About SmartSimple CMS360

SmartSimple CMS360 is a accident benefit claims and referral management solution for medical insurance businesses, designed to bridge the gap between insurers, health care providers, and independent medical examiners. The platform provides features for medical case management, employment services, community care cases, structured settlement cases, and more. The SmartSimple CMS360 platform allows insurers to manage their cases, request evaluations from health care providers, arrange appointments, share data, create invoices, and more.

To aid with managing medical cases, SmartSimple CMS360 provides insurers with a 360 degree view of their pending claims within a personal list view of their cases and tasks to be completed. Claim information is provided such as the claimant, claim number, date of loss, status, and profit centre, and summary files provide additional information on aspects such as the policy type, legal details, attached files injury details, services required, and any notes or comments on the accident. Claims can be viewed within the calendar in order to gain an overview of any scheduled appointments or activities relating to that claim, and insurers can add new appointments with health care providers or medical examiners to aid with the claim.

SmartSimple CMS360 also facilitates the management of attendance and disabilities with tools for tracking employee disability claims within places of work. Claims of short and long term disabilities can be handled, users can schedule ‘return to work’ activities, and appointments and treatments can be booked with service providers internally, or externally. The platform also provides the tools to manage career counseling, employment assistance, community care, and structure settlements with claimants, annuity, life, and casualty companies.

Pricing starting from:

€130,00/month

  • Free Trial
  • Subscription

Key benefits of SmartSimple CMS360

  • Manage medical cases all from one dashboard with CMS360 which provides a personal case list with details on pending cases. Users can also save and share medical documents and exchange information with independent medical examiners.

  • Generate customized or standardized health claim forms, documents, and letters within CMS360 and send them to others involved in the case from within the platform. Save documents as templates to reuse in future cases.

  • Arrange appointments for patients within the case management solution and view all appointments relating to an individual case, or for all cases, within the calendar tool.

  • Store and share data within CMS360 such as government forms, referrals, objectives, outcomes, performance reports, assessments, and more.

  • Manage and create invoices and process payments between patients, insurers, health care providers, and independent medical examiners. Invoice by company, referral, case, or service.

  • Devices

    Business size

    S M L

    Markets

    United States, Canada

    Supported Languages

    English

    Pricing starting from:

    €130,00/month

    • Free Trial
    • Subscription

    Images

    Each user can view a personal list of their open cases
    Packages can be opened within CMS360 which alerts users to the fact an updated assessment has been sent
    Case files can be created for new patient claims
    Notes can be added to case files along with personal client and claim information
    Files can be generated from templates, saved within the CMS360 platform
    Files can be exported to a selection of participants including external healthcare providers
    Claim summaries can be accessed, exported, printed, or saved as a .PDF
    The list view provides an overview of which files are assigned to which claims, and users can edit or delete files from here
    The calendar view shows upcoming appointments and activities for each claimant
    View 10 more
    SmartSimple CMS360 video
    SmartSimple CMS360 screenshot: Each user can view a personal list of their open cases SmartSimple CMS360 screenshot: Packages can be opened within CMS360 which alerts users to the fact an updated assessment has been sent SmartSimple CMS360 screenshot: Case files can be created for new patient claims SmartSimple CMS360 screenshot: Notes can be added to case files along with personal client and claim information SmartSimple CMS360 screenshot: Files can be generated from templates, saved within the CMS360 platform SmartSimple CMS360 screenshot: Files can be exported to a selection of participants including external healthcare providers SmartSimple CMS360 screenshot: Claim summaries can be accessed, exported, printed, or saved as a .PDF SmartSimple CMS360 screenshot: The list view provides an overview of which files are assigned to which claims, and users can edit or delete files from here SmartSimple CMS360 screenshot: The calendar view shows upcoming appointments and activities for each claimant

    Features

    Total features of SmartSimple CMS360: 32

    • Access Control
    • Applicant Tracking
    • Appointment Management
    • Assessment Management
    • Attendance Management
    • Audit Trail
    • Booking Management
    • Case Management
    • Claims Management
    • Client Management
    • Client Portal
    • Content Repository
    • Custom Forms
    • Customer History
    • Data Capture and Transfer
    • Document Storage
    • Document Templates
    • Employee Management
    • Event Scheduling
    • Follow-up Scheduling
    • Invoice Management
    • Invoice Processing
    • Multi-Location
    • Performance Reports
    • Permission Management
    • Progress Reports
    • Project Notes
    • Reminders
    • Role-Based Permissions
    • Self Service Portal
    • Third Party Integration
    • Workflow Management

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    Reviews

    Overall rating

    4,6 /5
    (5)
    Value for Money
    4,3/5
    Features
    4,2/5
    Ease of Use
    4,4/5
    Customer Support
    4,4/5

    Already have SmartSimple CMS360?

    Software buyers need your help! Product reviews help the rest of us make great decisions.

    Write a Review!
    Showing 5 reviews of 5
    Michelle W.
    Overall rating
    • Industry: Health, Wellness & Fitness
    • Company size: 2-10 Employees
    • Used Daily for 2+ years
    • Review Source

    Overall rating

    • Value for Money
    • Ease of Use
    • Customer Support
    • Likelihood to recommend 10.0 /10

    Thank you SmartSimple!

