CompuGroup’s Turkish subsidiary Promed has won a €1.2m deal from insurance firm Axa to support claims handling and processing.
CompuGroup say that their objective is to use intelligent software and decision support systems, improve the efficiency of the Axa’s Turkish health insurance claims operations by 15%.
Promed specialises in third party administration of health insurance claims, with an 80% share of the Turkish market.
Under the three year deal Axa will commission Promed to provide information systems to support the management of insured patients scheduled for in-patient and out-patient treatments.
Promed will also provide medical decision support services to monitor and support patient. This will enable Axa to avoid invoicing errors and avoidable expensive extensions to the diagnostic and treatment process, cutting accountancy and management costs.
Promed employs a highly qualified team of doctors and nurses to handle enquiries from hospitals seeking confirmation of whether Axa will assume responsibility for the treatment of certain patients. This clearing system will be extended to encompass the monitoring of medical procedures which have been planned.
Under the new deal Promed will map these procedures against the medical history of policyholders. Promed will pass on information to the hospital if discrepancies are discovered or in the event that recent studies or guidelines recommend a different course of action.
Axa has also entrusted the internal auditing and contract negotiations of hospitals to Promed as well as medical electronic claim processing systems.
"Our overarching aim is to increase the efficiency of the health system by 15% percent by deploying intelligent software", said Jan Broer, Chief Marketing Officer of CompuGroup.
"We are delighted that this order has been awarded to CompuGroup. Our innovative products in particular clearly demonstrate that decision support has become a key success factor for healthcare providers and that it has firmly established itself alongside medical treatment and technology as the third main pillar of the healthcare system", he added.