Our
health insurance software SATA is an ERP to manage TPA activities.
A powerful tool for claims management and back office needs
of TPA's.
TPA
software SATA is a small ERP solution to manage all activities
of of a TPA which includes enrollment, Card Printing, Dispatch,
claims intimation, authorization, scrutiny, billing, Cheques
preparation, float management, call management and office
management.
Our
TPA software SATA is equipped with various business and analysis
reports to management as well as regulatory agencies.
Main
features of the TPA Software SATA are:
- Policy
Management :
- This
section of our health insurance software SATA is to
manage policy details received from insurers and ID
card management
- Policy
Direct Data Entry of policy details received from
insurers
- Policy
data can also be imported from excel files or csv
files received from insurers
- Preparation
of ID Cards
- Dispatches
of the cards
- Status
tracking of ID cards
- endorsement
of employees or insured
- Hospital
Networking
- Hospital
networking is one of the primary job of a TPA. Health
insurance software SATA keeps the record of network
hospitals, which includes:
- Hospital
details entry
- Recording
details of discount offered by hospital offered
to TPA
- Tracking
blacklist hospitals
- Hospital
wise claim analysis
- Claims
Management
- Health
insurance SATA has been developed to manage all aspects
of health claims. This includes:
- Receiving
claim intimations
- Pre-Authorization
of amount to hospital
- Receiving
of claim documents for cash less as well as reimbursement
claims
- Preparation
of check list for scrutiny department
- Scrutiny
of claims
- Billing
of the claim
- Settlement
of claims
- Preparation
and dispatch of claims
- All
processes in between is also covered in this section
like auditing of claims, issuing additional information
required letters and denial letters
- Float
Management:
- TPA
software SATA also manages floats received from insurers
and issuance of claims against that float.
- Call
Center Management
- Tracking
of all inbound calls received from insurer, customer,
broker, insured, patient, hospitals or any other source
- Analysis
of calls
- Office
Management:
-
File Management
- Our
TPA software SATA assist you in managing physical
files or box files. You may keep the files and its
document details in SATA and get the system generated
file number.
- Store
files based on system generated file numbers
- Track
movement of file and find physical location of your
files.
-
Inward/Outward Document Management
- This
section of TPA software SATA help you in tracking
of inward and outward couriers and packets from
or to your office.
- Manage
courier company billing
- Analysis
of inward and outward documents
- MIS
- Health
insurance software SATA generates different type of
reports for management, insurers, corporate and regulatory
agencies like IRDA or TAC
- Claims
analysis
- Claim
ratio analysis
- Claim
status tracking and reports
- End
User Reporting
- TPA
software sata has capability to provide access to insured,
insurers, corporate, insurance brokers, hospitals to
view their claim status
- Viewing
of ID card status and claim status
- Claim
analysis
- Portfolio
reporting
- Online
claim intimations
- Technical
Details
-
Health insurance software SATA is Developed in asp.Net
Framework 3.5,
-
Database
used is Microsoft SQL Server 2005
-
Reporting
through Crystal Report 12.0, which enables users to
get versatile reports.
-
Reports
can be exported to PDF, MS Word, Excel or RTF
-
You
may also provide access to your customers, Corporate's,
Insurers, Brokers, to view their portfolio and claim
status.
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