AdMedika’s Claim Management Services called e-Claim , are conceptualized on the fact that paper-based medical claims process proved inefficient, lacks transparency and prone to abuse and fraud. Our proven methods and procedures of claim administration simplify and standardize healthcare information, reduce cost, enhance service at point of care and create convenience for members (policy holders / patients) when seeking healthcare services. This service will enable our clients to focus on strategic activities of their organization, relieving them from infrastructure cost and back office management, reduce provider billing aging, reduce data entry cost, improves data accuracy and accelerate claim payment to the providers and/or policy holder.
Our experienced claim professionals utilize AdCPS (AdMedika Claims Processing Systems) technology. This state-of-the-art, on-line, real-time system provides instant claim and eligibility information and able to process even the most complex transactions efficiently.
We strive to process claims with 100% accuracy and with the fastest time possible. When speed, accuracy and cost are critical, our solution alleviates the pressure.
- 24/7 Contact Center
- 24/7 Case Monitoring
- 24/7 Medical advisers
- Real-time eligibility
- Largest healthcare network providers
- Standardized healthcare information
- Minimizing claim excess
- Minimizing fraud & abuses
- Improves data accuracy
- Cost Containment
- Real-time & Online system
- Online web system
- Accelerate claim payment
- Membership data administration
- Advanced security and confidentiality of data
- Reliable Data Center
- Comprehensive reporting
- Increase productivity & service quality
Corporations or state-owned enterprises (BUMN/BUMD) that have its own Healthcare Foundation & Private Insurance, Self-Insured and JAMKESDA can cooperate directly with AdMedika.
Corporations or state-owned enterprises (BUMN/BUMD) that do not have Healthcare Foundation can cooperate with AdMedika as a Third Party through a Private Insurance company.
AdMedika Claim Management Services are flexible and can be tailor made to your requirements.
If your company or institutions do not match above criteria, please SENT US A MESSAGE and we will collaborate with you to find the best solution for your healthcare administration needs.