Healthcode: The trusted technology at the heart of the healthcare industry

Description

Healthcode's Pre-Authorisation service provides the capability for Hospitals and Insurers to confirm authorisation details for insured patients.

Authorisation details for private procedures agreed between Insurers and their members can be distributed to hospitals in a timely and structured fashion. In the case of a patient anticipating their medical insurance to fund a proposed episode, the Healthcare Hospital is able to electronically request confirmation that the proposed procedure is covered within the patient's policy.

Benefits

	An industry standard claims pre-authorisation facility delivering peace of mind for Hospitals and Insured Patients
	Determines whether a patient is eligible for proposed treatment within the parameters of their medical insurance policy.
	Streamlines the claims adjudication process.
	Increase in volume of electronic invoices with Preauthorized claims.
	Increase certainty of payment reducing bad and aged debts.
	Shorter queues in Outpatient areas, and Outpatient throughput increased.
	Fewer phone calls to Patients and Insurers.
	Increased certainty of Patient confidentiality and security of data (especially where Patients are in public areas).
	More efficient Process.
	Saving of Insurance Company time and resource in Service areas.
	Out of hours responsiveness.
	Staff resource saving in Hospitals and Insurance Companies.
	Reduction in workloads.
	Increase in available time.
	Reduction in paperwork .

Features

	Web-based Pre-Authorisation Distribution service enabling the Insurer to distribute claims authorisations to Hospitals.
	Web-based Pre-Authorisation Capture and Response service enabling the Hospital to request authorisations from Insurers.
	Hospital Patient Administration System (PAS) interface enabling the upload of pre-authorisation records to the hospital systems.
	Secure environment provided by 128bit encryption on internet sessions and permanent secure lines to the insurers.
	Help desk support and service level agreement for existing users.