilization review, bill review platform.”