For THIRD PARTY

ADMINISTRATORS

Whatever be your back office 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 insurance company’s data standard.

  • Furthermore eClaimsConnect helps you 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, specific medical provider or specific Insurance Company
  • Streamline and accelerate your claims payment cycle with medical providers and 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 in seconds with high level of accuracy to international standard ICD and CPT codes.

Benefits:

  • Significantly improve efficiency and reduce errors, eliminate waste in processes
  • Improved claim cost savings
  • Avoid reconciliation issues and quicken revenue cycle
  • Improve Quality of Data and Clinical Outcomes
  • Proactively and most effectively comply with health regulatory specifics

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