HealthClaims Management
Software or "HMS"
Our all-in-one Cloud-based Digital Insurtech
Solutions for the Insurance and Healthcare Industry
HealthClaim Management Software
Core Backroom Web Application
Trusted by these Corporate Companies
HMO and Insurance Companies
System Overview
HealthClaims Management System or HMS is an Enterprise-grade Software Suite designed specifically to cater the wide range of healthcare services and its infrastructure platform were modeled for healthcare organizations of any size.
Browser-based app
Platform
Compliance
MS Azure and AWS
Our all in one Digital Insurance Platform
HMS Full System Components
Application suites that complement seamless modular integration across all its software components. It embraces the full automation of the Insurtech business model and core operations to combine leading and modern edge software technologies into a single solution
Corporate and Group | Retail (Family | Individual)
Policy Account Management
HMS provides full and comprehensive data management handling of policy setup for Group | Corporate Accounts and Retail (Individual | Family) Accounts. And, for big Enrollment Accounts, that brings a fully integrated tools to automate big volume Member Enrollment in ease.
Benefit Packages and Pricing System
Benefits & Premium Manager
Multi-layered and with sophisticated Premium | Pricing setup allows HMS to have a flexible way to create and support Benefit Product offerings of any type. HMS also offers an adaptive and dynamic pricing strategies that allows any Insurance and Healthcare Industry to stay competitive on the marketing landscape.
Guarantee Issuance & Adjudication Automation
With full range of consolidated information that provides comprehensive views for each Members, HMS Guarantee Issuance module provides easier way to automate adjudication approval, issuance of letter of guarantee and have a better CRM support in terms of Member-care management.
Core Medical Claims Processing
Claims Utilization & Analytics Module
HMS accelerate the automation and straight-through processing of claims from medical approval using it's pre-defined data to speed up the data build-up of Claims processing. With built-in medical data processing system learning, HMS provides an ingenious way to assist the medical operations handling large number of claims and its repetitive workflows.
Support for Financial Data Automation
RFP & Disbursement Module
Expanding the Claims operation by automating the Request for Payment (RFP) for Hospitals or Doctors and Disbursement record preparation, HMS fully supports data extraction extensions for financial component from various third party GL and Financial Systems.
Our all in one Digital Insurance Platform
HMS Software EcoSystem
A suite of powerful tools starting from its core software all the way to its companion support application.
Core Application
Designed from ground-up to be for large operations in mind, catering full spectrum of Insurtech requirements
Web Services
Our best Middle-tier yet, designed to fully utilize each third party apps access. Giving HMS an advantage for expansion and platform growth
Companion Apps
All Companion apps are natively built to complement the full potential of its core system. Built for operations and designed for targeted HMS consumers