Easily enroll members, collect personal information and biometrics, and issue membership cards.
Accurately identify members, edit their personal information, and confirm their eligibility for services.
Efficiently collect claims and any corroborating documents from clinics, pharmacies, and hospitals.
Thoroughly review and adjudicate claims, and manage the provider reimbursement process.
Intelligently analyze data across the entire system and make any necessary changes.
Identify fraud and surface data to reduce financial and operational waste.
Increase efficiency and remove manual paperwork to ensure the consistent, timely delivery of both care and funds.
Leverage analytics to improve purchasing, policy, and experience for patients, providers, and staff.
Leverages proven technical infrastructure to scale quickly without compromising performance.
Adheres to current international best practices with regard to data privacy and security.
Modular and easily adapts to meet the needs of different health insurance systems.
Built alongside payers, providers, and patients, to improve ease of use and reduce the need for training.
Architected to integrate with different systems and third-party clients such as EMR’s, HMIS’s, and mobile payments.
Developed for use in any setting, even if there’s limited internet connectivity or intermittent power.