Tag: Insurance

  • FileDirector For Hospital’s Health Insurance Process Automation

     

    Many hospitals these days offer cashless hospitalisation. This means that a policyholder who is covered under medical insurance will be able to avail of services at these designated hospitals and their bills would be settled by Insurance Company or their TPA (third party administrators). This saves the policyholder/ immediate family’s blocking of money.

    FileDirector software from Spielberg, Germany would be a good fit to streamline the document exchange process which happens between hospitals and Insurance / TPA companies.

    FileDirector will check for prerequisites and inform whether the machine has sufficient rights for installation, operating system compatibility and if the required ports are open.

    The FileDirector server component will be installed on either

    • Windows 7 or above desktop
    • Windows 2008 or above server

    The FileDirector software will run with SQL Express Database which is free of cost. It will install this component in case it is not there on the FileDirector server.

    The hospital insurance desk will have FileDirector scan station license. It is assumed that the Hospital would have reasonably stable internet connectivity to send / receive documents.

    Hospital will get standard cabinet structure for health insurance records. The structure would include mandatory fields such as Name of the patient, Admission Number, Mobile Number, Policy Number etc. as per Insurance company requirements. Broadly speaking these would be common across all Insurance / TPA companies.

    Hospital would get Masters such as Document type which could include but not limited to pre-authorisation application, Query, Response to query, Approval letter, Letter of denial etc. Masters of Insurance Company as well as TPA would be provided for easy indexing.

    Insurance Desk user would be able to scan / drag and drop the document in FileDirector, Index and send the same to Insurance / TPA company. Option will be available to Scan / drag and drop the document in FileDirector, Index and Hold. He or she will be able to add more documents to make this document set complete and then send to Insurance / TPA company via Email.

    Insurance desk user will have an option to print acknowledgement letter for the patient confirming receipt of the number of documents that have been submitted for Insurance processing.

     

    Reports:
    The system would be able to generate different reports such as:

    • Claims processed today
    • Pending as of today
    • Approved today
    • Rejected today
    • Rejection with reason
    • Partial approved with reason

    View
    View for checking insurance company’s incoming email messages / documents would be provided using IMAP integration. Insurance desk user will index and store these incoming messages in FileDirector for future retrieval.

    Search
    Users would be able to search documents using one or more indexing parameters and see records.

    For more information e-mail us on sales@rincon.co.in and we will be glad to assist you.

     

     

  • Reblog: A slice from Evelyne’s life, executive assistant in a hospital specializing in cardiology

    In my work, I interact with many institutions in the health sector. I meet and have discussions with people who handle a great deal of medical information. I take the time to learn about their daily lives. I enjoy it when they share their experiences and stories with me.

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    Evelyne held a number of positions in various hospitals (in health care and economic services) before becoming Executive Assistant in a hospital specializing in cardiology. She quickly discovered that the hospital had to manage a large number of fax documents of all types (medical notifications, insurance case takeovers, analyses results, care sheets, history certificates, intervention approvals, radiology reports, various test requests or results, purchase orders, invoices, etc.).
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    It became increasingly difficult to handle them effectively. Many documents were lost and others were sent to the wrong recipient or forgotten near the fax machine in full view of everyone. With such a volume of documents piled up in the filing cabinets, searching for a fax was lengthy and tedious.

    It was then that Evelyne remembered that the hospital where she had worked a few years prior used a fax software solution instead of traditional fax machines. Showing initiative, she decided to talk to the hospital IT director about it. Aware of the problems associated with the processing of documents sent and received by fax, he dealt with the problem. He quickly approved the idea of replacing the fax machines and fax boards by a software solution.

    This is how the XM Fax® solution was adopted, to the great delight of Evelyne, her co-workers, the IT department and management.

