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What is Enterprise Health Solution?

HM Health Solutions provides a detailed end-to-end service tailored specifically for health plans. By utilizing the Enterprise Health Solution, you gain access to essential support, enabling you to reach your business objectives through a unified, all-in-one health plan administration platform. This comprehensive suite encompasses various functionalities, which include sales, enrollment, billing, claims processing, provider management, clinical oversight, and customer support. What sets the Enterprise Health Solution (EHS) apart is its designation as the only verified end-to-end system that guarantees a seamless experience for members, guiding them from the enrollment process right through to claims payment. Although other providers may claim to offer a fully integrated solution, they often neglect to mention that achieving genuine integration typically involves the stepwise acquisition of multiple modules. In contrast, the Enterprise Health Solution is singularly dedicated to health plan administration, showcasing our unparalleled expertise in the payer landscape. Therefore, selecting EHS means you are choosing a platform that is committed to addressing the specific requirements and enhancing the operational efficiency of your health plan. This dedication ensures that your organization can navigate the complexities of health plan management with confidence and ease.

What is ALFRED Claims Automation?

Filing claims is often a complex yet vital task that many people, more than 60%, choose to avoid due to its convoluted nature and the significant time it demands. Artivatic has developed a tailored claims platform that addresses the needs of various insurance sectors, allowing companies to provide a seamless digital claims experience, facilitate self-processing, automate assessments, and improve the detection of risks and fraud while also managing claims payments. This innovative platform is designed to meet all your claims-related needs, delivering a fully automated and thorough evaluation process. Whether you're dealing with auto, health, travel, accidental, death, fire, SME, business, or commercial claims, this solution ensures comprehensive coverage. By simplifying the claims mechanism, Artivatic seeks to boost operational efficiency and enhance overall customer satisfaction, paving the way for a more user-friendly experience in the insurance landscape. With such advancements, the future of claims processing looks significantly brighter.

Media

Media

Integrations Supported

Integrations Supported

Amazon Web Services (AWS)
Apache Cassandra
Google Cloud Platform
IBM Cloud
Microsoft 365
Microsoft Azure
Microsoft Dynamics 365
Oracle Cloud Infrastructure
Oracle Database
PostgreSQL

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

$10/claims/month
One time installation and customization

Supported Platforms

SaaS

Supported Platforms

SaaS
Android
Windows
Mac
Linux

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Not specified

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

HM Health Solutions

Date Founded

2014

Company Location

United States

Company Website

www.hmhs.com

Company Facts

Organization Name

Artivatic.ai

Date Founded

2017

Company Location

India

Company Website

alfred.artivatic.ai/

Categories and Features

Claims Processing

Not specified

Categories and Features

AI Insurance

Not specified

Claims Processing

Not specified

Health Insurance

Not specified

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

Insurance Policy

Not specified

Life Insurance

Not specified

P&C Insurance

Not specified

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