Winsoft Solutions L.L.C

Transcription

1 Winsoft Solutions L.L.C Do i.t professionally Add-Vantage Hospital Management Solution TPA and insurance companies (Add-Vantage - HIS) DHA & HAAD compliant info@winsoftsolutions.net (+971)

2 Add-Vantage Medical Management Solution Credit Card, Visa Payment Support E-Claim Submission Tariff & Price List Payment / RA rugs Interactions CEED Medical Necessity Coding Edits Mobile APP Standard Edits (AR,CMS, AMA, etc.) PBM (Pharmacy Benefit Management) Finance SMS and s HR and inventory

3 Add-Vantage- Insurance Management System Integration Options Multi database support, the system has the ability to integrate with other third party solutions Supported databases Oracle, MS SQL Server, DB2 etc.. Highlighted Features Arabic, English web based portal for all your validation Easy payment / Pay as you go! Multi companies support Multi currencies support Multi finance segments Integrated modules SMS & notification support

4 Add-Vantage- Insurance Management System What is Add-Vantage IMS? The Add-Vantage Medical Solution is a web based ERP application designed to control and manage the process in hospitals, clinics, medical providers and medical centers, it works in modular bases which allows the different departments to interact and meet their needs for maximum functionality and usability Add-Vantage has all the international aspects and configuration to match the maximum of the clients requirements over the world, It has been built in such way to allows you customized the functionality and the templates behind in the way suite our valued customers needs The system support the standard codes CMS, CM, AM, DHA, HAAD and more

5 Add-Vantage Network Module Network and tariff management with insurance companies is a group of functionality screens which covers all the process needed such as Insurance companies Insurance Contacts Insurance Billing Details Mandatory Tariff Provider clinicians Provider Insurance pharmacy Tariff Provider Insurance license reports Providers internal codes and mapping to the standard codes and more Standard codes Support the international coding classifications ICD 10CM and ICD9CM CPT, HCPCS, DSL, ASL and Drugs etc.. Which match all the DHA, HAAD and SERVICES Uploading Standard Codes Compare provider prices and limit them to the mandatory tariff and more

6 Add-Vantage Approvals and Helpline Approvals and help line, The system has the ways for end user to respond for any enquiry and have a huge criteria of search for all the modules (members, claims, policies and reports etc ) Search and approve any approval request Approve Search and approve any enquiry by reference or caller information automatically by integration with the phone system Integration with the SMS, s and other notifications Search the available balances and benefits consuming before giving a new approvals Ability to trace the client requests and respond with the live data for claims status and approval status enquiries because the system is linked with the claims and other department The integration with the finance allows the helpline to provide more accurate and direct information to the clients

7 Add-Vantage Claims & e-claims Approvals and help line, The system has the ways for end user to respond for any enquiry and have a huge criteria of search for all the modules (members, claims, policies and reports etc ) E-claim, integration with DHA and HAAD e-claims Paper claims Reimbursement claims Linked with the approvals so the system will check the claims activities dynamically and check whether to approve it or not Direct integration Add-Vantage medical edits engine with the eligibility and the policies Integration with the Add-Vantage Drubs database which is based on PBM database check Integration with the SMS, s and other notifications Productivity reports And more

8 Add-Vantage - Drug Database Our drug data is the most extensive on the market today and includes: Trade names, generics, herbals, OTCs and supplements Drug interactions checker Drug-allergy checker Patient education handouts Adult dosing Pediatric dosing Nomenclature mapping (NDC, SNOMED, NDDB, etc) Warnings and alerts Contraindications Indications Mechanism of action Adverse drug reactions Kinetics/Dynamics Pregnancy/Lactation Overdose Mgmt Interactions Trades/Cost Info Evidence-based practice recommendations Nursing Considerations

9 Add-Vantage Clinical Content Our specialty-focused clinical information easily transforms any HIT system into a comprehensive reference tool for healthcare professionals. Disease profiles and clinical conditions Specialized content for each department Symptom checker Medical calculators Emergency protocols and algorithms Evidence-based practice recommendations Illustrations for patient education Diagnostic tests

10 Add-Vantage Drugs Interaction Check for possible interactions between a patient's entire medication regime including prescription, OTC, herbal, supplement or foods. The most powerful drug interaction checker available, Winsoft Solutions provides a ranked listing of all possible interactions, and a description of each reaction. Incudes: Drug-drug Drug-allergy Drug-nutrient Drug-alternative medicine Drug-food Features: Identify drug interactions and minimize adverse events Ranked by severity Description of each interaction No redundant information Customized alerts

11 Add-Vantage Supported Countries Our medical necessity and drugs data includes drugs from all these countries: Europe: Middle East: North America: Denmark United Arab Emirates Canada Finland Saudi Arabia United States France Austria Turkey Latin and South America: Belgium Czech Republic Phalistine Argentina Denmark Asia Brazil Finland India Chile France Hong Kong Mexico Germany Malaysia Venezuela Greece Singapore Hungary Europe: Thailand Iceland United Kingdom Ireland Australia: Austria Italy Australia Belgium Netherlands New Zealand Czech Republic Norway Africa: Portugal Sweden South Africa Russia Switzerland Spain

12 Add-Vantage Implementation Options Cloud Web Services Integration Database Access / License Per Member Or Per Claim Online Public Portal Choose your comfort option and request a demo Contact us for presentation or proposal

13 How Can Winsoft Solutions Help? Improving distribution management with collaborative customer knowledge OPERATIONAL EFFICIENCY CUSTOMER EXPERIENCE DISTRIBUTION MANAGEMENT

14 Winsoft Solutions Contact us For further information please contact us U.A.E. Dubai +971 (4)