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The complete digital platform for medical insurance operations
ClaimCore is a full digital platform that manages all medical insurance operations, connecting insurance companies, beneficiaries, and healthcare providers in one unified, automated system. Eliminate paperwork, accelerate approvals, and deliver transparency for everyone.
About
We exist to modernize claims
ClaimCore was founded by adjusters and engineers to remove friction from every claim lifecycle.
Mission
Empower claims teams with tools that are fast, transparent, and always compliant.
Security
SOC 2 Type II, encryption in transit/at rest, SSO/SAML, MFA, and data residency options.
Story
Born inside a TPA that struggled with legacy systems, ClaimCore now powers leading insurers and partners worldwide.
Leadership
Led by industry veterans in claims, risk, and enterprise software.
Problems we solve
Transform your insurance operations
ClaimCore solves the critical challenges facing modern insurance operations, delivering measurable results for all stakeholders.
Fragmented workflows across parties
Insurance companies, providers, and beneficiaries operate in silos, causing delays and miscommunication.
Unified digital platform
Connect all parties in one seamless system. Beneficiaries, providers, and insurance companies work together in real-time with full transparency.
Manual paperwork slows everything down
Paper forms, faxes, and manual data entry create bottlenecks and errors throughout the claim process.
100% paperless operations
Digital medical forms, electronic approvals, and automated claim processing eliminate paperwork entirely. Everything is digital, searchable, and accessible instantly.
Slow approvals and claim cycles
Traditional approval processes take days or weeks, frustrating beneficiaries and providers while increasing costs.
Faster approvals and cycles
Digital approvals for pharmacies, labs, radiology, hospitals, and doctors happen in minutes, not days. Automated workflows accelerate the entire claim cycle by up to 60%.
Errors and fraud risk
Manual processes and lack of validation lead to costly errors and increased fraud exposure.
Reduced errors and fraud
Automated validations, real-time checks, and comprehensive audit trails significantly reduce errors and detect fraudulent claims before they're processed.
Lack of transparency and tracking
Beneficiaries and providers can't track claim status, approvals, or coverage details in real-time, leading to confusion and support calls.
Complete transparency and real-time tracking
Everyone can track claims, medical forms, approvals, and reimbursements in real-time. Beneficiaries see their limits and coverage details instantly. Full visibility for all parties.
Integrated healthcare network
Find and connect with any healthcare provider
Our integrated network search connects beneficiaries and providers with hospitals, pharmacies, labs, radiology centers, and doctors instantly. Search by location, specialty, availability, and network status.
- Hospitals and medical centers
- Pharmacies and drug stores
- Laboratories and diagnostic centers
- Radiology and imaging centers
- Doctors and specialists
- Clinics and outpatient facilities
- Real-time availability and network status
Efficiency you can measure
Efficiency you can measure
Real-time performance that TPAs can quantify.
to generate invoices
clinics and labs in network
paperless solution
FAQ for TPA software
FAQ for TPA software
How fast can we onboard?
Most TPAs launch in days with guided setup and templates.
Does it support compliance reporting?
Yes, export-ready reports and audit trails are built in.
Can we integrate existing systems?
APIs and connectors make it easy to plug into your stack.
Who we serve
Built for every stakeholder in the insurance ecosystem
ClaimCore serves all parties in the medical insurance workflow, providing tailored experiences for each user type.
Insurance Companies
Manage claims, approvals, batches, and beneficiary coverage with complete control and real-time analytics.
Insurance Beneficiaries
Submit claims, track approvals, view coverage limits, submit reimbursements, and access the provider network through our mobile app.
Healthcare Providers
Hospitals, doctors, pharmacies, labs, and radiology centers can create medical forms, submit claim batches, track status, and view beneficiary limits.
Key Features
Everything you need for complete insurance management
ClaimCore provides a comprehensive suite of features designed to streamline every aspect of medical insurance operations.
Full Medical Form Creation & Submission
Create, submit, and manage all medical forms digitally. Providers can generate forms instantly, and beneficiaries can submit from anywhere.
Digital Approvals & Rejections
Approve or reject claims electronically for pharmacies, labs, radiology, hospitals, and doctors. Return claims with feedback instantly.
Reimbursement Claims
Beneficiaries can submit reimbursement claims from outside the medical network. Track status and receive payments faster.
Claim Batch Submission
Providers can send claim batches directly to insurance companies. Automated processing and validation ensure accuracy.
Coverage & Limits Display
Beneficiaries and providers can view coverage details, limits, and remaining benefits in real-time. Always know what's covered.
Mobile Apps for All Users
Dedicated mobile apps for beneficiaries and providers. Submit claims, track status, view limits, and manage operations on the go.
Complete Operation Tracking
Beneficiaries track all operations, medical forms, claims, approvals, and reimbursements. Providers track claim status and batches.
Provider App Capabilities
Add medical forms, submit batches, track claim status, and view beneficiary limits—all from the provider mobile app.
Full Automation Workflow
Seamless automation connects beneficiary → provider → insurance company. Every step is automated, validated, and tracked.
Trusted by insurers and TPAs
Product overview
A complete digital platform for medical insurance
ClaimCore is a full digital platform that manages all medical insurance operations. From form creation to claim approval, reimbursement processing to network management—everything is automated, transparent, and accessible in real-time.
Digital Medical Forms
Create, submit, and manage all medical forms digitally. No paperwork, no delays. Forms are validated automatically and routed instantly.
Electronic Approvals & Rejections
Approve or reject claims electronically for all provider types. Return claims with detailed feedback. All decisions are instant and trackable.
Real-Time Tracking
Track all operations, medical forms, claims, approvals, and reimbursements in real-time. Full transparency for beneficiaries, providers, and insurers.
Mobile Applications
Dedicated mobile apps for beneficiaries and providers. Submit claims, track status, view coverage, and manage operations from anywhere.
Provider Network Search
Integrated search for hospitals, pharmacies, labs, radiology centers, and doctors. Find providers by location, specialty, and network status.
Automated Workflows
Full automation connects beneficiary → provider → insurance company. Every step is automated, validated, and tracked seamlessly.
Why ClaimCore
Benefits that compound
Reduce costs, accelerate cycle times, and improve accuracy with automation that keeps humans in control.
Cost savings
Automated intake and straight-through processing cut manual effort by up to 40%.
Speed
Smart routing and SLA alerts keep claims moving so you resolve faster.
Accuracy
Validation rules and evidence trails reduce leakage and audit findings.
Impact
What customers achieve
Real outcomes from teams running on ClaimCore.
Testimonials
Customers who switched to ClaimCore
“ClaimCore automated our intake and cut cycle times from days to hours without sacrificing compliance.”
“The reporting and audit trail keep regulators happy and our teams finally have one source of truth.”
Contact / Request Demo
See ClaimCore live
Tell us about your use case. We'll set up a tailored walkthrough and share pricing.
- Email: info@code-pro.io
- Phone: +962786422213
- Phone: +962795883126