Marley Health - Patient Insurance
Introduced in Version 16
Healthcare transactions, regardless of region, often involve a third-party payor, typically an insurance provider, but sometimes also government agencies, employers, or other organizations. For healthcare facilities, it is essential to verify patient eligibility, determine insurance coverage, and manage receivables and claims from both patients and payors separately. The involvement of third-party administrators (TPAs) to streamline insurance processes is also a common industry practice.
The Insurance module in Marley Healthcare is designed to simplify and streamline these workflows. It enables comprehensive management of:
- Patient Insurance Details
- Policy Tracking and Validation
- Eligibility Checks and Coverage Calculation
- Claim Submission and Processing
- Coordination with Insurance Providers via claims
The Insurance module integrates seamlessly with patient records, billing, and appointments, ensuring efficient, transparent, and compliant healthcare service delivery under insurance coverage.