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).
Key Functionality
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
Revision-medical activities
Reimbursement of costs incurred and treatment abroad
Managing unused medical devices
Key Benefits
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
ePrescription
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
References
Všeobecná zdravotná poisťovňa / Slovakia
The comprehensive information system of the health insurance company has been routinely operational since 2005.
