Claim Adjudicating System
The Claim Adjudicating System (CAS) is an end-to-end claims processing application in the healthcare insurance (General and Dental) industry. CAS is facilitated with diagnostic controls throughout the claims life cycle. CAS is embraced with a flexible business rules engine and best in class aesthetic user interface that enables the business users to access claims information by Region/Member/Customer.
CAS is also featured with business intelligence and comprehensive management information reporting system. CAS data repository is modeled to handle enterprise level information requirements. CAS is built using leading edge technologies in Dot Net (Microsoft) platform, and it can be seamlessly integrated with any industry standard database DB2, Oracle and MS SQL Server. CAS is capable of handling 50,000 claims per calendar month.
The following diagram depicts the CAS