Our solutions
We offer revolutionary, real-time claims switching, consisting of the following key components:
Member Query
Service
- Validation of members in a split second ensures that patients records are updated accurately with details provided by the medical Schemes directly.
- Data can be imported directly into any system.
- Real-time benefit query and member query integrations with large Administrators
Real-time Electronic Claims Switching
- Direct Claiming to Real-time Schemes
- Data Integrity Validation
- Patient Record Management
- Rejection Monitoring
- Utilisation Reporting
Validation - Validate to filter out Invalid Data
- Provider BHF numbers
- ICD10 codes for primary and secondary rules
- Tariff codes
- Nappi codes
- Pricing
Data Analysis and Reporting Services
- Data Analysis
- Claim Monitor
- Reports
- Switching Overview Reporting Tool
Client Support
Services
- Contact centres
- Dedicated client support teams
- On-line search facilities
- Patient and Claim query resolution with Ops Teams of Schemes
Advanced
Features
- Real-time Integrations with Schemes
- Trickle Back Scheme claim confirmations
- Automatic proof of submission for claims,
- Automatic ERA Reconciliation
- Scheme and Vendor Claim Portal