Contains 12 Integrated Projects:

  • Participant Management (Company and Individual)
  • Company Policy (policy number generation, multiple selection of plan category, Payment History Details, PASS History Details, …)
  • List of Expired Policies or Expiring Soon
  • Company and Individual Member (Principal and Dependent)
  • Import and Export (Excel files)
  • Member’s limit of cover per year, Medical services and claim history of member, Age Range, …
  • Medical Providers (Within Network and Outside Network), Provider Details, Provider Services History Details, Services and Price Details, …
  • Plan Type & Category Management, Selection of medical services to be covered
  • Approval Form / Pass Form / Preliminary Pass Form
  • Claims, Preliminary Approval, Post Reserved, Closed Claim, Post Payment, Paid Claim, …
  • Confinement Type, Hospitalization Class, Service Provider Type, Doctors, …
  • Various Reports (Claims, Total Reserved Amount, Total Post Reserved Amount, Total Paid Amount, Medical Act, Medical Act Advance, …)