Overview
HIIS supports health insurance operations with digital claims, policy workflows and member access. Insurers and healthcare providers each have their own portal, and members use a mobile app on iOS and Android.
The challenge
Claims and policy processes involve several parties and sensitive data, and needed secure, coordinated digital systems in place of paperwork and email.
What we built
- Claims submission and processing
- Separate portals for insurers and healthcare providers
- Policy administration
- A member mobile app showing balance, dependants and recent claims
- Real-time updates, with blockchain-based smart contracts explored for claims
What the system is designed to improve
Claims and policy teams coordinate in one digital workflow instead of email chains, and members and providers can check status themselves instead of calling operations.