RASA: Comprehensive SaaS Electronic Health Insurance Solution
RASA is a powerful SaaS-based electronic health solution designed to automate supplementary health insurance processes for insurers, health centers, and organizations. By streamlining claims processing, policy administration, and tariff management, RASA reduces operational costs while improving policyholder satisfaction and operational efficiency.
Fully compliant with international electronic health standards, RASA integrates seamlessly with healthcare and insurance systems, enabling stakeholders to leverage digital health technologies. Key participants in the system include insurers, self-insurer organizations, insurance companies, health centers, real and legal appraisers, and the insured, all benefiting from automated contract management, claims settlement, and insurance processing. This ensures accuracy, scalability, and faster decision-making, empowering organizations to focus on growth, compliance, and superior customer experience.
- Learn more: https://portal.rasatpa.ir
Key Stakeholders in the Electronic Health Insurance System
- Insurers and Self-Insured Organizations – Entities responsible for providing and managing health insurance coverage.
- Insurance Companies and Associations – Organizations that underwrite, administer, and regulate insurance policies.
- Healthcare Providers and Centers – Hospitals, clinics, and medical institutions delivering patient care and services.
- Independent Appraisers (Real and Legal Entities) – Professionals and organizations conducting assessments, audits, and evaluations related to claims and coverage.
- The Insured (Policyholders) – Individuals and groups covered under health insurance plans, receiving healthcare services and benefits.
Advantages of Using an Electronic Health Insurance Solution
Comprehensive Features of the RASA Platform
RASA is a SaaS-based electronic health solution designed to enhance the quality and efficiency of supplementary health insurance services. Its features streamline operations for insurers, healthcare providers, and policyholders, including:
- Optimized Insurance Processes: From issuing medical insurance policies to payment of medical expenses, all processes are automated and efficient.
- Support for Multiple Policy Models: Compatible with various types of supplementary health insurance policies.
- Online Unit and Task Management: Facilitates the information needs and collaboration of all stakeholders.
- Mobile App Access: Ensures policyholders can access services anytime, anywhere.
- Advanced Analytics & Reporting: Provides diverse analytical, statistical, and operational reports.
- Financial and Tax Reporting: Generates reports for central insurance, stock exchange, and organizational performance.
- System Integration Capabilities: Seamlessly connects with internal systems of insurers and healthcare organizations.
- Modern Web-Based Implementation: Built on the latest IT technologies for reliability, scalability, and security.
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FAQ
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.
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.
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.
