Medical Insurance

ESKA® Medical provides innovative management of medical insurance transactions for data recording and handling of production, medical networks, claims, renewals, and reinsurance operations for groups and individuals.
  • Web access for members, providers & policyholders
  • Support ICD-9, ICD-10, & CPT codes
  • Multiple medical networks with related price lists
  • Network and reimbursement claims
  • Claim auditing engine with over 120 defined rules
  • Compliance with various governmental regulations
  • Third Party Administrators (TPA), Capitation business (HMO)
ESKA® Insures
Medical
Production Claims Processing Reinsurance Queries & Reports
  • Quotations
  • Proposals
  • Policies
  • Endorsements
  • Renewals
  • Certificates
  • Declarations
  • Cover Notes
  • Bulk import
  • Post to Financial
  • Claims Entry
  • Claims Loss
  • Claims Auditing
  • Payments
  • Recoveries
  • Resubmission
  • Payment Adjustment
  • Motor & Non Motor
  • Repair Orders
  • Purchase Orders
  • Post to Financial
  • Proportional Treaties
  • Non Proportional
  • Auto Distribution
  • Facultative
  • Treaty Statement
  • Clean Cut
  • Cash Call
  • Loss Advice
  • Profit Commission
  • Post to Financial
  • Dashboards
  • Insured Inquiry
  • Claims Queries
  • UPR
  • Profit & Loss
  • Risk Accumulation
  • User Performance
  • Statistical Reports
System Integrations

Our Customers

Our Customers

ESKA

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