Health Insurance Claims Investigation
Reduce Turnaround Time for Health Claim Settlement with Real Time On-Field Investigations
Health Insurance Claims Investigation Solution is an enterprise mobility solution, that helps to increase productivity of your health claims investigators and reduces turnaround times for your customers
Overview
Execute a guided process for health insurance claims investigation, using a versatile solution, comprising of a web portal and a mobile app, that can be easily built on iNube’s proprietary B2B mobility platform – ‘Evidens’.
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- Upon intimation of admission to the hospital by the insured, the claims officer from the insurance company, requests an on-field investigation, using the Evidens Sky Portal
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- The assignment of investigation to a specific on-field claims investigator may be based on location, work load or any other business rule as defined by the insurance company.
- The claims investigator receives the request in his/her Health Claims Investigation Mobile App and executes the investigation –
- Captures details of patient, ailment, diagnosis and treatment
- Obtains details of hospital and treating doctor
- Gathers images, audio-visual evidence
- Initiates live streaming with claims officer and receive guidance
- Mobile app generates health claims investigation report including all evidences captured
- Submits report directly from field to the claims officer
Solution Features
Learn more on how our ‘Health Insurance Claims Investigation’ solution is a perfect fit for your critical on-field investigation operations
Geo-Coordinates
Bird’s eye view of location, view maps with geo co-ordinates
Document Upload
Capture images of relevant documents and attach to the health claims investigation report
Workflow Driven
Enable users across multiple levels to review and refine the health claims investigation report, prior to submission of exhaustive report to the claims officer
Offline Capability
Gather information including geo-coordinates even in offline mode. Network connectivity is required only at the time of report submission
Versatile Controls
Scan documents, take photos, record video/audio, digital signatures to support case
Increased Convenience
Automatic generation of health claims investigation report in PDF format
Enhanced Security
Encrypted data storage and dual factor user authentication
Value Proposition
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Reduce Turnaround Time
Reduce health insurance claims investigation turnaround time, leading to faster decision making
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Optimize Efficiency
Auto compile comprehensive health insurance claims investigation reports and digitize data at source
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Improve Decision Making
Capture reports and audio-visual evidences in digital format to help in accurate decision making
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Enhance Operational Agility
Ensure faster inspection case assignments with location tracking of health claims investigators
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Issue1 Real Time Quotes/Policies
Instantly generate quotes and issue policies. Reduce load on your core insurance system
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Provide Quick Turn Around Time (TAT)
Delight your customers by providing quicker turnaround times for policy issuance, renewals, endorsements
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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
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Be Eco-friendly
Help the environment by enabling end-to-end paperless process for policy issuance
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Health Claim Settlement?
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