End-to-End automation of hospital claim process
With an in-built rules-driven data and validation engine, ClaimBook knows exactly what information needs to be filled in and what documents need to be submitted. It only allows submission of complete requests and will disallow incomplete submissions.
ClaimBook can read uploaded documents and also extract relevant data from your Hospital Information System (when integrated), to automatically enter details and avoid the need for manual entries.
ClaimBook creates a virtual mailbox within the dashboard – with Inbox, Sent Items and Draft folders – similar to that of Microsoft Outlook. There is also the facility to compose emails directly from the application dashboard.
ClaimBook likes to keep your claims process moving. With auto-parsing techniques, case details are read and categorised into relevant folders, claims amounts are automatically calculated and entered and approved cases are moved to the finance department. ClaimBook can also be integrated with the hospital’s billing system for a more seamless workflow.
ClaimBook alerts you, every step of the way. Notifications help you take action on items needing attention, which you can address with a single click! A ‘Pending Items’ folder on the dashboard also keeps count of exactly how many items need attention, and can help you take control of your work.
One dashboard handles all pre-authorisation cases and another handles all claims. However, all it takes is a single click to move an approved case to the claims dashboard without the loss of any data!
Whether it is to include additional supporting documents or revise the approved amount, the Enhance functionality of ClaimBook comes in handy.
When sending physical documents to the TPA for final settlement, they can be easily downloaded from ClaimBook. Moreover, to prevent the chances of couriered documents being misplaced, ClaimBook comes with the functionality to record courier details and track them easily.
At the time of reconciliation, ClaimBook makes it easy by displaying all details in a single screen. Fully-paid claims and partially-paid claims are categorised in separate folders.
Case status reports, delayed case reports and outstanding dues reports can be generated on a daily basis. TPA performance and TAT reports can be generated on a monthly basis.
Hospital display boards can be linked up to ClaimBook to provide patients/caregivers with real-time updates on their claim status.
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