Rx Claim
Number of Claims Processed
5M+
Amount of Claims Processed
100M+
Benefits
Simple, Secure, Realtime, Notifications, Interporability
Date
November 19, 2022
The Rx Claim is Africa’s largest online to offline system which is perfectly suited for many parts of the emerging world with unstable internet connectivity
Irrespective of the location, size or reach of your business, the RX CLAIM is perfectly engineered for your needs.
Enrolment & Membership
Electronic Member Enrolment (Online registration of members, Bulk Excel upload of members and single member registration) Member management (Status, Benefit options, Policy Expiries), Pricing and Reporting.
Risk, Benefits & Pricing
Big Data reports for Risk Analysis, Underwriting (with relevant underwriting data and elements) Policy and Premium calculations, policy holder details and reporting.
Policy Management
Contract version management capabilities with policy detail management. Billing of policy holders and members, payment made by policy holder and reporting.
Claims Management
Clinical claim adjudication system with online and offline capabilities. Financial claim adjudication system with online and offline capabilities.
Payment Management
Adjudicated and approved claim payment management. Financial management and reporting
Patient interaction
With our custom Mobile application patients get to monitor their claims , benefits utilization and submit refund