ClaimBook

What is ClaimBook?

ClaimBook, created by ABI Health, is a cloud-based claims management software for managing hospital insurance claims.

It simplifies the entire claims process, including insurance desk operations, pre-authorization, claim submission, query resolution, and settlement collection.

The platform accelerates settlements, enhances TPA accountability, minimizes revenue leakage, and reduces claim rejections.

Additionally, ClaimBook facilitates international patient care with specialized workflows to support medical tourism.

Why Choose ClaimBook Software?

• AI Agents: Streamline patient documentation, discharge coordination, settlement reconciliation, expense management, and more using AI-driven automation.
• Rules Engine: Submits only complete requests to boost accuracy, efficiency, and faster turnaround times.
• Smart Data Extraction: Automatically pulls relevant data from documents and hospital systems to eliminate manual entry.
• Automated Case Progression: Categorizes cases, calculates claim amounts, and sends approved cases to finance for processing.
• Claim Status Tracking: Organizes claims into fully-paid, partially-paid, and outstanding to simplify reconciliation and prevent revenue leakage.
• Comprehensive Reporting: Generates daily and monthly reports on case statuses, TPA performance, and business insights for better negotiations.
• Hassle-Free Enhancement: Easily adds documents or adjusts claim amounts to adapt to changing treatment plans.
• Single Window Credit Management: Manages all credit claims (insurance, government, corporate) on one platform, eliminating multiple channels.
• Patient ID-Based Claim Tracking: Uses advanced HIS integration to track credit claims by patient ID, linking multiple claims for simplified reconciliation.
• Real-Time Status Communication: Shares real-time claim updates with patient families via SMS, WhatsApp, QR codes, and display monitors.

Benefits of ClaimBook Software

• Courier Tracking: Logs and monitors courier details for physical documents sent to TPAs for settlements.
• Information Display: Syncs with hospital display boards to provide real-time claim status updates for patients and caregivers.
• Single Window Credit Management: Unifies insurance, government, and corporate claims management on one platform, eliminating multiple channels.
• ABDM & NHCX Compliance: Ensures compliance with ABHA creation and NHCX claim exchange, adopted by 24+ insurers and TPAs.
• Aegle Dashboard: Provides a unified dashboard for HODs and CXOs to oversee the credit cycle, designed with enterprise hospital input.

ClaimBook Pricing

ClaimBook price starts at Rs 10000 per month/license at techjockey.com.

The pricing model is based on different parameters, including extra features, deployment type, and the total number of users. For further queries related to the product, you can contact our product team and learn more about the pricing and offers.