E-Claims Software

The HealthBuzz E-Claims Software® is tailor-made as per the requirements of insurance companies and Self Managed Schemes providers. Any aspect of the Health Insurance adjudication process can be delivered through this software while providing the ultimate user experience, reduced costs, enhanced efficiency, all while complying with any regulatory standards/laws.

The software is built to ensure a smooth and efficient flow in the claims process right from the enrollment of clients, up till adjudication and payment of claims. The Provider Management and Fraud Control modules have been given special emphasis to ensure systematic management of providers while keeping fraudulent activities under strict radar.

The main features of the HealthBuzz E-Claims Software® are:

  • Claims Intimation
  • Claim Adjudication
  • Claims Audit & Investigation
  • Fraud Management
  • Web Portals
  • Grievance Management
  • Tracking Tool
  • Provider Management
  • Business Process Management
  • Granular Reporting & Dashboard
  • Document Management System
  • SMS, Email & Fax Integration

Additionally, a few features that will give your business the extra edge:

  • Granular reporting and escalation matrix
  • Fast retrieval & archival of all kinds of documents
  • Supports business continuity plan (BCP)
  • Multiple Currency Management
  • Dashboards at tasks and department level
  • Tailored workflow as per your requirements
  • No location constraint on business processes
  • Automated alerts and notifications to assure high performance
  • Incorporates the best practice of keeping the character and image data in a single box.
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