MEDICS Health Assistance Management
MEDICS Health Assistance Management
MEDICS is a Java-based software solution designed to meet the needs of health insurance companies.
The application primarily provides authorized users with capabilities such as policy production,
provisioning, and document management, and it can be integrated with hospitals using the "Hospital Provision"
or "Web-service" modules.
Insurance companies using the MEDICS system can direct patients to more suitable hospitals by using
the appointment scheduling module, enhancing operational efficiency.
FEATURES
MEDICS is a robust solution that allows health insurance companies to efficiently manage various aspects of
their operations, from policy creation to client management, with flexibility and automation built into the system.
Features of MEDICS Solution:
Person and hospital definitions are made
A price list based on the hospital can be defined
Price list variations are created according to dates
Contracts are introduced
Reinsurance and third-party assistants are defined
Network definition is made
Flexible and parametric settings are applied
Premium calculation is done based on age and personal characteristics
Subgroup management is defined
Individual policies are produced
Bulk policy production and management are enabled
Document Management
The user can access any data related to the patient's history and invoice examinations and services received.
Laboratory documents
Test results
Prescriptions
Personal documents
Invoices
Request Management
This application keeps track of the system's price, allowing the user to view the amount requested for payment
by the hospital in exchange for the services provided.
The user can make decisions and modifications based on this information. In the case of hospitalization,
necessary dates are recorded for later use in reports. Additionally, the reporting section can be customized
according to the specific needs of the insurance company.
Obtaining provisions
Managing previous provisions
Tracking medical histories
Billing provisions
Different reporting options for users/managers
Hospital Provision and Web Service
If desired, the hospital user can manage the provision request process through a special application or web service.
In this case, the user waits for a pre-authorization approval,
which can be modified by the MEDICS user if necessary.
Afterwards, the hospital user can view the final provision.
MEDICS Alert Module
When a new pre-authorization is created, a special listing page with a pop-up alert opens on the MEDICS user screen,
and the user can click the pop-up to immediately process the case.
With this alert system, users do not need to
refresh this list each time.
Appointment Creation Module
The insurance company can use the "Appointment Module," a separate module from MEDICS, to guide patients to the
most suitable service provider based on the workload of hospitals
with which the insurance company has agreements.
In this module, the user receives a call from the patient and immediately accesses the patient's personal data and
essential information.
On this screen, the user can view a page containing crucial information such as the current
service provider, branch details, doctor, and examination dates, and select the appropriate section
to schedule an
appointment for the patient.