MediPay - AI Powered Claims Adjudication and Processing
MediPay is Core Administration System for Payers, Insurance companies, and Third Party Administrators to manage plan, enrollments, memberships, prior authorizations, Network & Claims adjudication with AI Agents. Faster payments, fewer denials — schedule a demo.
What you get!
Plans and Policy Management
MediPay simplifies plan management by enabling quick setup of benefits, coverage, and eligibility, ensuring compliance and flexibility
Provider Network Management
MediPay simplifies Provider Network Management with tools for accreditation, compliance, and efficient provider administration.
Membership Management
MediPay streamlines Membership Management by handling eligibility, benefits, and member data efficiently, ensuring seamless administration and access.
Master Data Management
MediPay ensures efficient Master Data Management by centralizing and maintaining accurate configurations for seamless healthcare operations.
Claims Adjudication
MediPay simplifies Adjudication by automating claims validation, ensuring accurate processing and timely decision-making for efficient claims resolution.
Prior Authorization
MediPay streamlines Prior Authorization by automating approval workflows, ensuring timely and accurate processing of treatment requests.
Streamlined Operations
Effortless Administration
Automate and optimize key processes like eligibility checks, billing, and claims adjudication to reduce errors and administrative costs.
Intuitive Workflows
Enhance productivity with user-friendly workflows designed to reduce manual effort and increase accuracy.
Regulatory Excellence
Stay compliant with CMS, HIPAA, and other evolving regulations through MediPay’s built-in compliance features and proactive updates.
Scalable Solutions
MediPay’s modular design adapts to the needs of payers and providers of all sizes.
Interoperable Data Exchange
Achieve seamless interoperability with MediPay’s modern EDI gateway and FHIR API Server for efficient communication.
Enhanced Member Experiences
Improve satisfaction with easy access to benefits, claims status, and accurate member data management.
Experience the Benefits of Efficient Health Insurance Systems with MediPay
Automated Claims Processing
Enhanced Fraud Detection
Streamlined Prior Authorizations
Efficient Provider Network Management
Comprehensive Member Access
Secure Data Integration
Simplified Policy Administration
Accurate Billing and Payments
Ready to help your company scale faster?
Let's chat about how we can help.
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Tel: +1 408-372-4313