Health Claims Management

A comprehensive web-based solution for Health Claims Management that completly automates Reimbursement and Cashless claims. The solution has met performance benchmarks of 750 plus reimbursement claims, 250 plus cashless claims on a daily basis.

Modules & Features

Client creation & Policy setup

A comprehensive module to execute administrative tasks for client and policy setup, master data management.

Claims Management

Manages every aspect of a claim from the time it is intimated , right upto approval and submission to accounts. 

 
  • . Enrollment
  • . Inward (including provision to scan & upload claim documents)
  • . Bill entry
  • . Medical entry
  • . Investigation
  • . Cashless pre-authorization
  • . Outward

Accounts

Post claim approval, allows reconciliation with Insurance Company for disbursal to customers. 

 
  • .Invoicing
  • .Bank Payment & Reconciliation
  • .Payment Advice
  • .Debit Notes

Website for Corporate employees

One point destination for Corporates / Employees to lodge claims and track them upto settlement. 

 
  • .Online Enrollment
  • .View insured / dependent details, E-cards
  • .Powerful Claims Management
  • .Support features & downloads

 

Contact Us to schedule a demo / know more about this solution.