Automation of Payment of Medical Service Providers

About Isapre Banmedica

Chilean pension health company founded in 1988, part of the Banmedica Group, made up of Clinics, Specialized Laboratories, Medical Centers, Health Insurance companies and Medical Rescue Units, with a presence in Chile, Argentina and Colombia. Isapre Banmedica has 8,000 medical agreements and almost 800,000 beneficiaries throughout Chile.

PROJECT DESCRIPTION

We implemented for Isapre Banmedica, the main private health pension institution in Chile, the system for collecting vouchers via the web for medical service providers, associated with the benefits they deliver to Isapre members.

The main objective of the system was to automate manual processes for bond payment requests. Consequently, give providers greater autonomy, internalize the payment request process and reduce the workload in Isapre branches, generating significant savings.

In addition, complementary to the WEB system, a Backoffice application was implemented that allows Isapre to manage the requests loaded by the providers.

On the other hand, through the integration with IMED (a platform that digitally connects health entities, doctors and patients to allow the issuance and processing of documents), it allows the collection of vouchers to large providers such as the main clinics and hospitals in the region. country.

If you want to know more about this success story or our experience providing services for this industry, contact us through our contact form.

Automatización Pago Prestadores - Payment Providers

USED TECHNOLOGY

Technical Details of the Project

The system was developed with Microsoft .NET using C # language, MVC Framework and Oracle database.

Finally, the project was implemented with agile methodology in just six months. Meanwhile, as a team, professionals with the roles of managers, developers and QA analysts participated.