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Medical Insurance - Key Features

  • Group and individual business lines.
  • Several types of carriers; as Third Party Administration (TPA) funds.
  • Standard systems: ICD-10 and ICD-9.
  • Hierarchy detailed benefits structure.
  • Automatic distribution of the received transactions through the Queue system.
  • Flexible and parameterized medical plans.
  • Import group of members and claims.
  • Multiple medical networks.
  • Network and reimbursement claims.
  • Providers and benchmark pricelists.
  • Claim auditing engine.
  • Third Party Administrators (TPA), capitations and gatekeepers.
  • Earned /Unearned premium and commission calculation.
  • Get Started & Support
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