Medical Claims Settlement System
overview
The challenges of Medical Claims
⚠️ Critical Challenges in Manual Process
The entire referral and claims process was paper-based and manual, causing serious delays in approvals.
Employees had no visibility into request status and had to constantly follow up with CMO & HR.
In critical cases, delays in referral letters could even impact patient survival.
🧩 Lack of Centralization & Transparency
There was no centralized system for managing requests or claims.
Approvals were handled on physical documents, making tracking difficult and error-prone.
Approvers had to manually verify data with SAP, leading to inefficiencies and no scope for analytics or reporting.
💡 Intelligent Digital Solution
We implemented a centralized, end-to-end digital platform that automates:
- Referral requests
- Claim submissions & tracking
- Approval workflows
Integrated with SAP for real-time validation, enabling faster, accurate, and paperless processing with full transparency.
🚀 Business Impact & Outcomes
- ⏱️ Significantly reduced approval and processing time
- 🏥 Faster response in critical medical situations
- 📉 Reduced manual errors and dependency
- 🔍 Real-time tracking for employees & management
- 📊 Improved transparency, compliance, and audit readiness
Sectors
Why should you choose our Medical Claim Settlement System?
Portal to capture employee medical requests.
Medical request approval is done in the portal by SMEs (CMO & HR).
Request status is always visible to employees and other stakeholders.
Approving authorities need not have to physically verify the request letter data as the request letter is integrated with live (SAP) database.
On Approval, a request letter is directly sent to the hospital via email with an employee in CC
Claims status is always visible to employees and other stakeholders and management is done by SMEs before submission.- Claim Settlement (Computation of admissible amount) is accurate and claims management is quick.
- Maintain a centralized repository of hospital tariffs across the enterprise – enabling quicker approval of claims.
- Generation of reports is easy as all information is centralized – analysis becomes easy to optimize tariff plans and process optimization.
Why choose us?
Invibes is a startup founded by people with decades of IT expertise. With automation, we can help your enterprise – small or big –
We have what it takes
With multiple successfull turnkey implementations, we know how to overcome challenges afterall it’s not just about IT.
Technical Expertise
From architecture, design, testing, support – we have done it all. We can introduce you to our customers over a call to hear them about us.
Industry Standards
Apart from partnerships with key product vendors, our R&D team focusses on delivering solutions with optimised costs.