ANIA – Health

PRODUCT FACTORY

– Product design (rules, eligibility conditions, channels…)

– Several types of products supported: Individual or Group while impacting other modules such as underwriting or claims

PRE-SALES & SUBSCRIPTION

– Several simulations
- Creation of the proposal and
policy transformation via workflow

– Group underwriting, allowing to manage the different categories
(collèges), chargement de la liste des adhérents par fichier

– All types of endorsements

DIRECT CLAIM

– Notification and claims management

– Quick and reliable calculation of compensation, a real-time view of a member’s loss ratio

– Control of eligibility rules for exclusions and limits

CLAIM - THIRD-PARTY PAYMENT

– Portal dedicated to healthcare network providers

– Adaptability of the portal according to the type of provider (prescribing doctor, radiologist, pharmacist, etc.)

– Integration of the electronic prescription

PREMIUM COLLECTION & DISBURSEMENT

– Premiums collection taking into account the installment rules and payments methods

– Scheduling the payments by respecting the payments methods, by beneficiary

PARTNERSHIPS

– Management of healthcare providers and institutions

– Agreement management

ANIA HAS MORE ASSETS

– Easy opening to distribution networks

– Reduced management costs

– EDI interfacing: Direct debit, mass transfers, etc.

– Integrated Workflow

– Interfacing by webservice or API with third-party systems (banks, etc.) and legacy