Medeclaym

A powerful cloud-based Revenue Cycle Management solution from RigelSoft

MedeClaymenables faster settlement of insurance claims, improved accountability and fewer rejections. It is well equipped with the features to address every part of the claims and evidence submission. MedeClaymsupports international patient treatment with dedicated workflows, therefore enabling medical tourism.

Built-in Rules Engine

A built-in Rules Engine that disallows incomplete submissions, and knows what information and documents need to be submitted. This results in error-free submissions that are complete and guarantees that it is pre-authorized.

Smart Data Extraction

ClaimBook’s Smart Data Extraction can read documents uploaded to extract relevant data from the Hospital’s Information System (if integrated with ClaimBook) to prevent the need for manual entries.

Integrated Emailing

MedeClaym also features Integrated Emailing by creating a virtual inbox in your dashboard. Withing the dashboard, emails can be composed, the design feature is similar to Microsoft Outlook.

Track Claims

MedeClaym can track claims that are fully or partially paid and categorize them as such during the reconciliation step. You can view all the claims in a single screen.

Track Courier Details

To prevent physical documents from going missing, MedeClaymallows documents to be downloaded from the dashboard and provides for their courier details to be recorded and tracked.

Case Status Report

Get a comprehensive report of case statuses, delayed cases, outstanding dues on daily basis using ClaimBook. Third-Party Administration (TPA) performance and TAT reports can be downloaded every month.

User Notifications

For every action taken, a notification is sent to the relevant user. MedeClaymkeeps a tab on what all needs your attention using the Pending Items folder.

Single Click Forward to Claims

The MedeClaym dashboard enables a single-click action to move approved cases without any data losses. All pre-authorization claims are handled within the dashboard itself.

Why should you choose MedeClaym?

There are no Prerequisites

MedeClaymis hosted on the cloud, so you don’t incur additional server costs or hardware costs.

Integrate MedeClaym for better speed

Your Hospital Information System can be linked to MedeClaymto make claim processing faster and more efficient.

Time to go paperless

MedeClaym allows for a paperless approach to submit, track and process approvals.

Manage multiple TPAs effortlessly

Our proprietary intelligent email parsing provides out of the box integration with all TPAs out there.

Book a Demo

Want to find out more about how Plato will help you run your specific practice?

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