A system designed to meet the administrative requirements found in most group health providers, such as governmental entities, TPA and self-insured companies.
Key Features
Reduce Fraud
Powerful Policy Management system
Different systems for different providers types
Online and offline
Medical Insurance
Specifications
Provider Application
Replaces the old manual process of creating, submitting and processing claims
Automation of the processes ensures cost saving and enhancement of employees’ efficiency
Independent of the provider infrastructure
Payer Application
Covers all stages of the claims processing cycle from receiving the e-claims to giving approvals and up to settling of payments
A configurable fraud detection algorithm detects fraud cases and stops them before they occur
Patient Application
A specialized mobile application for participants to access on the go
Easy and clear preapprovals and reimbursements’ submissions through the system