- Need Seamless & timely exchange of information
between TPAs & Hospitals for providing best services to patients. This necessitates
following processes to be more efficient:
- Online Pre-Authorization,
- Online Claims with Structured Discharge Summary & Billing.
- eClaims Validation.
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e-Payment for Claims Settlemet.
- Internet Enabled Payer Provider Network
- To provide more effective process and work-flow for information and money flow between
Hospitals and TPAs.
- To manage payment risks for hospitals, TPAs and insurers.
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