ClaimFLEX Repricing Platform

ClaimFLEX is our claim repricing platform which provides you with the essential tools to:

• Automate claim repricing
• Implement your exact business rules
• Handle file loading automatically
• Transmit and receive claims
• Automate reporting requests

Reliable, Flexible Healthcare Software

The goal for ClaimFLEX was to design an open platform where your business rules could be installed with ease. Unlike other claims systems, which either require expensive development time or utilizes a rule-based engine which sets limits, each system deployed by Crossfire is created with your business process. Not only can business rules be customized, but data entry forms, data requirements, features and even the color scheme can be modified with ease.

ClaimFLEX Core Modules

ClaimSYS
Our engine which automates the repricing of
claims via Electronic Data Interchange (EDI) and
Internet.

ClaimExec
This application automates the repricing of claims via the Internet.

AdminEDI
Transmit and receive claims through Electronic Data Interchange (EDI).

DataExchange
Our powerful extract utility that allows client to transfer files to us.

ReportHub
Our reporting tool which allows user to send report requests and specificied delivery options.