The Medipass Solution Sample Clauses

The Medipass Solution. The Medipass Solution is comprised of three distinct portals, the Provider Portal, the Funder Portal and the Participant Portal which allows funders, providers and consumers to facilitate a seamless digital claim and payment. Provider Portal • Provider access to the Provider Portal for icare invoice submission • Publication of provider and practice details, such as location, offered services and bookings references. • Integration to icare Mulesoft (and backend Business Rules Engine) for instant approval of claim or quote. • The Provider Portal will guide providers to properly code a simple icare invoice by using configurable details such as: o participant details o episode of care details o service details such as item codes and pricing for a given modality • Providers able to instantly view status of transaction (i.e., Approved, Declined). • Reporting on transactions including those requiring follow-up action. • Settlement reporting and reconciliation downloads when the Supplier facilitates financial settlement. Funder Portal • icare able to view, filter and search transaction history. • View providers and practice details including transaction activity. • View participant registration details and transaction activity. • Set custom messages and actions for when claims are not approved. • Portal could be configured to enable icare staff to use Workflow tools to manually approve claims where they are not automatically approved. Participant Portal • Participant able to receive quotes from providers which instantly advise whether they are approved or declined. • Participant able to view completed icare transactions in the Medipass Participant Portal. • Optional ability to require participant approval on submitted invoices. • Carers able to access participants account, with approvals.
Sample 1
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