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Intelligent System Solutions for Group and Individual Insurance
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Information Form
 
Please fill out the following form so we can understand your business needs. An * indicates a required field.
General Information  
Company Address
Company City
Company State
Zip
Your Title
Your Phone
Your Email
Type of Business  
Insurer Commercial Company
TPA Software Vendor
Reinsurer Other
Present Products  
Group LTD
Life Medical
Individual STD
DI Dental
Network Environment  
Mainframe Client/Server
DOS LAN or WAN
Mostly Manual Dumb Terminal
PC 486 - Pentium PC Other
Software Interest  
Medical Claim Management Administrative Systems
Disability Claim Management Life Claim Management
Dental Claim Management
System Status  
We are going to build in-house.
We want to buy a system and purchase code.
We want to buy a complete system and support package.
We are surveying product availability.
Installation Needs  
6 - 12 Months
12 - 24 Months
24 - 36 Months
Just Exploring
Size of Claim Block  
500 - 1000 Claims
1000 - 3000 Claims
3000 - 5000 Claims
5000 or more Claims
Other  
Please send additional information.
Please call me to discuss.
We would like a product demo.
Comments  

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DOCSNET
DOCSNET is designed to process high claim volumes and meet the needs of the largest insurers

Resources
BRM provides links to disablility information, tax rates, and other insurance related materials

Contact Us
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