ClaimxChange

Digitalised Claim Management & processing platform.

The solution facilitates smooth communication between hospitals & payers throughout every step of the insurance claim process. its processing engine digitizes claim processing entirely, allowing for real-time monitoring of claim settlement progress.

Create and verify ABHA (Ayushman Bharat Health Account) number on our platform.

The platform seamlessely integrates with payer systems, providing a secure environment for communication and data transactions between payers and providers. Whether it's basic functions like identifying eligible members or advanced analytics on clinical data, the platform serves as a comprehensive sollution for cashless transactions.

Digital Claims Management Platform

The arrangement empowers consistent cooperation between the Emergency clinics and Payers across every one of the phases of a protection guarantee. Its handling motor completely digitizes claims handling and empowers continuous following of guarantee settlement status.

Key Modules

In-Patient cashless claims Management

Workflow processes supporting hospital and insurance companies to control, track and manage in-patient insurance workflows on a single platform from admission to final settlements.

Hospital Profile & Inventory management

Hospitals can configure records of co-operations like Doctors, Health checks, and IP packages which can be used by the payers to provide information to their members and enhance the experience

Revenue Cycle Management

Hospital and payer finance teams have complete visibility on status of insurance claims and can use insights to manage receivable and payables

Regulatory Compliance

It has other regulatory friendly features such as standard nomenclatures for Hospitals (based on ROHINI IDs), ailments (ICD 10) and procedures (PCS) which promotes standardisation and supports data comparability and analysis.