TPA and Insurance Management

The TPA and Insurance Management module facilitates the process of settlement of the bills of a patient insured or covered by a third party. It records the details of third party payers and insurance companies. It helps to verify the eligibility of the patient for reimbursement by the third party or the insurance company. This module helps the hospital file online claims on behalf of the patient in a prescribed format along with the discharge summary and various bills of the services provided to the patient. It also helps to track the status of the claims and provides a provision for follow up to these TPA and Insurance companies.

Features of the TPA and Insurance Module

  • Provision to record the TPA and Insurance details of a patient.
  • Instant verification of eligibility of the patient.
  • Online submission of claims forms.
  • Provision for follow up with the TPA's and Insurance companies.
  • Status enquiry of the submitted claims.
  • Integration with other modules for discharge summary and other details.
  • Provision to bill the patient separately for the services provided by the hospital that are not covered by the TPA and Insurance companies.
  • Provision for cashless hospitalization.
ERP
ACG Infotech, provides Web Based ERP Solutions in India & is a Top company in Web Based ERP Solutions and Offshore..... 
CRM
(Customer Relationship Management) software helps in enhancing efficiency, serves to aid the sales....
INFRASTRUCTURE
(Customer Relationship Management) software helps in enhancing efficiency, serves to aid the sales....
HOSPITALITY
This software is developed as a modular solution, which provides end to end integration to a tour....
LOGISTICS
ACGIL, As a leading fleet management consultant, ACGIL has utilized its expertise to create the Matrix Fleet Leasing
HEALTH CARE
Today medical communication standards exist only for the higher level of medical care, like various databases and hospital .....