Revolutionary end-to-end platform transforming the entire healthcare insurance management process.
Revolutionary end-to-end platform transforming the entire healthcare insurance management process.
• Instant Beneficiary Verification and Real-Time Inpatient and Outpatient Adjudication
• Real-Time Pharmacy Benefit Check
• Fully customizable with built-in +100,000 administrative, clinical and financial rules
• Support for medical code sets including ICD-10, MBS, CPT-4, DRG
• Seamless integration with all major HIS and PMS vendors
• Easy integration with health information exchanges, payment systems and government systems
• Dynamic architecture of MEDIGAP allows for easy and fast customization
• Decades of knowhow is embedded into the system for off-the-shelf use
MEDIGAP is an integrated network between all stakeholders, ensuring a fully digitized medical claim process that decreases costs and claim resolution times
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The MediRule Enterprise® health claims verification engine is a standalone system developed specifically for the diverse requirements of enterprise customers, who often need special clauses or customizations to their standard policy templates.
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m-MediGAP® is the extended version of the MEDIGAP ® platform with enriched telemedicine, e‑consultation, e-referral and chronic disease management services integrated over HER- Electronic Health Records orchestration API interfaces.
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+90 312 297 36 75
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