TechMediz – Insurance Management Module
To simplify and automate handling of insured patients—including corporate schemes, credit-enabled patients, and package plans—ensuring smooth billing and claim processes.
Key Features of Insurance Management in TechMediz
- Patient Insurance Registration
- Corporate Scheme Management
- Credit Enablement for Eligible Patients
- Package Patient Handling
- Pre-authorization Request Management
- Real-time Claim Status Tracking
- Claim Form Generation & Documentation
- Cashless & Reimbursement Modes
- TPA & Corporate Reporting
- Audit & Compliance Support
Features of TechMediz's Insurance Department
Patient Insurance Registration
Capture insurance details, policy numbers, TPA info, and coverage limits during admission.
Corporate Scheme Management
Manage agreements with corporate clients, apply negotiated rates, and automatically link eligible patients to their corporate schemes within TechMediz.
Credit Enablement for Eligible Patients
Enable credit facility for select patients based on insurance, corporate agreements, or prior approval, allowing treatment without immediate payment.
Package Patient Handling
Support package plans where treatments or procedures are bundled for fixed pricing; TechMediz auto-calculates and bills accordingly.
Pre-authorization Request Management
Submit and track pre-auth requests with diagnosis, estimated costs, and treatment plans to insurers or TPAs.
Real-time Claim Status Tracking
Monitor claim approvals, rejections, or queries directly in the patient record.
Claim Form Generation & Documentation
Generate insurer-compliant claim forms, bills, and discharge summaries; upload and store all relevant documents for audit.
Cashless & Reimbursement Modes
Handle both cashless claims and reimbursements, with clear segregation of covered versus out-of-pocket expenses.
TPA & Corporate Reporting
Access detailed reports by insurance company, corporate client, package usage, and claim statuses to optimize follow-up.
Audit & Compliance Support
Maintain comprehensive logs and documentation to meet NABH and insurer audit requirements.
