Health Claims Management Software

Enabled Effective Control & Management Of Health Insurance Claims for a Leading TPA

The Challenge

The client, a leading third-party administrator (TPA), formed by the joint venture of major public sector general insurance providers in India, was looking forward to –
• An advanced technology suite in health insurance claims processing
• Alignment of the solution with its corporate vision
• Adopt industry best practices
• Bring in greater efficiency in its core processes
• Enrich customer experience

The Solution

iNube effectively addressed the client’s challenges and concerns by implementing an end to end health claims management software solution and customizing our flagship product ClaimsLive Health – A new age integrated platform for management of health insurance claims.

  • Adopted a greenfield development approach of building a new health insurance solution from the ground-up
  • Simplified the business processes in a multi PSU driven health insurance set up
  • Digitized provider rates for enhanced service
  • Set up business rule engine to efficiently tackle the complexity of data
  • Sophisticated benefits administration

Value Delivered

  • Automation of claims handling process
  • Standardized data exchange
  • Detected & prevented fraud leakages through Business Rule Engines
  • Quick Turnaround Time (TAT) to acknowledge claim submission & settlement
  • Reduced grievances from customers and providers

3000+

Network hospitals currently empanelled in the system

100,000+ Claims

Processed till date

1500 Claims

Received per day

Request Demo

We use cookies to ensure that we give you the best experience on our website.