AFFINITY
Insurance
Application for Hospitals
Elevate hospital insurance operations with Affinity’s tailored module. Seamlessly integrate EMR/EHR systems, automate approvals, and streamline billing. Enhance efficiency, compliance, and patient satisfaction.
key Features
01
Patient Information Management
- Integration with Affinity EMR/EHR
Integrates seamlessly with the hospital’s Electronic Medical Record (EMR) or Electronic Health Record (EHR) system to access patient information.
- Patient Identification
Ensures accurate patient identification to prevent errors in claim processing.
02
Claim Submission
- Integration with Hospital Systems
Integrates with hospital systems to capture and submit claims electronically
- Automated Claim Generation
Automatically generates claim forms based on patient and treatment information.
03
Approval Module
- Automated Approval Process
Utilizes predefined criteria to automatically approve or deny claims.
- Manual Review
Allows claims to be flagged for manual review by insurance personnel if necessary.
- Notification System
Notifies patients and hospital staff of claim approval or denial status.
04
Real-Time Checking of Allowed Tests
- Authorization Management
- Prior Authorization
Manages prior authorization requests for procedures and treatments that require pre-approval from the insurance company.
- Real-Time Authorization Status
Provides real-time status updates on authorization requests.
05
Billing and Payment Processing
- Claims Reconciliation
Reconciles claims to ensure accurate billing and payment.
06
User-Friendly Interface
- Intuitive Design
Offers a user-friendly interface for hospital staff, insurance personnel, and patients.
07
Reporting and Audit Trail
- Reporting Tools
Provides reporting tools for hospitals to track claim processing times, approval rates, and other key metrics.
- Audit Trail
Maintains an audit trail of all claim-related activities for compliance and accountability purposes.