Automated claims processes for private health insurance companies
ZABAS® Regulate (Settlement)
These modules from the ZABAS® product family perform fully automated, rules-based inspections of claims statements for insurers.
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The modules are aligned with the fee regulations and your tariffs as an insurer. Invoices are inspected, processed and released on the basis of your own chosen criteria and rules. This reduces the manual workload, freeing up resources that you can assign to other strategic areas.
- Rule strategy mapping
- Validation rules based on tariffs and fee regulations
- Easily configurable validation rules
- Transparency and controllability with the PDCA method
- Standard rule configuration
- Standard interfaces
- Automated claims process
- Advice and inspiration with outstanding technical expertise
- Analysis and simulation
- Modular components
- Transparent benefit payments
- High scalability