    Evelyne can now send and receive faxes from her work station, her messaging device and her electronic medical records. The processing of faxed documents has thus become much faster and she saves a lot of time. She no longer goes to fax machines many times per day. Evelyne is more productive and effective. She can focus on her mission, which is to provide quality services to patients and to ensure the absolute confidentiality of their personal information. Incoming faxes are now forwarded to the correct recipient without any human intervention, thus limiting unauthorized viewings of health-related personal medical information by the wrong person. With XM Fax, confidential documents of various types are routed to mailboxes or network folders belonging to approved recipients and to designated secure printers.

    As for the IT director, in addition to optimizing his telephone and IP network, it has drastically reduced his expenses related to the use of fax equipment (fax machines, fax boards, maintenance, ink, paper, and telephone lines), and has made it possible to better control the flow and security of communicating by fax. His team is now equipped to administer, monitor and track all the operations and actions carried out in connection with fax transmissions. She can avoid any unauthorized viewings, including those carried out by the administrators themselves, create audit trails, and report to the hospital management. Furthermore, since the hospital is equipped with a high availability redundant fax solution, service continuity is assured. In addition, the advanced and integrated control features of the fax server, the encryption, and the management for users/administrators, meet the requirements of the medical sector in terms of security and compliance. This solution is gaining popularity within hospitals in expansion. Fortunately, this system is scalable to handle a larger volume of faxes and thus serve more departments and employees.

    Today, thanks to Evelyne’s initiative, the hospital is optimizing its unified communications infrastructure, reducing its costs, and increasing the productivity of its employees. Above all, the healthcare organization is now able to process its patient records quickly and in a completely secure manner.

    This truly inspiring account proves to me that any person, no matter his or her hierarchical position, can influence the course of events within the organization in a positive way.

    The original article can be found here.

    For more information e-mail us on sales@rincon.co.in and we will be glad to assist you.

  • Reblog: How financial institutions can easily comply with the SOX Act

    The following article is the first one of a series of three about how the fax can help financial organizations to meet their legal obligations. This first text covers Sarbanes-Oxley, a legislation passed by the U.S. Congress to protect shareholders like you and me.

    Despite what people might think, the fax is still an essential communication tool in the financial sector. From banks and insurance companies to investment management and advisory firms, financial service organizations share high volumes of sensitive data. Document transactions are part of complex workflows and information is manipulated by numerous people in different geographic locations, demanding anytime/anywhere access.

    Finance-driven documents

    • Credit applications
    • Financial reports and statements
    • Fund transfers
    • Invoices
    • Loan approvals and denials
    • Mortgage documents
    • Trade confirmations
    • Regulatory disclosures and information
    • Securities reports

    Decision makers are continuously seeking better ways to keep their IT infrastructure costs and operational risks under control while addressing security concerns and complying with stringent industry regulations. Many firms recognize the advantages of moving to the cloud in order to reduce costs, but are rightly concerned about the security of their confidential information.

    The transmission of information by fax remains a critical component of an information system. Choosing a fax provider with a proven track record and demonstrated expertise in developing enterprise-class cloud fax services is of paramount importance.

    SARBANES-OXLEY

    Sarbanes-Oxley (SOX) was implemented in 2002 and legislates how business records are protected and preserved to prevent destruction and corruption. SOX has also set e-records management standards to which all businesses should adhere. SOX mandates that all electronic records (including faxes), be retained for a period of seven years. Furthermore, it requires tamper-proof resources to prevent the corruption and modification of records. This rule is designed to protect investors from fraudulent activity and to safeguard financial data.

    Entities subject to SOX compliance include all US-based publicly traded companies and international companies that have registered equity or debt securities with the Securities and Exchange Commission. Accounting firms that provide auditing services to the above entities are also subject to SOX compliance.

