Nice Deer created a seamless insurance solution tailored specifically for medical service providers, the Platform is designed to streamline insurance processes, enhance efficiency, and improve patient care.
Submit clean claims to collect payment faster.
Deep insight into the medical history of the patient.
Operational cost reduction.
Better processing of health insurance claims.
Combat fraud and abuse.
Easier communication between the payer and the provider.
Support a variety of claim types including pre- approvals, coded claims, and reimbursement claims.
The Platform displays beneficiary detailed demographics.
The platform applies international coding schemes such as HCPCS & ICD 10.
• Frequency limit per period.
• Suspend the abusing beneficiaries.
The platform provides multiple exclusions levels with different actions, including auto-approval, rejection, and request approval.
The platform provides fraud detection & warnings including:
• Diagnosis vs demographic data
The platform provides different medical exclusions including:
• Diagnosis ICD.
• Medical procedure, i.e.: CPT, HCPS, local codes.
Nice Deer provides medical service providers with policy validations including:
• Prescription limit per claim.
• Limit per day.
• Frequency limit per period.
• Suspend the abusing beneficiaries.
Medical service providers are able to request a “Change Price”.
Medical service providers can review and submit claims batches.
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