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End to End individual and group medical insurance platform

The medical insurance ecosystem is known to be complex, and insurers are increasingly looking to gain a competitive edge on this segment. CoverHealth is an end-to-end medical insurance platform that enables seamless collaboration between stakeholders, increases efficiency, reduces operational costs, and delivers a world class customer experience to the insurer's customers.

Key Features

  • No code product builder for Define pricing, claims rules, underwriting eligibility and more in an easy to use visual tree
  • Claims resolution & automation for Claims matched against insured's policy to determine if it should be paid, partially paid, or rejected
  • Omnichannel distribution for Enabling products to be sold online, through brokers, or from insurer's internal staff
  • Portals for every stakeholder - 6 fully integrated dedicated portals: admin, members, human resources, provider, broker, distribution
  • Full end to end integration - Single source of truth system for businesses to reduce fraudulent claims and generate improved business oversight to design more robust products and strategies.

Key Benefits

CoverHealth gives insurers the tools to:

  • have healthier customers
  • lower the cost of healthcare
  • reduce operational costs

To do that, CoverHealth will:

  • Increase efficiency
  • Lower operational costs
  • Reduce incorrect claims
  • Decrease claims turnaround times
  • Decrease sales turnaround times
  • Increase end user satisfaction
  • Increase product experimentation and variation
  • FTE Operational Efficiency Savings



Product/Service details