At MedConcept, we're proud to present our cutting-edge platform for medical claims management. Our innovative solution streamlines the claims process, offering a host of benefits for insurance companies, TPAs, and beyond.

1. Automated Claim Processing
   • Detect up to 11% of wrongfully approved claims
   • Reduce claims administration teams by 40%
   • Identify fraud and abuse cases up to 1.5% of total claims per year
2. Comprehensive Platform Access:
   • Accessible to insurance companies, brokers, medical providers, and insured persons

• Prescribed Benefit Medication (PBM)
  • Control over prescribed drugs with advanced functionality
• Powerful Data Analytics
  • Based on a 64m combination of medical rules for unparalleled accuracy
• Additional Add-Ons
  • Drag-and-drop reporting module
  • Customer relationship (CRM) module
  • Mobile app for on-the-go access
  • Automated notifications via SMS, email, or push notifications
  • Full-fledged accounting system for seamless financial management

• Automated Claim Handling
  • Claims are medically and financially automated by the system
  • Instant approval or rejection with clear reasons provided
• Extensive Rule Coverage
  • Widest combination of international medical rules, exceeding 64 million combinations
• Pre-Approval Automation
  • Process pre-approval cycles electronically
• Sophisticated Reporting
  • Utilize drag-and-drop reporting system for comprehensive insights
• Chronic Medication Module
  • Manage chronic medication with ease
• User and Tariff Management
  • Sophisticated user management and tariff management for medical providers
• Reinsurance Support
  • Reinsurance support module included upon request
• Customization and Market Adaptability
  • Customized for at least 6 markets to date, adaptable to various regulatory environments

• International Rules Audit
  • System audits ICD and CPT codes for international rules compliance
• Eligibility Check
  • Audit insurance terms and conditions for eligibility
• Financial Auditing
  • Audit financial aspects of claims processing
• Fraud and Abuse Detection
  • Automatically detect instances of fraud and abuse within claims

In Summary: MedConcept offers unparalleled efficiency and accuracy in healthcare claims management. With automated processing, extensive functionality, and advanced auditing capabilities, our platform revolutionizes the way medical claims are handled.
For more information or to explore partnership opportunities, please contact us. Experience the future of healthcare administration with MedConcept