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TPA - Insurance System |
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Offer Advance MIS India, Management Information System, MIS for Insurance Company, TPA Insurance Software, Third Party Assurance Software, MIS Solution, Customized Insurance Software Application, Insurance Software Solutions, Insurance software Development. |
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TPA is a Management Information System for TPA - Third Party Assurance, having work of Mediclaim Processing like New India Assurance Co. It contains ICD10 Code Implementation (ICD Standard maintained by WHO), Statistical Reporting subject to IRDA, Government of India & New India Assurance Co. |
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Complete N- Tier architecture |
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Implemented using Microsoft ASP.Net 1.1 and C# |
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SQL Server 2000 as back end |
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Pages designed using HAL (HTML Auto Layout) standards |
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Exclusive ISA Certified "ICD10 code" integration |
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Reporting/Statistics like Yearly, Monthly, Agent wise, Hospital wise, ICD10 code wise, Age group wise etc. |
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Full text Index Search implementation |
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Unified Modeling Language (UML) has implemented. |
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Complete documented with Test cases and Use cases etc |
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TPA is quick and easy to learn , at the same time has the power and flexibility of a sophisticated TPA system |
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TPA uses a Menu and Window driven User Interface with mouse support |
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Advanced password security system is provided to allow users' limited access to TPA features (Like Admin, Data Entry Operator (Policy/Claim), Data Entry Operator (Doctor's Study/Approval/Rejection), Stat. Report Manager, Advance Data Entry Operator etc) |
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Search ICD10 Code. Search ICD10 code using keyword also, like search with 'eye' as description, will return all ICD10 code for which description contains word 'eye'. |
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Search on Hospital name, Hospital UPIN MCI No , Policy ID, Policy No, Policy development officer agent, Receipt no, Insurance office, Policy holder etc. of any item is provided |
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Supports Multi users environment and multi location Web Interface |
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Particular attention has been paid to the smoothness, speed and ease of use while issuing, returning, renewing and reserving items. |
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Log Register to record uncontrollable errors. |
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Insurance Company |
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- Add Delete, Modify, Search, View etc. functionalities to manage Insurance Company and Insurance company branch details.
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Manage Hospital |
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- Add Delete, Modify, Search, View etc functionality to manage hospital details.
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Policy Information |
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- Add Delete, Modify, Search, View etc functionality to manage Policy details.
- Search policy using Policy number, Policy holder, Policy ID, Policy development office agent, Insurance office, Receipt no etc.
- Manage Insured Person detail.
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Search ICD10 Code |
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- Search Using ICD10 code or keyword of description.
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Claim Information |
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- This modules contains details of Provider billing form, Patient claim form etc.
- User can add modify, search, view, delete the Provider billing form and so is true with Patient claim form.
- Claim type can be Pre-Authorized Claims or Reimbursement Claims.
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Reporting |
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Following is a list of few Reports TPA system provides : |
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- Management Information System (MIS) Report to be obtained from TPA for Submission to Ministry
- Management Information System Report to be obtained from TPA for Submission to Insurance Company (Branch)
- Report on Enrolment Information
- Claims and Reimbursement Analysis Report
- Hospital - Wise Claims Report
- Outstanding Claims Report
- Claims Paid Details Report
- Annual Hospital-Wise Stay Analysis Report
- Annual Agent wise Analysis Report
- Management Information System Report to be obtained from TPA for Submission to Insurance Company
(Head Office)
- Claim Analysis Report - Age GroupWise (Disbursement Break UP)
- Claim Analysis Report - Age GroupWise and ICD Code wise
- Management Information System Report to be obtained from TPA for Submission to IRDA
- Analysis Of Claims Handled for the Year Ending
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| Other Customized Software / Solutions : |
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