TPA (U.A.E.)
Few Modules
- Marketing Management
- Quotation Management
- Group Management
- Member Management
- Invoicing
- Policy Management
- Renewal Management
- Provider management
- Tariff management
- DHPO Management
- Authorization Management
- Claims Management
- Payment management
- Fraud and Abuse Control
- Adjudication Engines
- Analytics & Reports
TPA (INDIA)
E-Claims is a end to end TPA Management system for enabling third party administrators to manage policies, claims, audit, reports etc for health insurance companies. Health Insurance is one of the largest growing industries in India as well as in other countries. Our solution has been designed to cater small to large enterprises depending upon their demand on functionalities.
Our Solution is built on the LAMP. It Stands for Linux, Apache, MySQL and PHP. This platform gives us the flexibility of speed, scalability, security, performance and allows for independence of hardware. Built on Code Igniter which is known for MVC architecture where the business logic is always defined in the controller.
We have clients in India who are using our solution. We are also evolving with them as there are constant developments from Insurance authority to standardize the Product.
Few Modules
- Underwriters
- Policy Master
- Enrolment - Insured, Policy Collection, Data entry, Verification
- Health Cards & Records Team
- Claims Process, Cashless Claim, Intimation, Claim Authorization, Claim Processing (Semi Auto Adjudication)
- Reimbursement Claim Processing
- Network Hospital and Tariff Management
- Audit Trail
- Accounts/Finance Module
- CRM
- Reports
- Workflow Management
- Grievance System
- Performance and TAT monitoring Modules
- Dashboard with task push features
- Auto SMS
