HEALTH CLAIMS INFORMATION TOOLS

A set of medical claims management tools are provided the Employer (small, medium and large companies) to manage staff medical claims and payments to care provider clinics, surgeries and hospitals.

Employers benefit in full the advantages of a web-based realtime information system to access and manage staff health related information to include payable status in realizing staff wellness goals and cost optimization.

EMPLOYER - PAYOR

CLAIMS MANAGEMENT
• Visit Request
• Online Visitation Queue
• Claims History
• Invoice

STAFF MANAGEMENT
• New Registration
• Capitation Details
• Staff Settings

PROVIDER (CLINIC / HOSPITAL) MANAGEMENT
• Registration
• Claims & Invoice Details
• Payment Management
• Clinical Authority

COMMUNICATION
• iMessage
• Labeling
• Online Support
• SMS Messaging

ENTERPRISE INFORMATION SYSTEM
• Executive Summary
• Multiple Reports

SYSTEM ADMINISTRATION
• Clinical Setup
• Claims Assessor
• Export Data
• License
• Organization Settings
• Parameter Setup
• System Settings
• User & Security
• Visit Credits

EMPLOYER - nonPAYOR

• Online Guarantee Letter
• Claims Awaiting Authorization
• Capitation Details
• Claims History
• Claims Repudiated
• Invoice
• Employee
• Reporting
• Payor Information
• Provider Contact

NOW EVERYONE CAN MANAGE HEALTH CLAIMS