Government Plan suite will provide the functionalities to manage the Government Initiated Social Health Insurance or Micro Health Insurance Schemes, which may be managed directly by Government, Insurance, Government Trust or Third party administrator needs in health insurance industry. Government Plan suite provides the advanced framework for the automation of health insurance Preauth & claims administration management.
Solution Modules
- Product Management
- Policy & Member Management
- Online Empanelment Management
- Health Camp Management
- Arogya Mithra/District Coordinator Management
- Provider Network Management
- Provider Tariff and Rate Sheet Management
- Preauthorization Management
- Claims Management
- Payment Management
- Master Configurations Management
Benefits
- Tariff and Rate sheet Validation
- Policy clauses and Member Benefits Validation
- 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
