Medical Insurance & TPA Claims Management System
Simplify health insurance claims and patient co-payments with TabeebPlus: automated coverage calculation, pre-authorization tracking, and TPA reconciliation.
Overview: Medical Insurance & TPA Claims Management System
TabeebPlus medical insurance management module streamlines policy coverage calculations, deductible/co-pay splits, and TPA claim batching for healthcare clinics in Egypt and the GCC.
How TabeebPlus Optimizes Insurance Workflows
TabeebPlus provides a dedicated insurance matrix:
Insurance Contract Matrix
Configure policies, copay percentages, deductibles, and exclusions per insurance provider.
Automated Split Billing
Instantly calculate the patient’s out-of-pocket payment and the company’s claim amount.
TPA Claims Batching
Generate monthly insurance claims with all attached medical notes and receipts in one click.
Aging & Collections Tracker
Track outstanding balances owed by insurance companies with overdue aging reports.
Manual Insurance Processing vs. TabeebPlus
| Parameter | TabeebPlus Insurance |
|---|---|
| Co-pay Calculation | Instant & Automated |
| Batch Claims Generation | 1-Click Export |
| Rejection Prevention | Automated Validation |
| Receivables Aging | Real-Time Financial Dashboard |
Frequently Asked Questions
Clear answers to help you make an informed decision
Can we add unlimited insurance companies and policy tiers?
Does the system support ICD-10 medical diagnostic coding?
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Full electronic records, smart scheduling, e-invoicing, and mobile app access.