For Insurers
Whatever be your insurance management system, whether it is your own custom back office Claims Administration System or any standard Enterprise Resource Planning (ERP) system, eClaimsConnect helps you in minutes to map your back office insurance management system’s or ERP system’s data standard to the eClaims data standards of Dubai Health Authority (DHA), Health Authority of Abu Dhabi (HAAD) or other region specific medical provider’s data standard.
Benefits:
- Automate the process of uploading and downloading healthcare claims information to DHA, HAAD or other region specific medical providers that you are contracted with
- Avoid the hassles of having to manually track and manage the upload and download of multiple claim files for different regulators and medical providers
- Get a comprehensive audit log and simple visual dashboards with automatic notifications of all the upload and download activities of your claims data exchanged with DHA, HAAD or specific medical provider
- Streamline and accelerate your claims payment cycle with insurance companies
- Enable your resources to focus on other value added activities to effectively serve your customers and focus on expanding your business
Our partner’s AI based solution helps you automatically decode doctors, specialists clinical notes/information and medical reports submitted by medical providers as part of pre approvals and claims submission process in seconds with high level of accuracy to international standard ICD and CPT codes.
Benefits:
- To be more efficient to expand your operations without totally depending and losing significant time, effort on certified coders and outsource providers.
- Not to mention the increased accuracy, data quality of clinical outcomes and automation of claims adjudication leading to improved costs savings that your business can achieve.