Benefit configuration
Member, plan, benefit, limit and exclusion management for established healthcare programmes.
Healthcare claims technology
Enterprise claims management systems for benefits, claims and care-network connectivity.
MediLink technology is shaped by operating experience in Third Party Administration, corporate employee benefits and healthcare claims management.
Enterprise Claims & Care System
ECCS: the claims and benefits engine for payors.
Claims workflow
Claims processing, validation, operational controls and reporting across customer-specific workflows.
Deployment flexibility
Configuration and deployment approaches can be aligned with the customer operating environment and agreed scope.
Medibridge
One bridge across multiple care-network environments.
Medibridge Hospital supports Letter of Guarantee, medical-information and billing exchange between participating hospitals and payors.
Medibridge Ancillary Care Network supports eligibility, visit and claim-submission workflows for participating clinics, ancillary providers and physicians.
MediLink ONE supports member-facing access within the connected healthcare environment where deployed.
Responsible innovation
Human accountability remains in the loop.
Document intake, validation, workflow and decision-support capabilities are introduced progressively, with authorised users retaining responsibility for material decisions.
Claims platform