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)