Power HMO is software that manages the health processes in relation to Patients, Hospitals, Companies and Third party agents. It integrates all processes right from Bidding, Prospect Conversion to Client, Enrolments, capitation to claims, authorisations and so on.
It also integrates seamlessly with your back office accounting processes such as preparation of debit notes, generation of claims documents e.t.c.
Capturing of unlimited number of customers, debit notes and renewal subscription
Capturing of unlimited number of hospitals, setup of capitated hospitals or not with plans
Capturing of an unlimited number of enrollees in respect to hospitals, plans and benefits
Monthly generation of capitation for hospitals in respect to enrollees
Generation of claims documents for hospitals in terms of diagnosis, treatment and verification of tariffs
Structured coding of authorisation number and confirmation of authorisation code
Capturing of all enrollee visits to the hospital
Capturing of enrolee on admission either in-patient or out-patient
Capturing of discounts/commission for brokers.
Generation of reports such as policy documents, subscription notices, renewal notice, debit notes e.t.c.
Prompts for expiration of schemes.
Upload of enrolls per client.
Capitation list to hospitals.
Claims document to hospitals.
Activation/deactivation of enrolls.
Prompts for over-aged enrolees.
Capturing of enrolee images.
Production of ID cards.
Reports on diagnosis, drug tariffs and benefits.
Upload of data using OCR scanner.
Export of reports in excel, word and PDF formats.
Seamlessly posting to your account features.