DRG Claims
The aim of this service is to automate detection of overpayments. This solution simplifies the process of error identification made by clinical staff during the treatment process by adding wrong codes for procedures or diagnoses.
Insurance service providers import claims with the help of SSIS (SQL Server Integration Services) packages for automated auditing saving costs for administrative work while getting better results than by manual search.
The service also notifies the hospital about the refund request, thus making the recovery process easier.