Management is the Key to Ease Business Operational,
but Service Solutions is by Collaborate with Us
Manage User Login with Control to Add/Update/Delete Access, Schedule, User Task, also Chat Message.
System Dependency need Master Data, such as Transaction Rules, Coverage, Diagnosis, Treatment, Medication, etc.
Manage Client & Products, Services Taken, also Manage Client Type & Client Policy to Control Member Claims Transactions.
Enrollment Membership with Type Principle/Dependant, also Synchronize Policy Settings & Claims Limit.
Claims Transaction or Reimbursement Calculation will Follow Policy Settings, to Process Submission & Payment.
Manage Provider Type, Facility & Tariff, Physician, Clients Agreement, Terminal Transaction, and Contact Person.
Monitoring Claims group by Claims Verification, Approval Pre Admission or Claims Referral, and Worksheet.
Included Standard Reporting such as Utilization, Claims Process, GL Issuance, Enrollment, and Policy Renewal.
Real-Time Chart group by Date of Claims Amount or Member Enrollment, and Push Notification of System Alert.