In overall terms, CGM CLAIMER ECP is a highly advanced claim management solution that helps health payers and health providers to work in a closely coordinated and aligned way as they pursue the common goal of saving process expenses by optimizing overlapping intercompany workflows.

Advantages for health payers:

• Decrease your claim amount significantly.
• Optimize human resources committed to claim management.
• Increase operational claim management efficiency.
• Generate a decision-support system that is based on a collection of detailed structured and classified data.

Profits for healthcare providers:

• Increase the speed of your payments collection by minimization of bill rejections.
• Avoid the unnecessary recruitment of additional staff by integrating your data workflow to your Hospital Information System.
• Decrease your workload and paperwork by transmitting bills and relevant attachments electronically.
• Speed up your overall claim authorization processes – and make them more effective.
• Benefit from receiving authorization from multiple health payers through the same screen thanks to data integration.

Benefits for policyholders:

• Increased speed and error-aversive authorization will result in higher levels of satisfaction.
• Accurate and effective claim management with low claim/premium ratio.
• More reasonable renewal premiums due to low claim/premium ratio.