Our Services
The platform supports a variety 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 providers 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 fraud detection & 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 multiple exclusion levels with different actions, including auto-approval, rejection, and request approval.
The platform provides dynamic discharge of claims.
Medical service providers are able to request a “change price”.
The platform automatically generates the monthly medication claims.
Support a variety of claim types including pre-approvals, coded claims, and reimbursement claims.
The Platform displays beneficiary detailed demographics.
The platform applies international coding schemes such as HCPCS & ICD 10.
The platform provides multiple exclusions levels with different actions, including auto-approval, rejection, and request approval.
The platform provides fraud detection & warnings including:
• diagnosis vs demographic data
The platform provides different medical exclusions including:
•diagnosis ICD.
•medical procedure, i.e.: CPT, HCPS, local codes.
Nice Deer provides medical service providers with policy validations including:
• prescription limit per claim.
• limit per day.
• frequency limit per period.
• Suspend the abusing beneficiaries.
Medical service providers are able to request a “Change Price”.
Medical service providers can review and submit claims batches.
Support pre-approval claims for Physiotherapy centers.
The system displays beneficiary detailed demographics.
The platform applies international coding schemes such as HCPCS & ICD 10.
The platform provides different medical exclusion levels including:
•diagnosis ICD
•medical procedures HSPCs.
Medical service providers are able to request a “Change Price”.
Medical service providers can review and submit claims batches.
Nice Deer provides medical service providers with policy validations including:
• frequency limit per period.
• suspend the abusing beneficiaries.
Support pre-approval claims for optical centers.
The system displays beneficiary detailed demographics.
Nice Deer provides medical service providers with policy validations including:
• frequency limit per period.
• suspend the abusing beneficiaries.
Medical service providers are able to request a “Change Price”.
Medical service providers can review and submit claims batches.
The platform applies international coding schemes such as HCPCS, ICD 10, and CDT.
The system displays beneficiary detailed demographics.
The platform provides different medical exclusions including:
•diagnosis ICD.
•medical procedures.
Facilitating dental approvals using a graph that presents the jaw and teeth.
Medical service providers are able to request a “Change Price”.
Medical service providers can review and submit claims batches.
Nice Deer provides medical service providers with policy validations including:
• frequency limit per period.
• suspend the abusing beneficiaries.
Primary Care Physicians can easily generate approvals with predefined permissions through the Nice Deer platform.
Users could have diverse permission including and not limited to; user limit, backdated approvals, exception pool, bypass co-payment,....etc
The platform facilitates processing all approval types such as medication, lab, scan, physiotherapy, dental, consultation, and inpatient.
Communicate and interact efficiently with several medical payers using one window.
Submit claims to collect payment faster.
Get instant approval from insurance companies and TPAs for any medical procedure.
Manages medical service provider credit limits.
Get information regarding patients' eligibility and health insurance plan details in real-time.
Register patients’ medical records on the system, and effectively organize data.