ALYCE Claims Management System with Integrated Medical Bill Repricing Designed for Self-Insureds and TPAs

Discover the Power of ALYCE Claims Management System

The only platform with integrated medical repricing, AI-powered insights, and support that actually responds when you need it.

 

Adapts To Your Unique Business Needs

Every business, either as a self-insured business or a TPA managing multiple accounts, ranging from self-insured trusts or funds, to municipalities, to large corporations, needs a unique workflow for that can be modified to their work pool talent, specific funding and payment requirements, and can also adhere to unique jurisdiction rules and regulations.  ALYCE is a system designed for these businesses, across multiple P&C lines of business, Work Comp, Auto Liability, Property, etc..  ALYCE’s core modules, from diaries, notes, reserves, and payment scheduling, boosted by integrated document management, medical repricing, portals, and data warehousing boosts efficiency, promotes savings, and reduces overhead.  Brightwork complements ALYCE with hosting, implementation, customization, and consulting services, ensuring seamless integration into client operations. As a privately owned company serving practices across North America, Brightwork emphasizes flexibility, reliable support, and efficiency in all engagements.

Why Choose Us

  • Fast, Efficient, Reliable, and Easy to Learn
  • Scalable for 1 to 250 people
  • Multiple Lines of Business
  • Flexible workflows
  • Fantastic Support
  • On-demand PDF and Excel Reports

ALYCE adapts to your unique business needs

Why Alyce Stands Apart

Four game-changing capabilities that set us apart from every other claims management system.

Integrated Medical Billing Repricing

Built-in medical bill repricing reduces costs without sending providers’ bills to a third party for repricing.

AI - Powered Decisions

Chat with a sanitized version of your data to review past performance and predict outcomes.

Fast Support

Get answers when you need them. Our team responds quickly, typically within an hour, not the days you’ll wait with others.

Built for Your Business Model

Self-Insured Businesses

Take control of your claims costs with intelligent automation and integrated cost reduction tools.

 

  • Integrated medical bill repricing
  • Direct cost savings through AI optimization
  • Real-time analytics and reporting
  • Streamlined regulatory compliance
  • On Demand and Scheduled Reports
  • CMS Medicare Section 111 Reporting
  • OSHA Reports
  • Portal for Incident Reports

Third Party Administrators

Manage multiple clients efficiently while delivering superior results and maintaining profitability.

 

  • Options listed in Self-Insured PLUS
  • Bulk Multi-client Independent Reports
  • Support for various PAR and funding workflows
  • QuickBooks exports for different client accounts
  • Options for different client infrastructures.
  • Comprehensive audit trails

Comprehensive Core Features

We offer a suite of core features designed to enhance the claims management process. Automatic diaries keep track of important deadlines, while check and voucher printing simplifies financial documentation. Regulatory form management ensures compliance with industry standards, providing peace of mind and operational efficiency.  Notes and Images are readily available for claim documentation.

Explore Our Optional Modules

Brightwork, inc. offers a suite of optional modules designed to streamline and enhance your claims management process. Our imaging workflows integrate with MS Outlook, allowing for efficient document handling and storage. There is a CMS MMSEA Section 111 interface for exchanging data with Medicare requirements, and also state based IAIABC EDI for state regulations. These modules, along with others like PAR workflows and external claim entry, provide the flexibility and functionality needed to tailor the ALYCE Claims Management System to your specific needs.

Ready to Experience the Alyce Difference?

See how our comprehensive feature set can transform your claims management process