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MEDICLIC
(D482)
Submitted:
04/22/2024

Mediclic is a platform that aims to dematerialize the care sheets and connect health actors each others and with their patients.

In fact, we still live in the era of the paper care sheet.


This induces for the patients a whole obstacle course for the reimbursement of their medical expenses.
They often go back and forth to their insurance because they are missing this or that supporting document and very often they have no way of tracking the reimbursement of their medical expenses.


And this means for insurance companies :

• A lot of time-consuming tasks (such as receiving the file, filing it, transcribing its information, scanning its documents, checking if the information is correct and if there are no missing documents, processing, etc.)
This leads to an overload of work and file processing times that are very long.

• This implies the need for a multitude of employees ((and an overload of work))
=> And therefore ((very long delays)) a very high cost for the processing and reimbursement of paper care sheets

• Without forgetting the frauds which are very expensive each year for the insurance companies because of the processing and verification processes which are very complex and the lack of automated tools


And then there was the Covid which gave a big boost to the need for digitalization of processes in various fields, in particular that of insurance.

Indeed during the Covid, patients could not submit their files physically and we saw a "pseudo-digitalization" appear with certain insurance companies which authorized their policyholders to send them their scanned files by email.

But hey, this posed problems in terms of protecting personal data and patient health data and this greatly increased the risk of fraud.


This is why, with the Mediclic team, we have set up APIs that communicate between our platform and those of the insurance companies.
This allows us to send informations from electronic care sheets in an encrypted and secure way from one server to another and to convert the rules for processing insurance care sheets into calculation algorithms.



These high value-added solutions will enable insurance companies to:

• Reduce the processing time of care sheets (no need to classify them, transcribe, scan, check, process, etc.)
• Reduce the cost of processing these care sheets (fewer employees, no need for an intermediate solution to scan, etc.)
• Follow the traceability from A to Z of these care sheets
• Drastically reduce the risk of fraud (TOTP / verification and blocking algorithm / fraud detection directly and not just on a file selection)


On the other hand, policyholders will be more satisfied by:

• The ease and speed of processing their files
• The possibility of following the progress of their files in real time
• The ability to communicate more easily with their insurance agents

And so this will increase the number of insurance subscribers.


Everyone wins with Mediclic.

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