eExpedise Technologies: Bridging The Divide Between Healthcare And Insurance
Kapil Chadha,Chairman& Managing Director
The demand for better quality healthcare in parallel with advancing technologies has led to the need for health insurance. However, health insurance is more close to healthcare industry, rather than the insurance industry and here lies the dilemma. While the claims process is most important and may be a short procedure, claims leakage poses a huge challenge where the scale tips over to the claims paid side as opposed to what should have been paid. Additionally, high levels of customer experience should be of the highest priority. The customer is bound to encounter an extremely bad experience in the probable event that he goes to a hospital which does not feature in the list of In-Network Providers. While Insurers do have a list of rates against each procedure for in-network providers, the conflicts between the Payer(Insurer)and the Provider(Hospital)in settling a claim at rightful amount is always passed on to the Insured, which leads to immense customer dissatisfaction, and eventual churn.
Possessing deep domain expertise and leveraging its end-to-end digital Healthcare platform that ensures complete client satisfaction and meets the need of all the stakeholders involved in Health and Wellness Care ecosystem while providing operational excellence is Mumbai headquartered eExpedise Technologies.
Making a significant difference in the lives of all the stakeholders including the policy holders, corporate clients and individual members, the services covers the entire lifecycle management for Healthcare Institutions including Hospitals,Insurance Companies(both Healthcare and life).
“Integrated Machine Learning(ML)and Deep Leaning(DL) with a blend of
Artificial Intelligence(AI)is the future of Healthcare and Insurance Industry globally. The Industry is progressing towards predictive Healthcare and Prevention Management. Hence, a solution in this regard is the requirement to make the industry future ready,”explains Kapil Chadha, Chairman & Managing Director, eExpedise Technologies.
Laying a Strong Foundation
With a proven track record in the health insurance sector, the focus of the company was predominantly to engineer a Healthcare Eco-System which unites all stakeholders like Insurers, Providers, Intermediaries, End Customer and bring them onto a single platform, thereby eliminating challenges arising from disparate systems. “Given the vast and exhaustive experience of the team in this domain, eExpedise understands that developing a stand-alone system only for an Insurer would not lay the right foundation of a well-connected ecosystem. Our digital interface for insurance providers including motor, life, health and agriculture is integrated with all the stakeholders of Insurance Ecosystem such as aggregators, payment gateways, pharmacy, and data warehouses,” informs Kapil Chadha.
The company has exposed its interface with all the aforementioned stakeholders using API’s which assures a lighter load is put on the database server.
“Our digital insurance platform enables insurers to design customer journeys - tailored to their customer needs, and on their customer terms – cutting through traditional insurance silos(systems and lines of business)to create end-to-end, highly personalized and engaging customer experiences,” adds Kapil.
Catering to both domestic and international clients, eExpedise Technologies’ mission is of three parts which include the development of professionally governed and managed platform based on technology, innovation and knowledge, to build an Innovative customer centric Healthcare & Wellness care Ecosystem and lastly, to deliver robust and cost effective products and services. With a long road ahead, the team has geared up to accomplish its goals and continue to maintain their leading position in this domain.
Laying a Strong Foundation
With a proven track record in the health insurance sector, the focus of the company was predominantly to engineer a Healthcare Eco-System which unites all stakeholders like Insurers, Providers, Intermediaries, End Customer and bring them onto a single platform, thereby eliminating challenges arising from disparate systems. “Given the vast and exhaustive experience of the team in this domain, eExpedise understands that developing a stand-alone system only for an Insurer would not lay the right foundation of a well-connected ecosystem. Our digital interface for insurance providers including motor, life, health and agriculture is integrated with all the stakeholders of Insurance Ecosystem such as aggregators, payment gateways, pharmacy, and data warehouses,” informs Kapil Chadha.
The company has exposed its interface with all the aforementioned stakeholders using API’s which assures a lighter load is put on the database server.
“Our digital insurance platform enables insurers to design customer journeys - tailored to their customer needs, and on their customer terms – cutting through traditional insurance silos(systems and lines of business)to create end-to-end, highly personalized and engaging customer experiences,” adds Kapil.
Catering to both domestic and international clients, eExpedise Technologies’ mission is of three parts which include the development of professionally governed and managed platform based on technology, innovation and knowledge, to build an Innovative customer centric Healthcare & Wellness care Ecosystem and lastly, to deliver robust and cost effective products and services. With a long road ahead, the team has geared up to accomplish its goals and continue to maintain their leading position in this domain.
