Simple and Swift

Anukriti Sharma
Monday, 12 June 2017

Cashless health insurance schemes have witnessed great acceptance across sectors, including at the grassroot level. To ensure profitability and efficiency of operations, it is crucial for hospitals, insurance companies and Third party Administrator (TPAs) to maintain complete accuracy and a quick turnaround time during the entire claim settlement process. However, dependency of these participants on the manual methods for data capturing and record maintenance is detrimental to the overall efficiency of the claim settlement and adjudication process.

Remedinet Technologies helps in making the process of claimng health insurance easier by reducing paperwork

Technology has slowly seeped into our lives and has become one of the most essential tools of communication. Post demonetisation and with the inception of the Digital India campaign, paperless transactions have caught on with a large majority of people. While e-wallets and online payments to buy grocery or paying bills were already trending, it is now time for the medical insurance segment to join the bandwagon too.

Cashless health insurance schemes have witnessed great acceptance across sectors, including at the grassroot level. To ensure profitability and efficiency of operations, it is crucial for hospitals, insurance companies and Third party Administrator (TPAs) to maintain complete accuracy and a quick turnaround time during the entire claim settlement process. However, dependency of these participants on the manual methods for data capturing and record maintenance is detrimental to the overall efficiency of the claim settlement and adjudication process.

Remedinet originated as a platform to provide technology solutions for overcoming this limitation of the current claim settlement process. Started in 2012, it enabled capturing and exchange of relevant data for claim settlement in a structured and electronically readable format. By providing tailor made solutions for the payers and the payees, Remedinet simplifies the claim adjudication and settlement process. The solutions provided eliminate inaccuracies and make it easier to monitor the progress of the entire process. They bring in greater transparency thereby reducing the overheads of disputes and multiple to and fro between hospitals and payers.

Their simple solutions for the seamless exchange of information between payer and payee have made Remedinet a key technology partner in implementation of various government health insurance schemes and in ensuring their success. Munish Daga, CEO, Remedinet Technologies says, “Health insurance process in India is a painful and excruciating process. One or the other division is still working like we did in the '90s era. Anytime a person walks in to a hospital to get any kind of treatment, they have to run around to fill a form, then a peon runs around to get it approved from the doctors. It takes a few days to get all the necessary paperwork in place, which can actually be done in just a few hours. So to avoid this delay, we have introduced electronic data which makes the process more predictable and transparent.”

Daga adds that this serves the purpose of the campaign of Digital India as well. Hospitals can offer the patient a simple form that can be filled on their smartphone and they can also track the insurance progress through an app instead of visiting the hospital for an update every now and then.  

He further shares, “When a patient is admitted in a hospital, their details will be uploaded on the Remedinet platform, which prompts an automatic alert to the insurance platform, after which the reply is generated within a few hours. It removes manual effort and tedious paperwork. Our platform is currently being used by the Tamil Nadu government for many schemes. Remedinet has close to 310 hospitals on board from across India, including a few renowned names such as Lilavati, Fortis, Manipal, Narayan Health, Columbia Asia, and Cloud Nine.”

Daga also plans to target tier II companies. He claims that people who are still not acquainted with using apps can opt for SMS system where a text message will be generated to show the status of their insurance application.

 

Follow the writer on Twitter @sh_anukriti

Tags

Related News