Health
Claim
Engine

Mazecare provides the complete intergrated solution for Health Insurance Claims

Build your own health claim engine

Claim adjudication engine fetches insurance policies and previous approved claims to approve new health claims.

Insurance
Policy

Claim to Verify

Previous
Claims

Claim Verification Request

Engine
Features

How it all comes together with endless combinations and customizations

Rule-based

Utilize a rules based engine to create health policies (conditions, limits, cost-sharing parameters, etc...)

Multiple policies

Work with individual and group health policies

Tracking Claims

Calculate remaining benefit amounts and limits

Payment Agreements

Create cashless / co-payment flows with health providers

Screening

Detect and flag overtreatment / over utilization

Contracts Management

Manage contracts between provider and payor

Application Programe Interface

Powered by APIs , the ultimate business tool

Multiple Devices

Deployable anywhere, any platform, on the cloud or on premises

Mazecare is the best place
to put your trust in.

Custom Design. One Platform. Multiple Devices.