Digicure.ai

Insurance and Claim Management

Streamlines the cashless admission, claim processing, preauthorization, and reimbursement workflows for insured patients to ensure end-to-end transparency and faster turnaround times.

Features of Insurance & Claims

Preauthorization Management

Digital preauth request generation
Templated forms for TPA-specific documentation.
Upload support for clinical records, investigation results, and cost estimates.
Auto-notifications for approvals, queries, or denials.

Claims Submission & Billing Integration

Auto-fetch of billing data, diagnosis, and procedure codes.
Multi-level claims form: Interim, Final, Enhancement, Reimbursement.
TPA-wise claim packaging with document attachments.
Real-time claim status
Claim reconciliation which matches approved amount vs. billed amount, flags underpayments or rejections.

Insurance and Claim Management

Insurance and Claim Management

Features of Insurance & Claims

Preauthorization Management

Claims Submission & Billing Integration

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