Health Claims and PreAuthorisation Platform
Health Insurance Claims and PreAuthorisation management is a complex process. We have spent over hundred man years to perfect our solution for your needs.
JSure platform is a custom enterprise solution which works as a part of your core insurance system.
Web based claims file entry
Payments Management for Providers
Document Exchange with Health ProvidersIntegrations
Doctor, Speciality and Title Catalog
Core Insurance Platforms
Pricing Integration with JMed
Policy Rules Integration with JRules
Integration with UW Exemptions
Intgegration with Hospital Information Systems
Integration with Pharmacies Through JPharmacy
The first stage of fraud and abuse management is Anomaly Detection, because there are no ready data sets to leverage Machine Learning algorithms.
JBig Anomaly targets not only fraudulent activities but also ways to explore areas to help you with immediate financial gain, get more insight into product performance, increase your bargaining power with providers. Manage your claims teams and pre authorisation rules better by increasing automation levels even higher.
JDocs for Health Insurance and Policy Creation
Paper forms, medical examinations and initial health insurance onboarding process requiring data entry for Insuring and Policy creation are simplified with JDocs.
Your applicants may fill the Smart Health Claim forms for entire family members via their smart phones. Smart forms have most valuable questions for time saving and optimize defined risk group questions.
Paper forms can also be imported with Smart Scan for detailed review by insurance brokers.
Undertaking process is simplified for collecting machine-based risk analysis, medical examination, external medical record research and sensitive data of other insurance companies.
Tracking service levels for onboarding will provide easily define and improve critical optimization points for best Customer experience.