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

July 26, 20210

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

iNube implemented an exclusive insurance broker technology to meet the requirements of the customer.
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

iNube implemented an exclusive insurance broker technology to meet the requirements of the customer.
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

Leave a Reply

Your email address will not be published.

© 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