Remedium HIMS - Insurance Management Module

The Health insurance coverage is growing and large number of patients have moved from out of pocket expenditure to health insurance cover. Health Insurance companies are entering into contract binding rates which effectively shifts the burden of managing costs to hospitals. Hospitals that can reduce costs through their use of a comprehensive HIMS offered by Remedium will benefit from the associated savings. Remedium Hospital Insurance Management Module is a comprehensive end-to-end solution designed to handle various types of insurance processing requirements and scenarios. The easy-to-use solution helps in quick processing of pre-authorisation and post hospitalisation insurance claims and will help reduce the accounts receivable and improve the revenue cycle management at Hospitals. The system is future-ready with the capability to transmit claims electronically to insurance gateways, as and when these are opened up in the country. The system can handle multiple insurance companies, multiple Third Party Administrators and also can store all the relevant inclusions and exclusions associated with each insurance company's policies, and, map the same to the insurance covered patients. The end-to-end system has facility to provide insurance in Out-patient module also, and, registers insurance patients, obtains pre-authorizations, checks the limits and exclusions against every order and ensures 100% compliance with individual insurance policy guidelines, ensuring excellent acceptance rate of the bills submitted to the insurance companies as well as ensuring 100% patient satisfaction with billing process.