Claims processing is the mission-critical part of any insurance handling routine, and health policies are no exception. Health insurance claims management solutions are highly instrumental at all stages of this procedure – from submitting a claim through its processing to a compensation payment.
Benefits of custom health insurance claims management software
Leveraging a first-rate claims management product ushers in some weighty boons for insurance organizations and their customers.
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Basic features of custom health insurance claims management software
The best-in-class custom solution should perform all claims management functions in health insurance, such as:
Why choose DICEUS for health insurance claims management software development?
- Over 20 insurance software projects completed for such blue-chip actors in the realm as UNIQA, Willis, BriteCore, and BenefitNet
- Voluminous tech stack that includes classic frameworks, tools, and languages together with state-of-the-art technologies
- 250 qualified IT employees in command of the necessary skills
- A well-thought-out SDLC where developers are assigned clearly established responsibilities and roles
- The customer-oriented approach, enabling us to readily adjust to our partners’ preferences regarding interaction channels and communication schedule
About DICEUS
Our services
The vetted experts of DICEUS provide the entire range of custom health insurance claims management software development services that cover all IT needs of an insurance company in this domain.
Custom software development
We can create comprehensive insurance claims management software from scratch. Our SDLC covers all necessary stages, starting with the discovery phase and project planning and ending up with the deployment of insurance solutions with subsequent support and maintenance services.
Legacy system modernization
If you rely on an out-of-date ecosystem whose inadequate functioning hampers your efficiency and fails to satisfy its users’ expectations, we will conduct its out-and-out audit, pinpoint areas that underperform, and upgrade or replace them with cutting-edge features and tools.
Mobile app development
Modern insurance organizations can’t ignore the mobile experience of their clientele. DICEUS will create a robust app that will let people file a claim from wherever they are and receive the complete roster of other health insurance services via their smartphone.
Web portal development
We will build an insurance portal where all stakeholders can communicate and obtain not only claims management services but also acquire policies, perform underwriting, get answers to FAQs, enjoy self-service opportunities, access data analytics, exchange medical information with hospitals, etc.
Integration services
The claims management process in health insurance is only one element of the complex routine. We will join all shop floor activities within one IT ecosystem by seamlessly integrating respective tools and solutions via a network of APIs so that its components play well with each other.
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Client reviews
Elena Markova
Board Member, UNIQA Ukraine
We were impressed by the depth of the UX analysis they did in terms of our customer’s research, buyer persona creation, user journey mapping, etc. All the information like research findings, for instance, was presented in a clear form (presentations, Miro boards, clear infographics) so it was quite easy to understand what we need to build and why.
Antoaneta Karagyozova
CPSO, Fadata
We are happy with DICEUS’ software implementation services. The team’s workflow is highly effective and professional in all aspects of the engagement. All clearly understand what goals we’d like to reach and do their best to do that as efficiently as possible. Overall, the partnership has been successful.
Phil Reynolds
CEO, BriteCore
The DICEUS team has consistently supported the BriteCore team for many years. Their engineers are well-educated and highly invested in the ongoing quality of the BriteCore platform with sustained relationships that extend over four years. We appreciate everything the DICEUS team brings to the table as a development partner.
Our case studies
FAQ
What is health insurance claims management software?
It is a complex of IT products that insurance companies leverage to streamline and facilitate the health claim management pipeline. The ecosystem covers all aspects of claim handling, including claim filing, claim progress tracking, document management, online payments, and more.
How does claims adjudication software contribute to health insurance processes?
Solutions of this kind automate the lion’s share of related workflows, such as claims adjudication and auto-adjudication, benefit administration, enrollments, and billing. Thanks to them, insurance organizations can quickly and efficiently assess claims for coverage, medical necessity, and contract agreements.
How can patient billing and claims software improve financial workflows?
By integrating this module into their professional IT environment, insurance companies boost their financial workflows due to enhanced accuracy, error minimization, facilitated cash flow, perpetual regulatory compliance, and improved financial reporting capabilities.
What technologies and trends drive digital claims processing in health insurance?
Artificial Intelligence is the principal technology that will shape the contours of claim processing in health insurance in the foreseeable future. Its chief use case in the niche is fraud detection and prevention through firm billing control. Besides, AI will surely become an intelligent instrument for checking claims against prewired codes, policies, or providers and powering chatbots that will radically boost customer service.
What benefits does claims workflow automation technology bring to healthcare providers?
Companies that introduce a high degree of automation into their claims handling pipeline minimize the negative effect of human factors (errors, oversights, and negligence), improve the organization’s efficiency and productivity, step up risk management, provide non-stop regulatory and SLA compliance, and augment the overall level of services they offer.
