Rasa Salamat
Rasa Salamat is Demis’s comprehensive and integrated solution for the intelligent management of health insurance. It unifies all processes involving insurers, claims adjusters, healthcare providers, policyholders, and the insured within a single platform.
By leveraging Business Intelligence (BI), a Business Rule Management System (BRMS), a Workflow Engine, and Cloud Services, this system enhances the speed, accuracy, and transparency of healthcare and insurance service delivery.
Why Rasa Salamat?
Reduced healthcare service delivery time
Enhanced accuracy in claims assessment
Paperless Workflow
Intelligent cost control
Financial and operational transparency
Reduction in in-person visits
Increased policyholder satisfaction
Scalable support for millions of users
Evaluation methods in the Rasa system
Manual Assessment (Traditional)
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 Assessment
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
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
Rasa Salamat Implementation Process
The insured's visit to the medical facility
Recording of service costs in the Rasa system by the healthcare institution
Sending documents
Physically receiving documents
Document review by the Damage Assessor
Payment of approved compensation
The insured's visit to the medical facility
API & Web Services
Acceptance of HIS Insurance Documents
Sending service fees to the Rasa system
Sending documents
Document review by the Damage Assessor
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
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.
RASA Salamat
Comprehensive Electronic Health Insurance Management Solution
