Healthcare
Datamatics has proven capabilities in the healthcare solutions space. Our customers have achieved over 30% reduction in incident frequency and a cost reduction of 20% over three years, and 99.9% application availability by using a 24x7 application monitoring tool. [ Download PDF ]
Our Healthcare solutions
We provide the following solutions to Healthcare Providers:
- Revenue Cycle & Claims Processing
- Web based Directory Service, Online quote and Underwriting System
- i-Clinic Framework – Integrated Clinic management system
- High Productivity Tools
- Healthcare Insurance Solutions [ Download PDF ]
Reusable Framework and Products
- SOA & Web Architecture – Biztalk, Web Logic
- Database – SQL Server, Oracle
- i-Clinic – Integrated clinic management solutions for Provider
- OSS – Online Support System (Front end for iclinic) – Repository of Templates and Processing Workflow for:
- 270 – Eligibility Enquiry
- 271 – Eligibility Response
- 278 – Specialty care authorization
- 837 – Claim Submission
- 997 – Claim acknowledgement
- 277 – Claim Acknowledgement
- 835 – Remittance advice
- 276 – Claim status enquiry
- 275 – Claims attachment transaction
- EDI Adaptor – Communication with TPA or Payer company
- e-Payable / Receivable – complete Accounting Package
- IDART – Information capture, Document Archival, Retrieval and Data Transmission System.
What Sets Us Apart
- 800 man years IT solution delivery to leading UK based Private Medical Insurer and several US based Insurance Payer companies
- 12 million claims Processed Annually
- Reusable Framework and Products will provide 50-60% cost reduction in Project implementation.
Our experts are available for the following services
- Health care process / practice implementation, work flow product development / enhancement / Support & maintenance
- EMR / EHR product testing / development / enhancement / Support & maintenance
- Managed services for product / applications
Healthcare Claims Processing Solutions
As a matured IT & BPO organization and a leading player in Healthcare & Insurance outsourcing space, we effectively use transition, technology & project management skills to help Healthcare Providers & Insurance carriers across the globe to transform to a consumer-centric way of doing business, lowering administrative costs and adding value.
We were among the first companies to extend claims processing outsourcing services to the US clients through both the domestic as well as offshore mode and continue to be a major player in this segment.
Datamatics' Suite of Healthcare Claims Processing Solutions
- EOB Processing Solution
- Healthcare Provider Solutions
- Healthcare Payer Solutions
- Revenue Cycle & Claims Processing
- Web based Directory Service, Online quote and Underwriting System
- i-Clinic Integrated Clinic management system
- i-Q Intelligent Information Processing
- IAR Intelligent Archival and Retrieval System
- Healthcare Insurance Solutions
