Sternum E-claims

Performance enhancement focused on process efficiency, security and analytics

Sternum E-claims provides an automated ecosystem of workflows that effectively reduce cost, enhance controls and process efficiency of medical insurance claims transactions.

Applications

Medical insurance providers

Employer sponsored medical schemes

Medical service providers

Capitation scheme administrators and service providers

Key features

  • E- claims ( paperless)
  • Biometric authentication
  • Analytics – Demographics, psychographics, pharmacometrics, Drug-disease associations, financial metrics
  • Standardized workflows
  • Pre- authorization and Capitation capabilities
  • Mobile app – as E-token for eligibility and transactional verification for members

Member Platform

Medical Service Provider Platform

Medical Insurance Providers Platform

Benefits

Fraud Mitigation

Operational cost control

Improved SP-MIP relations

Analytics to advice business decisions

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