– Product design (rules, eligibility conditions, channels…)
– Several types of products supported: Individual or Group while impacting other modules such as underwriting or claims
– 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
– 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
– 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
– Premiums collection taking into account the installment rules and payments methods
– Scheduling the payments by respecting the payments methods, by beneficiary
– Management of healthcare providers and institutions
– Agreement management
– 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