Automating the Process of Healthcare Management

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Solutions Industries Media Company
Medical Insurance-featured

Explore Medical Insurance

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

    Reduce Fraud

  • Powerful Policy Management system

    Powerful Policy Management system

  • Different systems for different providers types

    Different systems for different providers types

  • Online and offline

    Online and offline

Medical Insurance Specifications

Provider Application

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

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

Patient Application

  • A specialized mobile application for participants to access on the go
  • Easy and clear preapprovals and reimbursements’ submissions through the system
  • Instant access to patients’ stored vital data
  • Faster reimbursement process
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