Anoud+ Supplementary & Add-ons Modules

Medical Insurance

Advanced health insurance module that provides complete solution to manage diverse operations from Policy Underwriting to Claim processing with ease and effectiveness.

Equipped with all latest technologies, the system enables faster and robust communication with Providers (Hospitals, Clinics, Pharmacies etc.), Policy holders, brokers, and members using Online Portals, Mobile Apps and APIs. Advanced reporting with a diligent way to handle huge volumes of data.

Customized Policy Underwriting:
Available for group and individual medical product. The module can deal with huge member uploads.

Seamless Claims Provisioning:
Registration, Processing and Tracking of Direct Billing and Reimbursement Claims.

Adjudication Engine:
Inbuilt Adjudication rules for policy and clinical adjudication leading to effective claim processing

Fraudulent Flagging :
Inbuilt flagging rules for detecting fraud in claims and flagging them for processor review.

Pre-authorizations:
Faster submission using provider portals and web services.

Pharmacy Benefit Management:
Interface for Pharmacy pre-approvals clinical adjudication.

Pre-approval Automation Engine:
Automating the pre-approvals based on pre-defined rules.

Provider Management:
Facilitates maintenance of provider’s data i.e. branches, price list, doctors, and facilities.

Policy Limit Utilization:
Is auto managed by the system and the same is available for reference to each member.

Card Printing:
With options for hard and soft copies of medical cards.

Provider Portal

MDS (Minimum Data Set) uploading facility for Direct Billing Claims.
Pre-Authorizations
Clinic Management to manage price list, doctors, and facilities.
Member eligibility check

Corporate Portal

Complete Policy View with member level details.
Raise Member addition/deletion requests
Claims Registration and Tracking
Printing Temp. card and Medical certificate.
Exhaustive Provider search

Member Portal

Claims Registration and Tracking
Exhaustive Provider search
Profile update
Print Temporary card and Medical certificate

Life Insurance

Tailor-made packages of comprehensive products designed to help corporate clients to achieve their corporate goals in today’s fast changing business.

The Life Insurance module addresses products like group life, individual life, critical illness plans, family guard and credit life. It supports various credit life schemes pertaining to personal loans, mortgage loans, vehicle loans and credit cards.

Customizable individual product building, where new products like micro insurance, individual insurance, bank assurance can be easily configured

Our specialized services includegroup employee benefits, credit life solutions

Premium installment payment functionality which can also be customized for individual lines of business.

Generate management information reports on timely basis. The high quality reports facilitate management / underwriter decision making.

Seamless claims provisioning for settlements against different reserves, whether partial, part and final, or full and final settlements.

Single page dashboard viewof all transactions, including: policy, endorsement history, claims allocations, reinsurance policy, reinsurance treaty setup and accounting entries.