Public Health Insurance System
Asseco Public Health Insurance System is a centralized multi-layer information system for health insurance companies. Includes complete equipment for an application program for managing and supporting health insurance activities. It is a universally applicable and modifiable system based on relational database technology. The system is integrated with the internet portal and e-mail server for the contact between the customer and his clients and partners (ePobocka). Online prescription and support for doctors in prescribing and identifying potential drug interactions ensures integration into eRecept.
30 millions of prescriptions
20 million records of healthcare providers per year
Part of the system is the operative accounting agenda. The system can be connected to other support systems (ERP, MIS, call centers ...). Its capability covers all major activities in the field of public health insurance. Conceptually, this is a branch-based system, so most of the important entity entities have defined their affiliation to the affiliate (eg: policyholder, payer, provider).
Public Health Insurance System supports almost the whole range of health insurance functions necessary to ensure the implementation of health insurance, especially:
|Register of insurers, payers, EU forms, providers|
|Selection and recovery of premiums|
|Checking the premium payer|
|Purchasing health care, invoicing from providers|
|Reimbursement of costs incurred and treatment abroad|
|Managing unused medical devices|
The main advantage of Public Health Insurance System is to simplify the work of the end-user in the implementation of his agenda at the health insurance company. The system is designed to minimize the user's work and provide up-to-date information on the operational and accounting Agenda. The key benefits are:
|Treasury, insurance and invoicing management|
|Support for review of medical processes|
|Accounting, including the chart of accounts, rules and internal accounting regulations|
|Insurance benefits, penalties, penalties and regressions|
|Verification, collection, repayment calendars|
Všeobecná zdravotná poisťovňa / Slovakia
The comprehensive information system of the health insurance company has been routinely operational since 2005.