The Platform can be easily integrated with payer systems and allows payers and providers to communicate and transact data in a secure environment. From simple tasks such as locating eligible members for payers to complex analytics related to clinical data, the platform is a one-stop solution for cashless transactions.
Workflow processes supporting hospital and insurance companies to control,
track and manage in-patient insurance workflows on a single platform from
admission to final settlements.
Hospitals can configure records of co-operations like Doctors, Health checks, and
IP packages which can be used by the payers to provide information to their
members and enhance the experience
Hospital and payer finance teams have complete visibility on status of insurance
claims and can use insights to manage receivable and payables
It has other regulatory friendly features such as standard nomenclatures for
Hospitals (based on ROHINI IDs), ailments (ICD 10) and procedures (PCS) which
promotes standardisation and supports data comparability and analysis.