Case StudiesReduced claim processing times with digitised claim management for a leading stand-alone health insurer

September 27, 2021

The Challenge

The customer was experiencing a growth phase and was looking to modernize and scale up their IT systems to cope with increased load. iNube introduced several cutting edge capabilities including workflow enabled claim processing based on financial limits, digitised provider management & Schedule of Charges (SOC), TAT configuration, Case management etc.

The Solution – Health Insurance Claims Management

iNube decided to replace the current systems with a single comprehensive claims platform. It leveraged its flagship platform - ClaimsLive Health, to meet the requirements of the Customer.
Comprehensive end-to-end platform to handle complete claim adjudication process from intimation to settlement
Rule engine with front end UI to enable business users to define rules for fraud detection
Exhaustive Case Management module to configure medical protocols and drug & implant masters to identity any deviations from standard line of treatment
Suspect cases could be flagged for investigation with integrated investigation mobile app
Extensive reporting capability to help drive analytics

Value Delivered

Reduced manual activities with introduction of workflow enabled claims processing
Replaced physical file processing, integrated with DMS and digitized most activities
Helped identify deviations from standard line of treatment, medication, length of stay with case management
Customer recognized for the ‘Best Claims Service Provider of the Year’ at Insurance India Summit & Awards 2018

Average number of claims processed per month


Hospitals empanelled

© 2021 iNube . All rights reserved | Terms of use | Privacy policy

Lorem ipsum dolor sit amet, consectetur adipiscing
Cookie Settings
Accept All Cookies
By continuing to browse or by clicking "Accept All Cookies" you agree to the storing of first and third-party cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts.
Cookie Settings
Accept All Cookies