    Reviewed on 2020/03/11

    Overall, very positive!

    Overall, very positive!

    Pros

    Web based, can be used from any computer, from home or the office!

    Cons

    If the web is having issues, can cause a lag, but in the many years I've used, the pros definitely outweighed the cons!

    Melissa N.
    Overall rating
    • Industry: Health, Wellness & Fitness
    • Company size: 11-50 Employees
    • Used Daily for 2+ years
    • Review Source

    Overall rating

    • Value for Money
    • Ease of Use
    • Customer Support
    • Likelihood to recommend 7.0 /10

    Outstanding and always comfortable

    Reviewed on 2018/04/19

    It helped me to participate in a SmartSimple survey and was very user friendly

    It helped me to participate in a SmartSimple survey and was very user friendly

    Pros

    The flexibility it allows us to make customizations on the fly. This software allows us to grow at a pace that works for our company. We always have easy access to support and especially now that support has extended hours this has proven even easier!

    Cons

    I honestly can't think of any to mention. We always have support which very important to us. Even if there has been an enhancement request that hasn't been possible, we are most often given alternative suggestions or work arounds for what we were trying to do.

    Bobbi M.
    Overall rating
    • Industry: Hospital & Health Care
    • Company size: 51-200 Employees
    • Used Daily for 2+ years
    • Review Source

    Overall rating

    • Value for Money
    • Ease of Use
    • Customer Support
    • Likelihood to recommend 7.0 /10

    Smart Simple for use in home health care provision

    Reviewed on 2020/03/03

    Our business used it for client charting and reporting.

    Our business used it for client charting and reporting.

    Pros

    I like the ease of use and the ability to colour code for client status and the ability to save notes and reports in draft.

    Cons

    Lack of ability to expand to mobile options to be used with LHIN APO and APR software.

    Kim G.
    Overall rating
    • Industry: Hospital & Health Care
    • Company size: 51-200 Employees
    • Used Daily for 2+ years
    • Review Source

    Overall rating

    • Ease of Use
    • Customer Support
    • Likelihood to recommend 8.0 /10

    Review

    Reviewed on 2020/03/12

    Pros

    Ease of use, colour options for organizing information, saving documentation in drafts, linking pay to completion of entering visits.

    Cons

    The speed of going from screen to screen is the largest downfall

    Tanya D.
    Overall rating
    • Industry: Health, Wellness & Fitness
    • Company size: 2-10 Employees
    • Used Daily for 2+ years
    • Review Source

    Overall rating

    • Value for Money
    • Ease of Use
    • Customer Support
    • Likelihood to recommend 10.0 /10

    Smartsimple

    Reviewed on 2020/03/11

    Smartsimple made my job a lot easier. I was able to locate information quickly

    Smartsimple made my job a lot easier. I was able to locate information quickly

    Pros

    It was user friendly. Very easy to navigate

    Cons

    There was nothing that I didn't like about the program

    Showing 5 reviews of 5 Read all reviews

    SmartSimple CMS360 FAQs

    Below are some frequently asked questions for SmartSimple CMS360.

    SmartSimple CMS360 offers the following pricing plans:

    • Starting from: €130,00/month
    • Pricing model: Subscription
    • Free Trial: Available

    CMS360 is €130.00/month for high usage users (members of the team who access the system more than 40 hours per month) or €20.00/month for low usage users (members of the team who access the system less than 40 hours per month). The Community Group License is available from €450.00/month billed based on the total count of monthly casual users.

    SmartSimple CMS360 offers the following features:

    • Access control
    • Adjustor management
    • Applicant tracking
    • Appointment management
    • Assessment & treatment plans
    • Assessment management
    • Assessment notes
    • Assign claims
    • Attendance management
    • Audit trail
    • Automatic reminders
    • Benefit programs support
    • Booking management
    • Business process control
    • Case list management
    • Case management
    • Claim file documentation
    • Claim resolution tracking
    • Claims management
    • Client management
    • Client portal
    • Co-pay & deductible tracking
    • Content repository
    • Custom forms
    • Customer history
    • Data capture and transfer
    • Document storage
    • Electronic claims
    • Employee management
    • Event scheduling
    • Follow-up scheduling
    • Group notes
    • Invoice management
    • Medical history records
    • Multi-location
    • Paper-based claims
    • Patient account management
    • Patient records
    • Payment processing
    • Payor management
    • Performance reports
    • Permission management
    • Policy administration
    • Progress reports
    • Project notes
    • Provider credentialing
    • Referral management
    • Role-based permissions
    • Self service portal
    • Third party integration
    • Treatment planning
    • Workflow management

    SmartSimple CMS360 has the following typical customers:

    Small Business

    SmartSimple CMS360 supports the following languages:

    English

    We do not have any information about what devices SmartSimple CMS360 supports

    SmartSimple CMS360 integrates with the following applications:

    Google Maps, Salesforce Sales Cloud, Signority, Stripe

    SmartSimple CMS360 offers the following support options:

    Phone Support, Online Support

    Related categories

    See all software categories found for SmartSimple CMS360.