Bring The Power Of E-Insurance Management To Your Business

- Better processing of health insurance claims.
- Reduce the operational cost.
- Easier Communication between the payer and the provider.
- Get deep insight on the medical history of the patient.
- Manage Patients’ credit limits.
- Submit Clean claims to collect payment faster.
- Prevent the abuse of the medical services with fraud detection.

 

Automatic Claims Processing

Our platform is uniquely designed to support rapid, iterative development by a broad range of users while ensuring that IT retains control. Bring business and IT together to rapidly deliver applications that:

Complete Policy Management

Immediate fraud detection.

Real-time effective communication.

Automatic and accurate claim processing.

Core Functions

  • Automatic Claims Processing

    As a Payer, Nice Deer benefits can be represented by fast, easy and accurate electronic claim processing, to smoothly originate approvals and automatically generate chronic monthly medication.
    As a Provider , Nice Deer allows for automatic earlier detection of errors as it has Pre-Audit Claim fields for potential errors.
  • Fraud Prevention and Detection

    Increase profitability and save time and money paid for investigating fraudulent claims with a proactive abuse detection before claims are paid.
  • Complete Policy Management

    Manage all policy information, table of benefits, exclusions list, and other controls like maximum daily claim limit, all in a single platform. Plans and benefits are also defined with their different covers, exclusions, claim limit and frequency.
  • Open Communication Platform

    Real-time effective communication that enables provider to get the payer’s consultation online through an online dialog within a collaborative manner.
    Calculate incurred but not yet reported (IBNR) claims with no need for healthcare actuaries; management of beneficiary credit limit and cap limit is smoothly achieved.