eClaim product

We are handling all aspects of the Claims. Our solutions range from outpatient to inpatient, hospital claims to consultant claims.

Consultant Claims

MEDiCLAIM is a new web-based application which for the first time in Ireland, allows medical consultants to process insurance claims easily, effectively and electronically.

MEDiCLAIM is a secure web portal for electronic claims which eliminates paper, reduces costs, improves cash flow and efficiency.

Features

  • Eliminate paper, reducing manual effort
  • Eliminate transcription time, improving accuracy
  • Single submission process
  • Standardised submission format
  • On-demand claim status for all Providers

SIMPLE, ACCURATE AND QUICK

MEDiCLAIM simplifies the submission of health insurance claims, improves form accuracy, minimises errors and thereby reduces claim rejections or hold ups in traditional methods of processing of health insurance claims.

For faster results, less paperwork and minimal operating costs, MEDiCLAIM is the way forward to effectively manage health insurance claims, settle claims successfully and improve cash flow.

An approved software provider for the delivery of electronic claiming or eClaims, MEDiCLAIM is a joint initiative with Irelands Leading health insurers: Aviva Health, VHI and Laya Healthcare.

For More info visit http://www.mediclaim.ie

Billing Services 

Claim & Invoice Submission

Taking the stress out of paperwork is one of the reasons our clients like our service so much. Putting together invoices and claim forms becomes our concern, along with:

  • Coding and pricing as per insurance company guidelines
  • Claims forms automation and submissions
  • Invoice generation
  • Balance billing
  • Electronic claim submission

Hospital Claims

In terms of the hospital solutions, we are working with leading private hospitals to manage their claims process. This includes the e-submission and e-claims.

E-Submission

Mediclaims electronically manages all aspects of a Hospital’s claim from patient admission to discharge, including e-submissions to health insurance providers. It replaces the existing paper processing of claims and integrates with the Hospital’s admissions and billing systems

It is web-based, hosted in the AWS in a virtualised environment, accessible via the VPN.

The Benefits

Mediclaims has enhanced both hospital and corporate reporting, increased efficiencies in claims handling, query management and e-submission at the hospital level. Patients can electronically sign insurance forms via an ePad or tablet device. Consultants can access an electronic secure list of their claims via their login, and can electronically sign appropriate claims.

E-Claims

Mediclaims electronically manages all aspects of a Hospital’s claim from patient admission to discharge, including e-submissions to health insurance providers. It replaces the existing paper processing of claims and integrates with the Hospital’s admissions and billing systems

It is web-based, hosted in the AWS in a virtualised environment, accessible via the VPN.

The Benefits

Mediclaims has enhanced both hospital and corporate reporting, increased efficiencies in claims handling, query management and All electronic claims at the hospital level. Patients can electronically sign insurance forms via an ePad or tablet device. Consultants can access an electronic secure list of their claims via their login, and can electronically sign appropriate claims.

All those claims are submitted instantaneously and processed immediately. The turnaround time for the claims is almost zero. This will tremendously improve the hospital’s cash flow.