IQVIA Health Insurance Management Platform
IQVIA Health Insurance Management Platform
An integrated platform that seamlessly connects patients, healthcare providers and payers to drive efficiency, reduce costs, and improve quality of care.
An integrated platform that seamlessly connects patients, healthcare providers and payers to drive efficiency, reduce costs, and improve quality of care.
IQVIA Health Insurance Management Platform is a state of the art platform that provides the ability to govern claims information exchange within regulatory requirements. The comprehensive health insurance platform addresses regulatory requirements and standards by controlling data and utilizing appropriate format specifications. Running end-to-end insurance transaction cycles between providers and payers has never been more efficient.
Our aim is to unleash the potential within the healthcare ecosystem and contribute towards fulfilling the requirements of regulators, payers, providers, and patients. Our solution is designed to optimize the patient journey and experience by seamlessly integrating engagement, care and payment processing.
*Aggregated data on IQVIA Health Insurance Management Platform presence in Middle East and Africa (MEA)
Key benefits include improved outcomes and cost savings for payers, streamlined operations and enhanced patient care for providers, better oversight and regulatory compliance for regulators, and enhanced experience for patients.
Real Time eligibility, advanced pre-authorization, beneficiary policy details and more
Register users, report fraud and misuse, track compliance, accredit facilities & professionals, validate health practitioners’ status and more
Premium calculation, family linking, insurance schemes, eligibility criteria and more
Our platform provides the behind-the-scenes support that keeps healthcare organizations running smoothly, while also helping payers and providers access, manage, and coordinate their transactions.
Medical necessity, drug edits, coding edits and more
Full prescribing and dispensing solution for electronic medication management
Specialist referral, across organization referral, request/ response and more
Community lab integration, lab request, lab results and more
Community radiology center integration, radiology request, radiology results and more
Our platform offers a broad range of clinical services that help healthcare payers and providers with the information they need to make critical decisions about patient care, and deliver safe, efficient and personalized clinical support services.
eLearning and education, news, announcements, questionaries, surveys and more
Payment advice notification, payment confirmation and more
Manage clinical and administrative lists, publishing, and synchronization tools and more
Out-of-the-box support for HL7 FHIR native integration which enables seamless and standardized healthcare data exchange, real-time updates, improved interoperability, reduced development time, and future-proofing capabilities
Our platform helps healthcare organizations ensure that they have the right technology to operate effectively. Our tools help staff to manage their content, master data, and integrate with other data sources.
Dynamic dashboards, claim analytics, insurance KPIs, predictive analysis and more
Our platform helps healthcare organizations track their performance and make data-driven decisions. This includes reports on financial transactions outcomes, financial performance, and operational efficiency.