Health Claims Management Software

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

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

• 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