FOR HMOs

Automation of Administrative Processes for HMOs

Introduction of The Product

Our Health Maintenance Organization Software is a web-based software, with a user-friendly interface and easy to use system. It is a multi-login solution that gives access to authorized users of the software; restricting each user to their area of focus.

  • HMO login: This is the main in-house operational gateway where all claims, registers, capitations, etc, can be managed.
  • Staff Login: Here, enrollees can register, manage their dependents, request to change their plans and hospitals.
  • Company/Client Login: Companies can manage the list of their own enrollees and view outputs.
  • Individual Enrollee Login: For individuals who have signed up to an HMO privately (without an organization).

Benefit of The Product.

Enrollee

  • Comprehensive enrollee data-keeping, and picture uploaded for ID
  • Sorts enrollee: Enrollees can be sorted based on their providers, their place of work or their plan type. These parameters can be combined to sort enrollees.
  • One-touch retrievable enrollee data.
  • Enrollees can be grouped into Principal, Spouse, and Dependant(s).
  • Enrollees' printable family photo cards can be generated.

Features

  • Dashboard.
  • Billing.
  • Enrollees.
  • Hospitals.
  • Payments.
  • Bills.
  • Change Management.