Digitize state-wide healthcare insurance operations — enrollment, provider management, claims administration, capitation, payments, and programme reporting — while improving operational oversight across every state initiative.
Illustrative data from a demonstration environment
Built for state-level administration — from enrollment through to reporting your programme's performance back to national oversight.
Register and manage beneficiaries across every scheme operating within your state, with real-time visibility into growth and coverage.
Onboard, accredit, and manage the healthcare providers serving your state's population, with performance tracked by facility and region.
Process claims from every provider in your network with full visibility into volume, value, and turnaround time.
Manage capitation schemas and provider payments by plan, package, age band, and cadence — with batch tracking through to reconciliation.
Generate the reports your state needs for internal decision-making and the reports national oversight expects to see.
Monitor premium collection, outstanding contributions, and fund utilization against your state's health insurance budget.
State-level operations don't happen in isolation. Every enrollment, claim, and payment processed at state level feeds directly into national oversight — no separate reporting cycle, no manual reconciliation between systems.
This is the same platform used by National Health Insurance Authorities — your data flows up automatically, in the format they already expect.
Tamiin