Automatic Medical Document Processing System (ROSE)
The Medical Document Processing System (ROSE) is a powerful solution designed to streamline the handling of medical documents in healthcare and insurance sectors. Using advanced automation technologies, ROSE can automatically receive, classify, extract data, and process large volumes of medical documents efficiently. This not only reduces administrative time and costs but also enhances accuracy, transparency, and reliability in document management processes.
The main stakeholders involved in the Medical Document Processing System include:
• Basic and Supplementary Health Insurers
Ensuring accurate and efficient processing of claims and reimbursements.
• Healthcare Facilities and Medical Universities
Facilitating seamless integration with clinical documentation and academic reporting.
• Medical Document Evaluation Companies
Supporting the verification and assessment of claims for compliance and accuracy.
• Reduced Time and Cost
Speeds up the evaluation and handling of medical documents, cutting administrative expenses.
• Minimized Human Error
Enhances accuracy by automating manual processes in document review.
• Improved Oversight and Quality Control
Strengthens monitoring mechanisms and ensures higher quality in document handling.
• Enhanced Financial and Operational Transparency
Enables clear, trackable workflows and spending visibility.
Comprehensive Features of the “Rose” System
- Over 100,000 electronic rules tailored to healthcare and insurance domains
- Ability to define complex, multi-dimensional rules
- Processes more than 20,000 medical documents per day
- Supports various document types: inpatient, outpatient, and paraclinical
- Compatible with healthcare data exchange standards
- Supports multiple coding systems used in the medical sector
- Flexible configuration of pricing models and reimbursement methods
- Unified workflow and task management system for human interactions
- Offers a wide range of analytical and statistical reports
- Provides APIs and services for integration with internal systems
- Web-based platform built with the latest IT technologies
FAQ
The Electronic Medical Document Exchange System with smart solutions for receiving and processing various medical documents based on the latest insurance and healthcare guidelines.
Insured individuals covered by this Health Insurance Organization plan can submit their documents to their respective provincial offices, where the acceptance and processing of these documents will be carried out using the implemented insurance rules, and payments will be made accordingly.
After patients settle their bills and are discharged, their documents are processed in the system. Monthly hospital invoices are generated, sent to the insurer, and processed for payment.
