Our user friendly technology enables easy adoption for all our stakeholders.
We are a leading health and insurance technology company that leverages cutting-edge technology to deliver simplified and informed healthcare decisions to millions of lives connected by our technology, partnerships and human touch. We constantly strive to make relevant and easy to use products and features for both, our members and our stakeholders like insurers, brokers, agents and providers.
We foster a constant hustle within our teams to deliver high functioning, user-friendly products with features that are novel in the market. We invest in deep market research techniques and service delivery models to help our members and stakeholders throughout the process.
Our robust technology and industry expertise make us one of the leaders in the health insurance and wellness sector of the country.
Member Benefits Platform
Med-Benefits, our Member benefits platform is a secure environment that allows members to review their coverage, download documents like benefit schedule and member guide, and gives them access to the provider finder and online claim submission process. Med-Benefits is a private and secure mobile system protecting our members’ information.
- Member information is secure and only shared with people they specifically invite.
- Each case is completely independent from any other case.
- The information is never shared with their respective corporates.
- It is private and secure.
Med-Max is a platform for automated, affordable, and accessible outpatient medical benefits. Simple setup & easy to use:
- An account can be created with members’ personal email or work email as per their preference.
- Enter details to enable employer sponsored features.
- They can share outpatient information with their family members.
- Outpatient is for members and their extended family (spouse, child, parent, etc).
Med-Insur partners with payers to help accelerate their health insurance innovation journey. We offer an end-to-end core administration platform for small and large health plans to modernize their systems at scale and introduce new products quickly. The Med-Insur Platform offers:
- Componentized and transparent applications for a better member experience.
- It is a flexible and adaptable solution in the market today that helps payers ease maintenance of provider contracts, streamline claims adjudication process, and provide exceptional service with centralized claims data.
Med-Claim simplifies the claims processes for customers, employees, agents and third parties with an innovative solution to address a common industry problem — improving claims service while reducing costs. Claims processing is one of the most crucial service activities insurance companies perform. However, the complexity of managing a claims environment with multiple systems and manual hand-offs can create errors and delays that can cause irreparable harm.
- It helps organizations simplify the claims process for customers, employees, agents and third parties.
- It provides an innovative solution to meet a common industry problem — improving claims service while reducing costs.
- Claims Management is a comprehensive life insurance claims system designed to provide claims management and processing support for a variety of claims types in a single system.
- The solution is focused on enabling financial services companies to increase productivity and reduce operational costs, ensure accurate and consistent claims decisions, improve service levels, and reduce backlogs.
As with any modern competitive market, leveraging data analytics tools to make smarter decisions has become necessary for growth. And healthcare payers collect vast amounts of claims data from patients and providers. That data has tremendous potential to guide everything from health plans to marketing strategies.
New laws and regulations are transitioning providers to value-based care models. This change in care management shifts financial risk away from payers and towards providers. To do this, payers must extend their data analytics beyond simple internal reporting.
Med-Pi Drives Growth
- Identifies factors and trends that drive losses.
- Analyze historical and current claims data to ensure that providers are charging for the proper treatments.
- Improve investment by using payer data-backed evidence to demonstrate and defend the success of a program or strategy
Med-Pi Mitigates Risk
- Use advanced analytics to identify future high-cost patients by analyzing individual spending history, age, gender, and other predictors.
- Combat fraud by identifying patterns and trends in claims data to flag behaviors that potentially lead to fraud.
- Identify, track, and visualize key business metrics.