Health Insurance Solution

Optimize Your Health Insurance Claims Processing With Curacel

CURACEL ENABLES HEALTH INSURERS TO:

Collect claims from their providers and prevent fraud, waste and abuse in the claims process. We studied the Health Insurance industry to understand where the most value is lost by Insurers. This was identified to be the Claims Process. The Process is mostly manual and is fraught with a lot of fraud, waste and abuse. Our solution, driven by AI, helps to curb wastage and make the Insurer more efficient, thereby making them unlock hidden value.

CURACEL ENABLES HEALTH INSURERS TO:

Collect claims from their providers and prevent fraud, waste and abuse in the claims process. We studied the Health Insurance industry to understand where the most value is lost by Insurers. This was identified to be the Claims Process. The Process is mostly manual and is fraught with a lot of fraud, waste and abuse. Our solution, driven by AI, helps to curb wastages and make the Insurer more efficient, thereby making them unlock hidden value.

CURACEL CLAIMS ENABLES INSURERS TO:

  • Collect Claims from all your Providers easily;
  • Start receiving claims immediately from about 400+ hospitals already using Curacel;
  • Easily manage the Claims Vetting Process end-to-end;
  • Seamlessly integrate with any Software you use in managing your HMO;
  • Carry out Audit/Quality Assurance on the Vetted Claims;
  • Send Payment Advice to your Providers.

CURACEL CLAIMS ENABLES INSURERS TO:

  • Collect Claims from all your Providers easily;
  • Start receiving claims immediately from about 400+ hospitals already using Curacel;
  • Easily manage the Claims Vetting Process end-to-end;
  • Seamlessly integrate with any Software you use in managing your HMO;
  • Carry out Audit/Quality Assurance on the Vetted Claims;
  • Send Payment Advice to your Providers.

CURACEL DETECTION ENABLES HEALTH INSURERS TO:

  • Check-in Module to curb fraud related to enrollee not showing up for care;
  • Pre-Authorisation Module to properly manage PA requests automatically;
  • Automatically vet your claims with our revolutionary Clinical Vetting Engine (CVE), set up with your Underwriting and Operational rules;
  • Run a very efficient Claims Department whose work is made easier by Curacel.

CURACEL DETECTION ENABLES HEALTH INSURERS TO:

  • Check-in Module to curb fraud related to enrollee not showing up for care;
  • Pre-Authorisation Module to properly manage PA requests automatically;
  • Automatically vet your claims with our revolutionary Clinical Vetting Engine (CVE), set up with your Underwriting and Operational rules;
  • Run a very efficient Claims Department whose work is made easier by Curacel.

Let's explore what quality-driven looks like.

Let's explore what quality-driven looks like.