The medical institutions, insurance company, customers and participants are all linked in order to view the coverage plans of each participant and the coverage plan which will be offered to the patient before and during it's processing.
- Medical Institutions
- Insurance Company's Employees
Medilight system provides the users with the ability to store documents or pictures either lab tests or X-rays or personal documents for the customers of their subordinates such as identification cards, personal pictures or any other documents.
The beneficiary is a person, an organization or a company with which the insurance company contracted to provide medical services. In this part of Medilight system, all data related to the beneficiary, his/her accounts and coverage plans are entered in addition to the subscription section which displays the paid as well as the remaining amounts.
Through MEDI LIGHT system, the user can add the coverage plans provided by the insurance company as well as the price of each plan separately along with the possibility of adding infinite number of coverage plans in order to make it easier for the user to add or modify any coverage plan in the future. Only the authorized users have the ability to modify the coverage plans so as to avoid manipulation.
In this part of MEDI LIGHT system, the user can add the company or customer along with all the related data such as contract terms, the programs to which he/she belongs and its prices, contract’s period, premiums’ values, collection dates as well as any other data related to the customer data such as the address, the phone number, the subordinates…etc.
In this part of MEDI LIGHT system, the user can add the hospitals, the doctors, the labs, the pharmacies and all the other institutions with which the insurance company contracted. Consequently, the medical institutions along with the services are saved and can be easily retrieved and modified only by the authorized users.
MEDI LIGHT system enables the user to define the services provided to beneficiaries along with the possible exceptions. It also provides the ability of linking services to other related ones and register how many times a service is repeated.
In this part of the system, the user can issue transfer letters, track the incoming letters and whether these letters are covered by the coverage plan to which the beneficiary belongs or not and consequently approve them.
In this part, MEDI LIGHT system manages all kinds of the medical institutions’ incoming claims and compares them to the ones that are actually issued from the company and how far they correspond to the services’ prices and whether the services in the incoming claims are available within the beneficiary’s coverage plan or not.
Medilight system supports the process of issuing statistics and reports for the top management to quickly take important and conclusive decisions which help in enhancing the company's growth and achieving the maximum profit and targeted goals. The system also provides the decision makers the ability of designing suitable reports for the different data.
In this part of Medilight system, the user can define the prices of the services provided by the medical institution and it's accounts, whether the claim or revenues collected from beneficiaries as well as issuing tax reports and letters signifying the amounts collected for taxes interest and administrative expenses for a certain period.