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CoreTech has developed a wide range of innovated cutting-edge products targeting the insurance healthcare industry that covers the whole insurance system requirement
Claims Management System (CMS)
Claims Management System (CMS) presents a comprehensive, fully integrated healthcare
claim management system that caters all the industry’s requirements. It presents a scalable,
dynamic and flexible approach to accommodate the rapid growth and constant changes in the
parameters of healthcare insurance services. It has been designed according to the highest
international standards and codes in the healthcare insurance sector. Position itself as one of
the most claim management software solutions available today. The solution is fully
implemented for one of the largest TPA Company in the Middle East (MEDEXA GROUP).
Digital Claims
Fraud Claims Detection
Integration Capabilities
Integration Capabilities
Claims Tracking & Reporting
Automated Claims Processing
Hospital Management System (HMS)
Hospital Management System (HMS) is powerful turnkey management solution that allows hospitals to setup and operate in and out patient healthcare processing and management. HMS is fully customizable with amazing capabilities. Position itself as one of the unique comprehensive and cost-effective hospital management software solutions available
today.
Patient Management
Appointment Management
Staff Management
Insurance Verification
Digital Medical Records
Laboratory management
Insurance Supervisory Commission Automation System (ISCAS)
Insurance supervisory commission automation System (ISCAS) is a unique business automation solution tailored to automate the supervisory end-to-end business process, which allows managing complete business workflow; collects all information and load it electronically and perform monitoring of the activities and performance.
Customized Reports
Analytics & Insights
Commission tracking
Commission by Policy
Managing business workflow
Automate supervisory process
Online Claims Approval System (OCAS)
Online Claim Approval System (OCAS) is designed to automate and generate the claim approval process to quickly and instantly generate the response through validating the submitted claim information against the insurance policy rules and conditions.
Multi-device Initiation
Real-time Verification
Integration Capabilities
Insurance Verification
Claims Tracking & Reporting
Workflow Management
Pricing Simulation system (PSS)
Pricing Simulation System (PSS) is unique and state-of-the-art automated system tailored to
facilitate and help insurance companies and sector in defining competitive and comprehensive
burning costs, by using pre-existing data which can be loaded from any other system to
simulate and identify the actual insurance costs, and then the system allows to simulate these
information for any region and country based on specific user’s factors.
Costs Clearness
Custom Costing Models
Forecasted Reports
Policy Based Prices
Customizable Pricing Rules
Advanced Analytics & Insights
Health Insurance Management System (HIMS)
Health Insurance Management System (HIMS) lies between three parties (Insurance Company, Third Party Administrators (TPAs), and Insured Groups) that collects different data electronically, and performs data assembly, formatting and processing to support the insurance company in timely, accurate, and cost effective manners, which sustain up-to-time statistical information, and automats the manual process performed by the insurance company in collecting and processing the data from different parties.
