Flex-ICM

Flex-ICM, developed by eHealthFlex Pvt Ltd., is an insurance and claims management solution designed to streamline the claims processing workflow for insurance providers, third-party administrators (TPA), and government agencies. This software caters to the needs of insurance firms, TPAs, government agencies, healthcare providers, and claims management professionals, aiming to efficiently manage insurance claims and ensure prompt and accurate processing.

Key Features

E-Insurance Claim Processing: According to the vendor, this software automates claims processing for insurance firms, addressing documentation issues and providing accurate results. It aims to streamline the claims management process.

Quick Insurance Claim Process: The vendor claims that Flex-ICM enables fast and efficient processing of insurance claims, reducing the time taken for claim settlement. It aims to improve customer satisfaction with prompt claim processing.

Insurance Claim Forms: Flex-ICM provides standardized claim forms for easy submission, ensuring accurate and complete information for claim processing. The vendor states that it simplifies the claims documentation process for insurance firms.

Transparent Claim Processing with Compliance: The software aims to ensure compliance with rules, regulations, and compliances applicable to insurance claims. It offers transparency in the claim processing workflow, helping insurance firms maintain compliance while managing claims.

Utilization Management: According to the vendor, Flex-ICM provides utilization analysis of medical requirements, promoting timely and effective care for injured workers. It aims to help employers improve financial controls in managing claims.

Case Management Module: The case management module offers cost-effective evidence-based solutions for case management, facilitating rehabilitation, reducing costs, and ensuring compliance with regulations. It aims to manage the coordination of medical care and recovery for injured workers.

Bill Analysis Module: This module processes worker's compensation or multiline expenses. It utilizes advanced technology and skilled medical experts for reviewing medical expenses, aiming to streamline bill analysis for regional or national networks.

Professional Health Assessment Module: According to the vendor, this module provides unbiased expert advice on accident or medical conditions. It offers comprehensive patient assessments, practical ability tests, and medical record reviews, aiming to facilitate accurate health advice on challenging claims.

Peer Review Module: The peer review module registers credentialed and licensed physicians for evidence-based evaluation services. It aims to provide factual outputs that can be defended at any point, ensuring reliable and objective peer review of medical claims.

Pharmacy Review Module: The pharmacy review module integrates the prescription review and medication analysis process. It aims to enable consistent, objective, and timely pharmacy benefit decisions, considering the quality, use, and suitability of medicines within the care program.