Rasa Health: Comprehensive Health Insurance Management System
Rasa Health is Demis Holding’s comprehensive, integrated solution for smart health insurance management—unifying underwriting, claims assessment, healthcare providers, policyholders, and insured members within a single online platform.
Powered by Business Intelligence (BI), a dynamic rules engine, smart workflows, and cloud technology, Rasa Health maximizes speed, accuracy, and transparency across healthcare and insurance service delivery.
Why Rasa Health?
Faster Healthcare Service Delivery
Accelerating patient admission, instant authorization issuance, and significantly shorter claims processing and settlement cycles.
Higher Claims Assessment Accuracy
Automated calculation of deductibles, co-pays, and coverage limits based on policy rules and approved medical tariffs without human error.
Paperless Workflows
Complete digitalization of medical claims submission, auditing, and archiving—eliminating costly paper-based processes.
Smart Cost Containment
Complete digitalization of medical claims submission, auditing, and archiving—eliminating costly paper-based processes.
Financial & Operational Transparency
Delivering accurate, real-time financial and operational reports for insurers, corporate policyholders, and healthcare providers.
Reduced In-Person Visits
Providing seamless digital self-service for insured members and healthcare centers through integrated web portals and mobile apps.
Enhanced Member Satisfaction
Effortless access to cashless medical services, real-time claim status tracking, and rapid reimbursement.
Scalability for Millions of Users
Robust cloud-native architecture with a proven track record of supporting over 43 million insured individuals nationwide.
Claims Assessment Methods in Rasa Health
Manual (Traditional) Assessment
Support for paper-based and non-electronic claims relying on manual data entry and expert adjuster review.
Key features
- Ideal for cases without electronic prescriptions
- General data entry by the insured or healthcare provider
- Decision-making primarily handled by claims adjusters
- High dependency on adjuster experience and knowledge
- Longer processing times with a higher risk of human error
Online (Real-Time) Assessment
Smart, real-time claims adjudication through direct online integration with national health systems and healthcare providers.
Key features
- Real-time data inquiry and seamless exchange
- Instant document authentication and validation
- Fraud prevention and blocking of unauthorized payments
- Fully intelligent and autonomous rule execution
- Highest level of automation and precision
Electronic Assessment
Structured claims processing based on electronic prescriptions (e-Rx) and detailed itemized service records.
Key features
- Optimized for cases with electronic prescriptions
- Precise logging of medications, services, and tariffs
- Automated execution of insurance rules and tariffs
- Minimized human intervention in decision-making
- Superior speed and accuracy compared to traditional methods
Implementation & Operational Workflow of Rasa Health
Direct (In-Network / Cashless) Claims Assessment Process
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The insured's visit to the medical facility
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Recording of service costs in the Rasa system by the healthcare institution
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Sending documents
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Physically receiving documents
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Document review by the Damage Assessor
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Payment of approved compensation
Rasa Ecosystem
Rasa Salamat
Health Insurance Management
- Intelligent Claims Processing
- Contract Management
- Rule & Tariff Control
- Management Dashboards
- Analytical Reports
Integration and Communication
Connection to external systems
- Connection to HIS
- Integration with national systems
- Connection to API
- Standard Data Exchange
- Expandability and scalability
RasaP
Policyholder Mobile App
- File Viewing
- Claim submission
- Status Tracking
- View insurance coverage
- Push Notifications
- Online Inquiry
What is the Comprehensive Electronic Health System (Rasa)?
RASA, the electronic health solution developed by Demis Software Group, is offered as a Software as a Service (SaaS) platform for managing supplementary health insurance processes. All features described in the product introduction are provided to clients via this cloud-based system.
The service includes full responsibility from the contractor for:
- Bandwidth allocation, servers, and storage
- Security standards and service continuity solutions
- Technical support and issue resolution
End users or their organizations are responsible for the equipment required to access the system, such as computers and internet subscriptions.
The platform is organized into role-specific panels, ensuring that each stakeholder accesses only the features relevant to their role. For example:
- Damage assessors have a dedicated panel for evaluating claims.
- Healthcare providers access a separate panel for their services.
This structure maintains data privacy, operational efficiency, and seamless collaboration across all user groups.
How can one register in the Electronic Health Solution System?
The RASA electronic health solution is organized into five role-based panels: Insurer, Policyholder, Insured, Healthcare Provider, and TPA Panel. Each user accesses services tailored to their responsibilities, ensuring secure and efficient management of supplementary health insurance processes.
Key Features by Panel:
- Identity Verification & Profile Management: Receive and validate insured individuals’ identity information and create comprehensive profiles.
- Healthcare Provider Management: Register and manage healthcare providers, including hospitals, clinics, laboratories, and their contracts.
- Service Coding Management: Maintain and create coding for all healthcare services, including relative value guides, medications, and equipment.
- Tariff Management & Calculation: Handle all medical tariffs and reimbursement rates nationwide.
- Electronic Medical Records Handling: Receive, validate, and deliver electronic medical records for insured individuals.
- Claims Assessment & Review: Evaluate and review electronic medical records efficiently.
- Online Information Access: Conduct inquiries regarding insured individuals’ information and medical history.
- Analytical & Financial Reporting: Generate detailed reports on healthcare services, insurance fund performance, and provider-specific analyses.
- Bank Connectivity: Establish secure online connections with banks for all types of financial operations.
What is the Rasa Health App?
With the RASA Health App, insured individuals can effortlessly access their electronic prescriptions, submit medical expense claims, and track the status of reimbursements in real time, ensuring a seamless and transparent healthcare experience.
Transform Your Health Insurance Management with Rasa Health
Contact Demis Holding’s specialists today for a personalized consultation and a live demo of the Rasa Health platform.