    How XMediusFAX® helps achieve SOX compliance standards

    • Offers secure and real-time fax transmission
    • Faxes are sent and received directly from any application to the intended recipient’s fax number, with notification of receipt and routing of incoming faxes to intended recipients’ email inboxes, network folders or secure printers.
    • Provides a centralized solution – XMediusFAX® allows for secure integration with corporate systems such as ERP, Document Management, Archiving, and virtually any other 3rd party network application to enable inbound and outbound document delivery via fax, email or the Internet.
    • Maintains electronic storage and an audit trail of fax transmission logs
    • XMediusFAX® can be configured to store all incoming and outgoing faxes electronically in a secure cloud-based storage environment, or on a network archiving system or database. It also allows users and administrators to track fax history and verify fax delivery.

    Along with the ability to set up notifications for deliveries and receipts, a complete audit trail of fax activity is also provided.

    XMediusFAX® is ISO 27001 certified for its Information Security Management System (ISMS). The infrastructure supporting the XMediusFAX® service meets the rigorous physical, technical, administrative, processes and management controls required to achieve the highest security standard. ISO 27001:2013 can therefore be used to help verify SOX compliance.

    In short, XMediusFAX® offers a level of security and protection that very few fax cloud providers can match. Clients operate across regulated industries and require an enterprise-grade faxing solution to achieve the highest security standards. XMediusFAX® is that solution.

    Discover how XMedius helped KPMG Australia to reach a higher level of security while reducing their costs associated with faxing: https://www.xmedius.com/en/industries/finance/

    The original article can be found here.

    To learn more contact us sales@rincon.co.in

  • Fax Automation Simplified

    Since 1998 Rincon has been at the forefront of faxing technology across India and has customers in Sri Lanka and Bangladesh as well.

    faximage

    Why do organisations use Rincon? Rincon has been a market leader with a proven and trusted record. Our credentials speak for themselves :

    • Delivered and managed in excess of 250 projects across customers
    • Large banks, mutual funds, insurance companies use Rincon
    • Blue chip customers include Finance, Government, Healthcare, Utilities, Supply Chain & Logistics and FMCG
    • Cisco and other IP telephony implementations
    • Multi-site and geographical deployments using Analog, E1 PRI, T1, FoIP and SIP Trunk
    • Rincon has enabled organisations across India, Sri Lanka and Bangladesh become agile and better at communication, more organised and effective
    • Rincon offers solutions to suit the customers’ needs and not necessarily pitch solutions it has
    • Integration with SAP, Filenet, IBM CM, MS Exchange, Lotus Domino, Digital Sender and MFPs, Avaya, CISCO, Nortel, Siemens, Matrix, Alcatel, Audiocodes amongst others.

    If you are considering the implementation of fax automation for your business, but are still on the fence when it comes to selecting the right solution, please e-mail us on sales@rincon.co.in and we will be glad to assist you.

  • Automation of Insurance Process at Hospitals

    Simplification of insurance processes

    Many big hospitals these days offer cashless hospitalisation. This means that a policyholder who is covered under medical insurance will be able to avail of services at these designated hospitals and their bills would be settled by Insurance Company or their TPA (third party administrators). This saves the policyholder / immediate family’s blocking of money.

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  • The importance of archiving your faxes as also other documents

    Important faxes or paper documents can get easily lost and result in serious legal ramifications in any organisation. If you are into medical, finance, insurance or banking business then the impact could be significant even if one customer files a lawsuit as a result of a missing document.

    Recently, an incident occurred with one of the leading insurance companies with one of the fax documents stating the pre-disease details of a customer were lost. This resulted in the amount not getting approved when the customer filed his claim for expenses incurred. A lawsuit was filed and the insurance company lost the same. We are not saying that it would always be this critical but you ought to be ready to deliver your best and prepare yourselves for any eventuality.

    Even though the significance of backup process and the need for a document management system (for faxes as well as other documents / records) is acknowledged by everyone, they fail to implement it in the organisation. Delaying the implementation of an archival system can have a ripple effect. Businesses that have an archival system in place are far better equipped to succeed in today’s digital age. Better communication, lower costs, quick turnaround times (TAT), improved productivity and quality levels are not good to have terms but standards to follow to sustain in this competitive world.

    Contributed by Ashish Baby