Corporate Self-Funded suite will provide the functionalities to manage the Corporate Initiated Self-funded and managed Health Insurance Scheme. Corporate Self-Funded suite provides the advanced framework for the automation of health insurance Preauth & claims administration management.
Solution Modules
- Product Management
- Policy & Member Management
- Provider Network Management
- Provider Tariff and Rate Sheet Management
- Preauthorization Management
- Claims Management
- Payment Management
- Master Configurations Management
Benefits
- Automation of Tariff and Rate sheet Validation
- Automation of Product Validation
- Automation of Policy clauses and Member Benefits Validation
- Automation of Employee Entitlement Validation
- Automation Policy and Member Eligibility Validation
- Minimize Manual depended Errors
- Minimize TAT for Preauth and claims process
- Increases Efficiency and Accuracy in authorization Process
- Increases resources Productivity
