Electronic health solution/Rasa
The Smart Complementary Health Insurance Management System based on SaaS is a comprehensive and efficient solution for digitizing and automating insurance processes. With this system, you can reduce costs, increase document processing speed, and improve policyholder satisfaction. Complying with electronic health standards (RASA), this system enables seamless integration with other health systems, allowing you to leverage advanced technologies in the insurance sector. The system automates and precisely handles contract management, tariff adjustments, and claims processing, giving you peace of mind to focus on your business.
The main stakeholders in the Electronic Health Insurance System
- Insurers, self-insurer organizations and companies
- Insurance companies and organizations
- Health centers
- Real and legal appraisers
- The insured
What are the advantages of using the electronic health solution system?
- Increasing insurance policyholders’ satisfaction
- Streamlining insurance processes
- Reducing time and cost of service delivery in insurance companies
- Decreasing human errors in service provision and handling of medical documents
- Enhancing supervision and quality control of service delivery
- Online communication between healthcare facilities and insurance companies
- Financial and operational transparency
The comprehensive features of the Rasa platform for enhancing the quality of supplementary health insurance services.
In this section, you can see the features of the electronic health solution system
- Ability to employ optimized processes from the stage of issuing medical insurance policies to payment of medical expenses
- Support for various models of supplementary health insurance policies
- Existence of an online unit and task management system to address the information needs of all stakeholders
- Mobile app for all insurance policyholders
- Availability of diverse analytical and statistical reports
- Availability of default operational reports
- Provision of tax, financial, and performance reports related to central insurance, stock exchange, etc.
- Provision of necessary services for integration with internal systems of organizations
- Implementation based on the latest IT technologies and fully web-based.
FAQ
The electronic health solution provided by Demis Software Group, titled “Rasa,” is introduced as the proposed system. All features of this system, as detailed in the product introduction sections, will be offered to the client in a Software as a Service (SaaS) model. The contractor will be responsible for all supplementary requirements to deliver the service, including bandwidth allocation, servers, storage, security standards, service continuity solutions, support services, and issue resolution. Naturally, the necessary equipment for accessing the system, such as computers and internet subscriptions, will be the responsibility of the users or their respective organizations.
The services of this system are provided through separate panels, with each group of users able to access panels relevant to their activities. For instance, all services related to damage assessment, used by damage assessors, will be accessible in the damage assessors’ panel. Healthcare providers, for example, will not have access to this panel, and vice versa.
This system includes five panels: Insurer, Policyholder, Insured, Healthcare Provider, and TPA Panel. Depending on their role, individuals can log into the system and access their respective services, which include the following:
- Receiving and verifying the identity information of insured individuals and creating their profiles.
- Registering and managing information for all healthcare providers and their contracts, including hospitals, laboratories, clinics, etc.
- Managing and creating a coding system for all available healthcare services, such as the relative value guide, medications, equipment, etc.
- Managing and calculating all existing medical tariffs in the country.
- Receiving, validating, and delivering insured individuals’ electronic medical records.
- Assessing and reviewing electronic medical records.
- Online inquiries about insured individuals’ information and history.
- Providing analytical and financial performance reports for healthcare services and insurance funds, categorized by healthcare provider, and more.
- Establishing online connectivity with banks for any type of banking operation.
