Hospeze provides extensive services tailored to address the unique challenges hospitals face in managing health insurance claims. Our services include:
- Unified Portal Access: Access multiple insurers and TPA portals seamlessly through a single login with an integrated dashboard, providing real-time updates on one page. Ideal for hospitals of all sizes.
- Claims Review by In-House Doctors: Each claim is carefully reviewed by our TPA-experienced medical professionals before pre-authorization and discharge to ensure accuracy and quicker TAT. Claims exceeding tariff rates are flagged for attention, prompting mitigation enhancement of claim amounts.
- Timely Document Submission: Timely submission of both physical and digital documents to the TPA, enabling early claim settlement.
- Claims Follow-Up: Our dedicated team actively follows up with TPAs and insurers to ensure claim settlements are completed within the stipulated TAT.
- Medical Loans: Digital medical loans at no cost for insured patients in a non-network hospital and flexible financing options at attractive interest rates for non-insured patients.
Hospeze provides extensive services tailored to address the unique challenges hospitals face in managing health insurance claims.
- All-in-One Portal: Streamline workflows by providing a unified intuitive portal for access to all insurer and TPA logins.
- Digital Pre-Authorization Forms: Simplify pre-authorization processes with easy-to-use digital forms, reducing administrative burden.
- Robotic Process Automation (RPA): Leverage automation technology to minimize errors and eliminate manual processes.
- In-House Doctor Reviews: In-house doctor ensures “First Time Right” accuracy by using a comprehensive approach in reviewing claim documents.
- API Integration with IHMS: Seamlessly integrate with hospital information systems (HIS) for efficient data exchange.
- Real-Time Status Updates: Access instant status updates, ensuring complete transparency throughout the claim process.
- Automated Payment Reconciliation: Automate payment tracking and reconciliation, eliminating the need for manual intervention.
- System Tracking for Couriers: Automatically track dockets, reducing dependence on manual tracking systems.
- Insurance Policies We Support
- Insurance and TPA-backed policies
- Group and retail Mediclaim policies
- Government policies (both state and central)
- Beyond Claim Assistance
Our services go beyond claim processing, offering cashless and reimbursement financing at competitive rates with a fully digital experience. Daily billing amounts are processed within 3 days and we provide strategies to increase patient traffic for your hospital.
Flexible Commercials
We offer competitive and flexible pricing models, including percentage-based (on insurance-admissible amounts) or per-claim pricing, ensuring value regardless of claim size.
With Hospeze, hospitals can simplify the insurance claim process, accelerate cash flow and deliver a seamless experience for both patients and staff.
- Insurance Policies We Support
- Insurance and TPA-backed policies
- Group and retail Mediclaim policies
- Government policies (both state and central)
- Flexible Commercials
We offer competitive and flexible pricing models, including percentage-based (on insurance-admissible amounts) or per-claim pricing, ensuring value regardless of claim size.
- Beyond Claim Assistance
Our services go beyond claim processing, offering cashless and reimbursement financing at competitive rates with a fully digital experience. Daily billing amounts are processed within 3 days and we provide strategies to increase patient traffic for your hospital.
- Tailored solutions for your hospital
- Streamline your insurance process
- Discuss partnership opportunities