Medical Service Providers
Empowering Health Providers
Simplifying Insurance Processes
Nice Deer Platform for Medical Service Providers
Nice Deer created a seamless insurance solution tailored specifically for medical service providers, the Platform is designed to streamline insurance processes, enhance efficiency, and improve patient care.
Submit clean claims to collect payment faster.
Deep insight into the medical history of the patient.
Operational cost reduction.
Better processing of health insurance claims.
Combat fraud and abuse.
Easier communication between the payer and the provider.
Medical Services Providers
Nice Deer Platform
For Pharmacies
The platform supports a varity of claim types including pre-approvals coded claims, and reimbursement claims.
The platform displays detailed beneficiary demographics.
The platform applies international coding schemes such as the CDT.
The platform provides a phonetic algorithm that can be applied to medication searches to provide more accurate results.
The platform provides a comprehensive drug directory, including active ingredients, drug-to-drug contraindications, and drug-to-drug diagnosis.
Medical service provider can review and submit claims batches.
The platform provides medical service providers with policy validations including:
• Prescription limit per claim.
• Limit per day.
• Frequency limit per period.
• Suspend the abusing beneficiaries.
• Drug half-life such as treatment period.
The platform provides fraudetection & warnings including:
• Repetitive dispensing of the same active ingredients.
• Diagnosis vs. demographic data,and the active ingredients
• Validation of the maximum amount of medication to be dispensed to a patient.
The platform provides different medical exclusions levels including:
• Drug brand name.
• Active ingredients.
• Diagnosis ICD.
The platform provides dynamic discharge of claims.
Medical service provider are able to request a “change price”.
The platform automatically generates the monthly medication claims.
The platform provides multiple exclusion levels with different actions, including auto-approval,rejection, and request approval.
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