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Claims Management - Product Overviews

ESKA® CareNet Claims Management module includes all the processes required to track any generated claim.
The system automates the billing processes by setting the insurance agreements. i.e. discounts, copayments, agreed tariff, CPTs and ICDs approvals.

The system allows the insurance departments to audit the generated claims against coding standards and medical records correctness and prepare them for submission.
Claims to be submitted/ resubmitted to the insurance companies / TPAs, where RAs to be collected to close the outstanding claims.

The system provides many statistical and comprehensive reports which can help in monitoring the claims processing.