Provider Management

Managing your services providers could never have been so easy. We provide a one-stop solution for managing your providers according to your requirements. All the features can be customized according to your needs and integrated with the existing system. From customizing the Provider role (capitative, Physician, Referral), Preferred Provider Network, Provider Procedure to customizing Drug Master set up, Fee Schedule, Recovery, etc,. our solution takes care of all your needs.The user interface is very friendly and simple for users to understand.

Some other features are:

  • Online processing of provider empanelment request, renewal / up gradation, suspension etc.
  • Procedure package creation using bulk upload.
  • Online/offline submission of pre-authorization /claims by providers.
  • Creation and maintenance of approved procedures and specialties
  • Packages can be mapped to ICD 10 diagnosis as well as PCS codes for disease profiling on the basis of treatment given
  • Remittance Advice generation for Cases, Authorizations and Payments by Providers.
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