ClaimBook by ABI Health

ClaimBook is a powerful Revenue Cycle Management (RCM) solution, built to enable more effective hospital insurance claims management.

It comes equipped with features and functionalities to address every area of Claim and Evidence Submission, Query Management and Revenue Collection. ClaimBook also supports international patient treatment with a dedicated workflow and enables medical tourism.

Unique Features of ClaimBook

Rules Engine

With an in-built rules-driven data and validation engine, ClaimBook knows exactly what information needs to be filled in and what documents need to be submitted. It only allows submission of complete requests and will disallow incomplete submissions.

This feature ensures error-free, complete submissions, every time which guarantees approval of pre-authorisation requests.

Smart Data Extraction

ClaimBook can read uploaded documents and also extract relevant data from your Hospital Information System (when integrated), to automatically enter details and avoid the need for manual entries.

Integrated Emailing

ClaimBook creates a virtual mailbox within the dashboard - with Inbox, Sent Items and Draft folders - similar to that of Microsoft Outlook. There is also the facility to compose emails directly from the application dashboard.

Automated Progress

ClaimBook likes to keep your claims process moving. With auto-parsing techniques, case details are read and categorized into relevant folders, claims amounts are automatically calculated and entered and approved cases are moved to the finance department.

Notifications

ClaimBook alerts you, every step of the way. Notifications help you take action on items needing attention, which you can address with a single click!

A ‘Pending Items’ folder on the dashboard also keeps count of exactly how many items need attention, and can help you take control of your work.

One-click Actions

One dashboard handles all pre-authorisation cases and another handles all claims. However, all it takes is a single click to move an approved case to the claims dashboard without the loss of any data!

Enhancement of Cases

Whether it is to include additional supporting documents or revise the approved amount, the Enhance functionality of ClaimBook comes in handy.

Couriering

When sending physical documents to the TPA for final settlement, they can be easily downloaded from ClaimBook. Moreover, to prevent the chances of couriered documents being misplaced, ClaimBook comes with the functionality to record courier details and track them easily.

Tracking of fully/partially-paid claims

At the time of reconciliation, ClaimBook makes it easy by displaying all details in a single screen. Fully-paid claims and partially-paid claims are categorized in separate folders.

Comprehensive Reporting

Case status reports, delayed case reports and outstanding dues reports can be generated on a daily basis. TPA performance and TAT reports can be generated on a monthly basis.

Information Display

Hospital display boards can be linked up to ClaimBook to provide patients/caregivers with real-time updates on their claim status.

Why Choose
ClaimBook?

  • No Prerequisites

    ClaimBook is cloud-hosted; this means, there are practically no prerequisites for its installation, other than a computer with an internet connection. There is no need for on-premise servers, hardware or additional resources, and absolutely no additional costs.

  • Integrate for Speed

    Simply integrate ClaimBook with your Hospital Information System and billing system and watch your claims process accelerated to achieve maximum efficiency!

  • Go Paperless

    ClaimBook’s pre-authorization module provides a completely paperless solution to submit, manage and track healthcare pre-authorisation, enhancement and discharge requests with all TPA/insurance companies and receive approvals with quickest turnaround time.

  • Effortless Management of Multiple TPAs

    ClaimBook assures TPA integration (with all TPAs) out of the box, as a result of proprietary intelligent email parsing technology.

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