Health Claims System
Enable Automation in Health claims management with an Intelligent system that offers Accuracy and Efficiency
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Yes, the Health Claims System offers fraud detection capabilities and flags potential fraudulent claims for further investigation by the insurer.
Yes, the Health Claims System is enabled by workflows and ensures claims processing and approval with minimal human intervention.
Yes, the Health Claims System supports group Health policies, including claims processing, enrollment, and reporting.
Yes, the Health Claims System supports Indemnity claims and ensures accurate payouts based on policy terms.
Logging claims on iNube’s Health Claims is extremely easy. The policyholder can raise claims quickly on mobile or web with a few simple steps. They will be getting instant updates and confirmation once the claim is logged.
Absolutely! The Health claims system can seamlessly integrate with the insurer/ hospital system through APIs, with minimal to no disruption in their everyday operations.
The claims will be auto assigned to the claims handler by sorting through type, urgency, policy rules or even claim value, ensuring faster processing without any delays.
iNube's Health Claims system supports UPI, NEFT/RTGS and leading payment gateways. Upon claims approval, the fund is smoothly and instantly transferred to the claimant or the healthcare provider, ensuring seamless transaction.
Yes, the solution offers comprehensive self-service portals allowing the policyholders, adjuster and the third-party vendors to access and manage claims directly. This ensures improving efficiency and reduces delays in communication.
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