Managed Care Organization Case Study
Our Client owns 5 clinics and nearly 50 panel clinics. They provide insurance service for some enterprise group. One enterprise group has more tens of thousands of employee.
3 Types of Users:
- Managed Care Organization Head Office
- Panel Clinics/Doctors
Types of Users
Managed Care Organization Head Office
Managed Care Organization Head need to manage their Panel Clinic/Doctors and Members, define the insurance policy, manage the insurance claim.
- Manage Patient/Member
- Manage Panel Clinics/Doctors
- Manage Claim Policy
- Manage Claim Application
Panel Clinic/Doctors need to record service, submit claim, review claim status.
- Manage Queue
- Medical Note and Prescription
- Medical Certificate
- Claim Submission
- Review Claim Application
- View Profile, medical history
- Policy Balance
- Appointment and Queue Booking