Digital Platform

Digital Platform – Customer Portal

Key Functionalities

  • An easy & Interactive portal allows user to access their Policy profile & coverage along for self as well as dependents. Real time Benefit utilization, Claim current status & past history helps user understand their Policy benefits. Handy downloadable Health records such policy docs & e-cards are a plus.

  • For an assisted decision to choose Providers, we offer interactive & extensive information regarding Provider details as well as Health care comparison in terms of Services, cost, Provider grading, distance, etc.

  • Users need not depend on experts for services like Claim Intimation, updating banking details, Tariff comparison, Policy documents, Insurance cards download, claim history, etc.; for any Query/request and Service request can also be raised at an instance and same goes with providing Feedback.

  • Apart from the regular benefits, clients get to access their Fitness assessments through Active Days, Active Age & Healthy Heart Score. For a healthy assessment, clients are assigned scores in Health wallets which can be exchanged during Policy renewals for Premium discounts. A Health Risk Assessment (HRA) can be followed by Health Tips, ‘Doctor on Chat’ or Physical consultation along with booking Lab Tests and ordering medicines online.

Digital Platform – Group Portal

Key Functionalities

  • Offers options for Policy Enquiry such as Employee profiles, Policy schedules, COIs, etc. with options to communicate, upload & download related documents.

  • Corporates are also provided access to claim intimation/Pre-Authorization request on behalf of Customers, view Claim current status, discrepancy view & upload for supporting docs.

  • Corporates can initiate Endorsements (financial & non-Financial) and Policy Renewal Requests which acts as a direct business assistance.

  • Provider Profile management helps initiate Medical test alignment for Clients & Hospital/Facility Locator to view empaneled/non-Empaneled/Red-Flagged Providers.

  • Various reports allows Corporates to analyze Claim Dump, Member Annexure, Broker Information, Incurred Claim Ratio(ICR), Endorsement details, Renewal reminders, etc.

  • Access to Download center for bulk download, FAQs, KRM Information, Escalation Matrix & Online Payments

  • Corporates can directly log Grievances and provide Feedback on the portal.

Healthcare Provider Portal

Key Functionalities

  • Provider Profile management helps initiate Empanelment Requests, Medical test acceptance for Clients, Hospital/Facility details/Doctor Listing updations request, etc.

  • Access to view & update Contact & Payment information, maintain & update procedure list & tariff.

  • Providers are also provided access to claim intimation/Pre-Authorization request, view Claim current status, discrepancy view & upload for supporting docs.

  • Provider Profile management helps initiate Empanelment Requests, Medical test acceptance for Clients, Hospital/Facility details updations request, etc.

  • Various reports allows Providers to analyze Online Dashboard & MIS pertaining to current & past year claims

  • Providers can directly log Grievances and provide Feedback on the portal.

Digital Platform – Channel Partner Portal

Key Functionalities

  • Offers options for Lead generation & Quotations with real time view for Proposal Status with options to communicate, upload & download related documents.

  • Premium Calculators help estimate Premium Cost with various optional benefits & tenure.

  • Partners are also provided access to claim intimation/Pre-Authorization request on behalf of Customers, view Claim current status, discrepancy view & upload for supporting docs.

  • Partners can also initiate Endorsements (financial & non-Financial) and Policy Renewal Requests which acts as a direct business assistance.

  • Provider Profile management helps initiate Empanelment Requests, Medical test alignment for Clients, Hospital/Facility Locator, etc.

  • Various reports allows Partners to analyze Proposal to Policy ratio, Premium details, Commissions, Incurred Claim Ratio(ICR), Endorsement details, Renewal reminders, etc.

  • Partners can directly log Grievances and provide Feedback on the portal.

Digital Platform – Mobile App

Transfer your operations to a mobile platform that supports the devices you want to implement allowing you to approach key processes more efficiently, as well as cut costs.

Technologies like Augmented Reality and Artificial Intelligence based solutions will facilitate the progress further. Our Mobile app development is not only limited to IOS & Android but also help you create:

mob app
  • Cross-platform web-based apps
  • Establish real-time data sync with WebSockets
  • Create a Proof-of-Concept app
  • a secure IoT infrastructure , and more.

Machine Learning AI/ML/DL

Machine Learning Enablers

Machine Learning Enablers
Machine Learning Enablers
Machine Learning Enablers

Advanced Analytics & Machine Learning

  • Attitudinal and Behavioral Segmentation

  • Predicting Customer Loyalty/Stickiness

  • Early Detection of Customer Disengagement / Attrition

  • Predicting Propensity to Purchase and Re-Purchase Financial Products

  • Predicting Cards Next Spend (When, Where, What, How Much?)

  • Detecting Lifestyle Changes / Life Events

  • Recommending Services / Merchants / Products to Customers

Deep Learning based facial recognition

De-duplication

De-duplication

  • All current methods across industry rely on text based deduplication:

  • Phone number

  • Email

  • Name

  • DoB

  • Its not difficult to alter/swap these information

  • Our Solution is India’s first system deep learning based de-duplication at on-boarding

Claims

Claims

  • IDs usually used for identification at Hospitals do not contain detail image of the insured.

  • More than 80% cases these are overlooked by the hospital staff.

  • The same Deep Learning algorithm works at the time of claim to establish the identity of claimant.

  • No additional infrastructure is required. Mobile app can be used.

Profile Scoring

Profile Scoring using Lifestyle & Chronic data points

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profile_scoring   profile_scoring
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You have an overall profile score of 85% This falls under moderate health risk. Please go through recommended lifestyle changes in the detailed report. You can also contact our partner service providers for consultation and discounts.