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HEALTH CARE
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Today, we are the preferred service provider for many leading companies in healthcare industry because of our commitment & the quality of our products. We offer product engineering services and claims processing solutions through healthcare platforms.
We have designed & developed web based applications like Permanent Health Record (PHR), Health Risk Assessment (HRA) & MY TPA etc for healthcare companies, by using XML technology. We have developed these applications by using expertise in ASP. Net, c#, Java script, AJAX & database expertise in SQL server 2005.
Product TPA:
TPAs are licensed by Insurance Regulatory Development Authority (IRDA) to act as a Third Party Facilitator between Insured & Insurer. Our product for TPAs offers the following:
- « Total benefit administration including hospital, daycare, and clinic claims processing.
- « Rich, high performance reporting for at-a-glance access to the information you need in just a few keystrokes.
- « Automated Preauthorization Workflow for high speed processing of preauthorization's received by fax or electronically.
- « Advanced correspondence logging for single click access to Word documents, emails, or Excel spreadsheets previously sent to clients or insured, along with SMS and email push features.
- « Direct integration with PHR (Optional) Automated Scanning System for quick claims turnaround and minimal data entry.
- « Automated Electronic Claims Queue Processing for Streamlined processed of claims.
- « Open Architecture Database design allows access to data by your existing applications or reporting tools.
- « Full HIPA compliance including security tracking, patient security features, and acceptance of all HIPAA data formats.
- « Real-time integration with MY TPA Web Access System site for instant access to claims status and eligibility via the web for insured and providers.
Product PHR:
PHR maintains a permanent health record on the web which is a lifelong archive of a person's medical history. It can be accessed online anytime, anywhere, and by anyone with the required security credentials.
Permanent Health Record contains:
- « Basic personal information
- « Medical insurance coverage details
- « Immunization records
- « Medical history (past & current)
- « Medication information
- « Information of Allergies
- « "Smart Tag" technology that keeps track of members information as a critical care access report which can be accessed in the case of a medical emergency
Important points to know about a Permanent Health Record?
Medical records can be maintained by both
- Provider: - Holds information about your current health and sustained by every healthcare provider.
- You: - PHR holds information about your history & current health record maintained by you.
Benefits of PHR
- « 24*7 access and handy source of entire medical history
- « Pro-active approach to tackle emergencies
- « Increased consciousness towards one's own health
- « Life time health insurance records and health checkup records
- « Online health record accessible
- « Members will be able to add, edit or upload new record as and when required
- « Unique identification (username/ password) for everyone
- « We can upload the scanned copy of original documents 100% Accuracy
Product HRA (Health Risk Assessment):
- « Health Risk Assessment is the assessment of severity or likelihood of an adverse health outcome due to an exposure to environmental, biological or social conditions.
- « This is an individual/employee health assessment that helps in being conscious about lifestyle management.
- « HRA helps in identifying & managing risks for different diseases. It is beneficial for program planning, implementation & evaluation. HRA reports also can be used for the research purpose & in policy development.
- « Considering advantages & limitations of the self reported data, we can use it to make our workplace more effective & efficient; by selecting right tools for the right jobs. However we need to keep in mind that HRA is not a clinical evaluation. Also, we can not neglect ethical considerations.
- « In simple terms, HRA is a useful & cost effective tool for improving health at the primary, secondary & tertiary stages of health if utilized appropriately
Product Health Checkup:
Health Check up is a Business Optimization of Process of Employment Annual Health Check up system for the Employees by Corporate and Insurers. It is intranet/internet based web application providing common platform to their corporate, individual, hospital provider & management where they can interact with each other. Following are the features:
- « Integrated accounts module that takes care of invoices, debit note & Payment Received.
- « Facility to customize the packages and rates for each Diagnostic Center, Corporate.
- « Separate Logins for Agents, Development officers, Insurance companies, Corporate.
- « SMS and E-push integration throughout the system for periodic updates.
- « Reporting of all processes, all appointments, TAT reports, and accounts reports
- « Annual health checkup for corporate is available.
- « Exhaustive MIS for Corporate, Providers, Administrator.
- « Reports can be fetched in various formats as per the requirements.
Product Tele – Underwriting:
Teleunderwriting is a new tele-interview underwriting system for proposers seeking medical insurance policies.
Features
Immediate risk analysis - Our system enables the interviewer to analyze the risk for more than 40 common diseases on the spot.
Effective Call center office automation – Optimizes the use of your call center and office manpower to save you money as well as increase efficiency.
Health Data gathering – Which can be useful to insurance companies as well as the Ministry of Health.
Benefits
- « Increase productivity - spend less time on paperwork and more time doing what you do best meeting with clients and selling.
- « Improve turnaround time - more detailed information to the underwriters, which reduces the need for the most time-encompassing requirements.
- « Alleviate awkwardness - Applicants often prefer providing personal information to a third-party interviewer rather than face-to-face with an agent who may be a friend or associate.
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