Provider Portal for Health Claims Management

Provider Portal for Health Claims Management

Streamline Health Claims Management with a Digital Self-Service Portal for Providers

Enabling insurance companies and TPAs to streamline health insurance claims management by empowering their network of providers such as hospitals, diagnostic centers and clinics with a versatile self-service provider portal – ClaimsLive Hospi Portal.

Overview

ClaimsLive Hospi Portal is a front-end digital interface provider portal for network providers like hospitals, diagnostic centers and clinics which are empaneled by insurance companies and TPAs to service health insurance claims.

The self-service provider portal offers convenience to providers and improves the quality of care given to customers who visit their medical facilities. The self-service features include verifying eligibility of customers, managing claims, tracking payments and viewing real-time benefit information, thus creating a better customer experience.

ClaimsLive Hospi Portal is designed to be easily integrated with the existing claims management system of insurance companies or TPAs. This enables them to seize the value of digital transformation right at the point of initiation of health claims transactions and improve operational efficiencies.

Features

Explore some of the distinctive features of ClaimsLive Hospi Portal tailored to simplify the health claims management processes.

Out-of-the-box APIs for Integration with Claims systems

Cloud Ready. Can be deployed on-premise or on cloud

Mobile Friendly/Responsive User Interface

Quick Implementation and Go-Live

  • Issue1 Real Time Quotes/Policies

    Instantly generate quotes and issue policies. Reduce load on your core insurance system

  • Provide Quick Turn Around Time (TAT)

    Delight your customers by providing quicker turnaround times for policy issuance, renewals, endorsements

  • Ensure Greater Flexibility

    Allows insurance companies to configure different privileges for pricing, underwriting and operations to
    different intermediaries

  • Gain Better Oversight

    Take complete control over your distribution network with configurable levels of pricing and underwriting
    privileges

  • Increase Transparency

    Manage complex commission structures and make payments online

  • Be Eco-friendly

    Help the environment by enabling end-to-end paperless process for policy issuance

Functionalities

  • Initiate pre-authorization requests
  • Initiate enhancement requests
  • Submit claim documents
  • Track claim status
  • Raise claim reconsideration requests
  • Raise claim cancellation requests
  • View and respond to queries from insurance companies/TPA’s
Functionalities
  • Submit grievance on claims
  • Generate and download reports/ authorization letters
  • Track payment status
  • Generate service requests
  • View and download MoU with insurance companies
  • View and download the SoC tarrifs agreed with insurance companies
  • Raise request for empanelment and renewals

Value Proposition

  • Reduced Turnaround Time for Cashless Claims

    Access vital information related to member eligibility, seamlessly submit and track claims status and ensure faster settlement of cashless claims

  • One-Stop Self-Service Provider Portal

    The portal has an intuitive UI and acts as a quick resource for providers to easily access all relevant information – anytime, on-demand with easy self-service tools

  • Offer Superlative Care for Customers

    Accurate exchange of real-time information between insurance companies/TPAs and providers ensures timely response and care towards customers

  • Reduce Operational Costs

    Transfer documents and improve provider communication with a one-stop-shop that eliminates the cost of paper, phone calls, and faxes

  • Enhance Operational Efficiency

    Eliminate siloed business processes with improved provider engagement and serve customers with excellence for better health outcomes

  • Issue1 Real Time Quotes/Policies

    Instantly generate quotes and issue policies. Reduce load on your core insurance system

  • Provide Quick Turn Around Time (TAT)

    Delight your customers by providing quicker turnaround times for policy issuance, renewals, endorsements

  • Ensure Greater Flexibility

    Allows insurance companies to configure different privileges for pricing, underwriting and operations to
    different intermediaries

  • Gain Better Oversight

    Take complete control over your distribution network with configurable levels of pricing and underwriting
    privileges

  • Increase Transparency

    Manage complex commission structures and make payments online

  • Be Eco-friendly

    Help the environment by enabling end-to-end paperless process for policy issuance

Interested to explore ClaimsLive Hospi Portal
for Health Claims Management?

Join the conversation on ClaimsLive Hospi Portal.
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