healthcare claims management software

Healthcare Claims Management Software

Streamlined Operations with Healthcare Claims Management Software 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 –
• 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 – Health Insurance Claims Management Software

iNube effectively addressed the client’s challenges and concerns by implementing an end to end health insurance 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 with an innovative healthcare claims management software
  • Standardized data exchange
  • Detected & prevented fraud leakages through an intelligent Business Rule Engine
  • The healthcare claims management software ensured quick Turnaround Time (TAT) to acknowledge claim submission & settlement
  • Reduced grievances from customers and providers


Network hospitals currently empanelled in the system

100,000+ Claims

Processed till date

1500 Claims

Received per day

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