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CLAIMSLive Health - Find all the essential features on one platform.

Digitize and automate claims. Set benchmarks for tariffs and standardize it across channels.
ICD 10 driven claims platform
  • Standardization and validation of coverage based on ICD 10 codes
  • Fully configurable benefits administration module
Standardization and benchmarking of Medical cost
  • Based on configurable medical protocols
  • Benchmarking of treatment and procedure costs based on configuration.
Digitized provider tariff
  • Supports MS Excel based upload and digitization of provider tariff
  • Configurable provider billing conditions
  • Automatic validation of bills submitted for claims against tariff and billing conditions
Intuitive UI-driven business rule engine
  • Instant alerts for fraud, waste and abuse
  • Auto-adjudication of claims, based on rules
Self-service portals for all stakeholders
  • Portal for Enrollment, member addition/deletion for group emloyees/HR
  • Portal for providers to submit pre-authorization requests and claim documents
Powered by AI/ML
  • OCR for digitization of claim bills
  • Intelligent recommendations for claim decision

CLAIMSLive Health - Indemnity or benefit, a platform that fulfills all your health claims settlement needs

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Single platform to process any type of claim.
Hospitalization Claims
OPD, Daycare & Domiciliary Claims
Add-on Cover Claims
Retail Claims
Group Claims
Government scheme Claims
Self-funded scheme Claims
Litigation Claims
Insurance brands that trust us
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CLAIMSLive Health - Indemnity or benefit, a platform that fulfills all your health claims settlement needs

Modules available in CLAIMSLive Health that you can pick and choose to complement with your core insurance system

User & Hierarchy
Management

Product Benefit
Configuration
Provider Network
Management
Policy Data
Management

Member Data
Management

Service Provider
Management

Claims
Management

SOR & Reserve
Management

Communication
Management

Grievance
Management

SLA & TAT
Management

Reports, MIS
Dashboards

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A power-packed platform that can helps you set a new benchmark for claims servicing.

Increase your customer satisfaction quotient by processing claims 3x faster
Save upto 20% of your claim cost by reducing claims leakage and effectively controlling fraud, waste and abuse
Provide 100% self-service portal to your stakeholders
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“We have been leveraging on iNube’s ClaimsLive for processing our health claims. This is increasing the efficiency in claim processing while giving us the necessary additional controls required for an effective claims management system and enhancing our customers’ claims experience”
TM Shyamsunder
Chief Information Officer, Head Customer Service, Operations and Motor Underwriting, Royal Sundaram
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