Medinext is a software system for enabling third party administrators for health insurance companies manage their operations.Health Insurance is one of the largest growing industries in India as well as in other countries. It has played a vast role in developing the country economy. Earlier Health Insurance companies were providing all the services to the insured persons directly. But in the year 2001, a Third Party Administration system was introduced in India which acts like an intermediate between the Health Insurance Companies and the Insured Persons.

Our Solution is built on the Java Platform. This platform gives us the flexibility of speed, scalability, security, performance and allows for independence of hardware, CPU, platforms. Unlike .NET/Windows, JAVA platform does not have per user license issues and is not limited to specific operating systems. The system is developed using industry standard MVC architecture using a template engine, a model, view and controller for each module and sub-module. It uses the industry most secured and stable database, Oracle 11g.

Some modules:

  • Underwriters Policy, Insurer, Policy Collection, Data entry, Verification
  • Health Cards & Records Team
  • Claims Process Claim Intimation, Claim Authorisation, Claim Processing (Semi Auto Adjudication)
  • Network Hospital and Tariff Management
  • Audit Trail
  • Accounts/Finance Module
  • CRM Team CRM Screen for any Insured
  • Reports: Required Reports (MIS Insurance, Float Report, Premium Report, Claims Report etc)
  • Document Management System
  • Workflow Management
  • Grievance System
  • Trouble Ticket System
  • IVR System
  • Corporate Customers Management
  • Correspondence Management Modules
  • Performance and TAT monitoring Modules
  • Dashboard with task push features
  • Integrated Web Mail
  • Inventory System
  • Auto SMS
Human Test