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Inmedicas

Our client is an online self-insurance platform for small and medium-sized employer groups in the USA. They address an underserved market of small and medium employers. In contrast to other solutions in the market, it enables small groups to benefit from the self-insurance coverage model that is enjoyed by the majority of larger groups in the USA.

They reached out to us with the idea of creating a solution that would connect care providers, patients, and payers to enable collaboration and efficiency, and provide customers with next-generation technology.

 

We've been closely cooperating for more than 5 years. As a result, we created a system of third-party administrative services that can be customized for any size insurance or employee benefits organization and which includes:

  • custom services from plan design and compliance testing to member services, premium collection and payment, repricing, and claims adjudication and management;
  • real-time, cloud-based platform that can make immediate payment at the point-of-service;
  • monthly or annual subscription fees (SaaS model) includes software license and most other fees;
  • self-service reporting through the advanced dashboard for multiple users;
  • system versatility supports Medicare, Medicaid, Special Needs Plans, and commercial plans, as well as alternative and non-insurance products.
    • 6

    years of coopeartion

    7

    employees

    2019

    completed

    Features

    Product and Benefit Administration

    Provider Network Management

    Administration of Groups

    Payment Processing

    Reporting

    Integration with External Systems

    Reduce Risks

    Immediately calculate co-payment with all rules automatically applied, deductibles checked and limits observed. Prevent fraud before it happens.

    Increase Productivity

    Use the power of flexible rules-based processing to set up a highly effective environment and achieve the best possible results.

    Save money

    Reduce manual claim processing costs and significantly increase your auto-adjudication rates.

    Simplify Benefits Administration

    Easily launch and manage your health insurance products and benefits. Remain compliant with government regulations. Setup product options, rules, co-payments, deductibles, etc.

    Make your customers happy

    Decreasing claim processing time, more accurate and precise results, flexible product and benefits administration have positive effects on customers' perception of your services.

    Stack

    JS
    React
    MobX
    Bootstrap
    jQuery
    NodeJS
    Database
    MySQL
    MongoDB
    PHP
    Yii

    We have been cooperating with SMISS since 2014. It is a very reliable team with a fantastic hard-working attitude. Our project is for the healthcare and health insurance industry in the USA, it includes back- and front-end development, QA, project management. The industry is very complicated and we've been cautious about this complexity being way overhead for a team from another country. But thanks to the technical knowledge and persistence the team learned all the necessary specifics and has always delivered great results. We have formed a very robust and friendly working relationship with this team and we know we can always rely on them for our projects.

    Andrejs Strods

    Founder at Benebay

    Tampa, Florida

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