Health insurance claims management software development services

Having completed over 20 completed projects in the field of insurtech solutions development, DICEUS possesses relevant tech stack and expertise to develop top-notch health insurance claims management software. By partnering with us, you will obtain a comprehensive health insurance claims management system satisfying your expectations with its smooth operability. 

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.  

Streamlined claim submission process

Users can fill out the respective form on any device (mobile gadgets included). If it is done by the company’s current client, the solution will automatically draw information about them (the claimant’s name, address, policy number, etc.) from its database. 

Claim progress tracking

Customers can not only monitor the claim routing and handling progress in real-time and receive an instant notification as soon as it is approved/rejected but also get a consultation regarding their case. 

Easy access to relevant documents

People can upload their e-documents (driver’s license, ID, policy, EHR, and more), which insurers can retrieve whenever they need to process the claim.  

Fast compensation payment

Since the claims management software accelerates all pipeline operations, customers can get disbursement much sooner. 

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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: 

Auto-filling of customer data

To save a claimant’s time and effort, software should automatically insert previously entered or saved information about the customer (such as their name, birth date, policy number, etc.) when they start to type it on the keyboard. 

Claim progress status notification

As soon as a claim is accepted, adjudicated, validated, satisfied, or disbursed, the claimant obtains a notification about the change in claim status. 

Document management

Insurers should have 24/7 access to all claim-related documents (claim application, policy, medical evidence, bank account number, etc.) to make data-driven decisions and accelerate claim processing workflows. 

Online payments

If the insured event has been validated, customers should obtain disbursement via a secure payment capability. 

Online access to FAQ

By visiting this section, customers can get answers to standard questions regarding the claims processing routine and solve a fair share of issues they may face while filing a claim. 

Integrations with other solutions

Modern insurance companies rely on a ramified digital environment in providing their services. Health insurance claims management software should dovetail into this multifunctional system and allow its users to move around it smoothly. 

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

2011the year DICEUS was established
130projects delivered successfully
8offices around the world
GlobalDelivery Center in Poland
250full-time tech professionals
100IT services available

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. 

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Client reviews

Elena Markova

Elena Markova

Board Member, UNIQA Ukraine
riskville

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

Antoaneta Karagyozova

CPSO, Fadata
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

Phil Reynolds

CEO, BriteCore
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. 
 

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