ICD-10
 

We have developed an Enterprise wide claims processing application in .Net environment. Application covers all functions required for a Healthcare Insurance company:

  •  Agency & Agent Management
  •  Premium Billing
  •  Member Management
  •  Provider Management
  •  Claims Processing
  •  Benefit Loading, Administration
  •  Fee Schedule management
  •  Utilization Management
  •  Customer Service (Member service, Provider service, Agent service)
  •  Function wise reporting module
  •  Dash-board with MIS reporting

The application has Integrated Document Management system, Integrated Business Process Management Tool to manage work allocation and quality management on transaction processing, Integrated e-learning module with capability to interface 3rd party vendor. This enterprise wide application is designed to operate in a multi location and multi user environment.

Core development function also constitutes a dedicated testing team which contributes extensively on Functional, Regression and load testing as and when a customization is done on the application.