Simplification of insurance processes

Many big hospitals these days offer cashless hospitalisation. This means that a policyholder who is covered under medical insurance will be able to avail of services at these designated hospitals and their bills would be settled by Insurance Company or their TPA (third party administrators). This saves the policyholder / immediate family’s blocking of money.

The procedure is such that the Insurance Desk at the hospital collects the pre-authorisation form with the supporting documents and scans them into FileDirector. The Insurance Desk has the option to send it out as a fax or over e-mail to the Insurance Company or TPA central office. 
 
The amount that is sanctioned is either faxed back or sent via e-mail to the Insurance Desk. The fax or the e-mail is pushed into FileDirector. The patient / his relative is notified and the patient can then avail of cashless hospitalisation.

FileDirector and Fax Server play a major role in the entire process as the form along with the supporting documents are immediately sent to the central office for processing and the response to arrives via fax or e-mail.
 
Rincon plays a vital role in this process automation, not just at the Insurance Desk level but also at the Insurance Company / TPA central office. We have deployed solutions at both ends to simplify processes.
Contact us on sales@rincon.co.in to learn more on how our solutions can benefit you.