Health Insurance Management System For Third Party Administrators (Tpaa S)

We are engaged in offering excellent quality Health Insurance Management System for Third Party Administrators (TPAa s) to our valuable clients. It absolutely meets the current requirements of TPAa s in our country for settlement of claims. The solution has been architected keeping in view the complexities of the TPAa s drawing upon best domain knowledge.

Features:-
Complete Health Insurance Management System which embodies the domain knowledge of TPAa s. Enables hospitals to login to system and apply for Hospital Empanelment Gipsa Empanelment. Enables insurance companies to login to system and send policy information of sold policies for claim settlement. Enables TPAa s to construct a rule engine for each individual policy to be used for checking admissibility of Pre-Authorization / Final Summary / Reimbursement claims. And finally settles down the claim within fraction of seconds and thus speeds up the entire process from applying for empanelment to claim settlement as all of the data is available online in a digital form including the hospital information tariff details policy details and rule engine.Enables in maintaining the Claim History which helps to calculate coverage after each claim.
Assists insured to communicate in reference to their claim.User- friendly since is a menu-driven system.