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Configuration "Assistance. Medical Assistance"

  • Full support of personal insurance programs.
  • The organization of the provision of all types of medical care (ambulance, hospital, outpatient care, provision of medicines, preventive care, health services).
  • Fixing information (the entire sequence of actions on the occasion, the insured person’s call, the type of assistance, the order of assistance, the result of the assistance provided).
  • Case control (until the case is completed, employees see additional actions on this event in the current mode).
  • Quality assessment (an opportunity to ask a question about the quality of the services rendered and the help received) during the event management.
  • Analysis of documents for the payment, organization and conduct of medical and economic expertise.
  • Fixing costs (at the same time as organizing the service costs are fixed, which allows you to immediately see the remaining balance of the limit and the sum insured).
  • Integrity of information (for each Insured person there is a separate unit, in which the entire history of appeals during the term of the contract, with renewal - including for the past periods).
  • Analysis and management of the insurance portfolio (using the software any analysis of the portfolio is possible).
  • Increase customer loyalty.
  • Continuous monitoring of the level of damages due to regular reports.
  • Prevention of fraud on the part of medical institutions (analysis and examination of all documentation for each treatment).



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Industry Medical clinics, medical institutions  Medical and technical assistance  
Category Common forms  Other configurations  Assistant companies  
Type Management Accounting  
Cofigurations Trade management  
from UAH 200 000
Buy  


 
Configuration "Assistance. Technical Assistance"

  • Full support of insurance programs.
  • Organization of all types of medical care (ambulance, hospital, outpatient care, provision of medicines, preventive care, health services).
  • Fixing information (the entire sequence of actions on the occasion, the call of the Insured person, type, order, the result of the assistance provided)).
  • Case control (until the case is completed, employees see additional actions on this event in the current mode).
  • Quality assessment (the ability to ask a question about the quality of the services rendered and the help received) while maintaining the event.
  • Analysis of documents for payment, organization and conduct of medical and economic expertise.
  • Fixing costs (along with the organization of the service, expenses are fixed, which allows you to immediately see the remaining balance of the limit and the sum insured).
  • Integrity of information (for each Insured person there is a separate unit, in which the entire history of appeals during the contract period, during renewal - including and for past periods).
  • Analysis and management of the insurance portfolio (using software, any analysis of the portfolio is possible).
  • Increase customer loyalty.
  • Permanent control of the level of losses due to regular reports.
  • Prevention of fraud on the part of medical institutions (analysis and examination of all documentation for each treatment).

More...

Industry Medical and technical assistance  
Category Common forms  Other configurations  Assistant companies  
Type Management Accounting  
Cofigurations Trade management  
from UAH 200 000
Buy  


 
Configuration "Assistance. Medical Assistance" on controlled forms, based on the typical configuration "BAS Accounting, rev. 2.1"

  • Accounting for contracts and insurance policies:

    • Accounting for insurance programs and options;

    • Accounting for insurance packages;

    • Accounting for exceptions;

    • Accounting for authorized counterparties, franchises, limits;

    • Tracking the levels of clinics;

    • Control of limits and insurance amounts;

    • Automation of import of insurance policies;

    • Automation of loading insurance programs, exceptions.

  • Insured persons accounting:

    • Automatic identification on incoming call;

    • Auto-creation and identification when loading policies;

    • Analysis of limits, reports on expenses.

  • Accounting for insured events:           

    • Automation of the process of resolving cases;

    • Monitoring;

    • Registration of service quality assessment and denials of service.

  • Conducting settlements with counterparties:

    • Settlements with providers of services and medicines;

    • Automatic posting of reports from contractors on the services performed and the supply of medicines;

    • Mutual settlements with insurance companies: generating reports, issuing invoices, registering acts. Control of mutual settlements at all stages.

  • СRМ:

    • Accounting for internal tasks: addressing tasks to users, monitoring performance;

    • Integration with telephony (as an additional solution);

    • Business process "Insured event", automatic formation of tasks for users to settle insurance claims (as an additional solution);

    • SMS informing, e-mail.

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Industry Medical clinics, medical institutions  Medical and technical assistance  
Category Additional settings  Controlled forms  Assistant companies  
Type Management Accounting  
Cofigurations BAS Accounting, edition 2.1  
from UAH 200 000
Buy