Software for Health Insurance Eligibility Detection
SHIELD is a high performance claims management engine for increased automation and fraud, waste, and abuse detection.
With its advanced features, SHIELD checks your invoices for medical plausibility and accuracy, automatically and in real-time.
Choose between stand-alone solution or integration with your own core insurance back-office system and start enhancing your claims management process today.
How you benefit
• Shorter claims turn-around-times
• Increased customer satisfaction
• Risk reduction
• Cost Containment
• Out-of-the-box medical rules library
• User-defined medical rules
• Support for international and local coding standards
• Easy integration with any core insurance system
• Offered as SaaS