TPA ( Third Party Administrator )
Enhanced Administrative Efficiencies Are Delivered by Egypt HealthBook TPA Software
By updating outdated claims and benefits administration systems, third party administrators achieve considerable cost savings and return on investment. In order to streamline workflows and keep track of suppliers, benefits packages, and core administrative operations, modernising administrative processes need a consolidated platform solution.
The integrated payer platform from Egypt HealthBook gives you the competitive edge you need for benefit administration that is both efficient and affordable. In addition to assisting TPAs in lowering their manual workloads, the Egypt HealthBook platform has responsive portal features that enable members, suppliers, and admins to connect, interact, and share information in real. By keeping your technology infrastructure current, Egypt HealthBook Third Party Administrator solution helps you attract new clients while ensuring that your current customers continue to receive long-term value from your services.
Features
The scalable, agile TPA solution from Egypt HealthBook enables
- Configure complicated benefit plans: Egypt HealthBook industry-leading benefit plan customizability enables administration of medical, optical, dental, completely insured product, disability, life, traveling aid, commission assistance, premium billing, and other benefits to be coordinated. Retroactive adjustments and various premium rate schemes are included in premium billing.
- Achieving the goals of cost containment High auto-adjudication rates are made possible by Egypt HealthBook automation of complex benefit computations, which also reduces the possibility of paying claims improperly. By utilising the real-time warnings, automatic audits, rapid reporting, and more, payers recover substantial savings and decrease consumption.
- The real-time portals allow you to interact and communicate with members, providers, and any other important stakeholders. Members can securely access criteria, provider data, ID cards, claims record, and other customizable data fields with self-service medical portal from their computer, ipad, or smartphone.
- Enhance enterprise-wide productivity with end-to-end processes for claims, encounter information, and more with robust EDI hub.
- Enhance automation and productivity with Egypt HealthBook, which enables automated claim editing and effective fraud, wastage, and abuse (FWA) detection.
- Increasing openness for constantly changing compliance needs Grow more quickly while reducing risk thanks to consolidated documentation and full transparency.
In order to enable domestic and foreign TPAs to reduce costs and provide appealing solutions for their clients, Egypt HealthBook has been working with them in partnership for the past decades. Egypt HealthBook payer platform optimises administrative procedures and enhances communication, use, and engagement with outside vendors through innovative benefit plan architecture and automated, precise sequencing for claims and premiums.
The TPA software offers strong risk management solutions to give TPAs a great deal of control over the claim adjudication and settlement procedure. With auto-adjudication, automatic online registration, and other improved efficiency, Egypt HealthBook automates repricing operations and provides significant cost savings.Egypt HealthBook enables TPAs to provide value-based wellness services, such as Telehealth and Telemedicine, while medical costs rise.
