Personal eClaim

Personal eClaim® aims to provide support in automating and controlling the process of managing insurance claims for health care practices. Learn how our program helps in reducing the time and cost of application approval and payment.

The solution to automate claims

The claim for reimbursement of services, performed by a health care facility on behalf of patients insured with companies that directly provide health care coverage, is a necessary element for the settlement of the related fee. There are often critical elements for the service delivery structure, from the perspective of organization and related financial implications. In this context, Personal eClaim® is proposed as a solution to process and automate claims quickly and easily.

Key features

Real-time monitoring
Real-time monitoring of activity progress and related timelines, management of suspensions and expected collection times.
Customized configuration
Allows configuration from the user interface, in a customized and dynamic manner over time, of the procedures that govern the processes of generating, managing and reporting an insurance file.
Transcoding
It automatically arranges for the conversion of the benefits provided (transcoding) in the codes and according to the rules adopted by each insurance company, with simultaneous price sharing between the insurance company and the assisted person.
Cloud-based service
It also accesses the system from mobile devices (thanks to its responsive interface), enabling the service in the cloud on certified health data management platforms.
Process automation
Automates dialogue processes with insurance companies that make available computerized data/document interchange systems.
Efficiency
Guides the organization in the efficient management of files by automatically capturing relevant data generated by internal information systems.