Our Solutions & Services

TPA


Assure Finance Medical Third Party Administration
is a fully customization claims management solution. With its continuously evolving 1.5 million rich procedure, out of the box real-life tested workflows and full database of molecules and standard medical codes, our solution can be rightfully cited as one of the top five TPA solutions available in the market.

The product:

  • Assure Finance Medical Third Party Administration has evolved with real time experience with insurance and healthcare industry
  • It is fully compatible with self-funded schemes
  • Matured over 15 years
  • Served various TPAs in India, Middle East, Europe and USA
  • A great value for money
  • Fully customizable
  • Can be provided as a SAAS solution, or license based

Strengths

  • Developed on rich experience of health insurance industry
  • Scalable. Fast. Reliable. Secured
  • Clear view on checks and balances
  • Strong validations for each transaction
  • Claim Auto Adjudication
  • Standard Medical Code Bases (ICD10/CPT5/HCPCS)
  • Formulary database completed with our rich experience
  • Multi Payment, Multi Currency Options

Modules:

  • Group and Employee Management
  • Table of Benefits Management
  • Health Card and Records Team
  • Network Hospital and Tariff Management
  • Claims Processing & Auto Adjudication
  • Audit Trail
  • Accounts/Finance
  • CRM
  • Grievance Management
  • User Roles
  • Reports
  • Mobile application

HIMS

TA2MINET

FMS

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