[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"cms-detail-apps-health-insurance-claims-management-es":3},{"data":4,"meta":74},[5],{"id":6,"documentId":7,"name":8,"slug":9,"short_description":10,"long_description":11,"features":12,"use_cases":20,"functionality_overview":24,"tags":25,"app_url":28,"sort_order":29,"createdAt":30,"updatedAt":31,"publishedAt":32,"locale":33,"partner":34,"icon":49,"seo":49,"localizations":50},243,"moi4nvq88nxfvppd9zai1a4u","Health Insurance Claims Management","health-insurance-claims-management","A digital claims automation solution for health insurance providers offering AI-driven triage and auto-adjudication capabilities.","Newgen's Health Insurance Claims Management is a digital claims automation solution for health insurance providers. It offers AI-driven triage and auto-adjudication capabilities to streamline the claims process, reducing manual intervention and improving accuracy. The solution provides end-to-end claims automation, from claim registration through settlement, with built-in fraud detection and analytics capabilities.",[13,14,15,16,17,18,19],"End-to-end claims lifecycle management","Automated claims triage and routing","Real-time claims status tracking","Fraud detection and prevention","Document management and storage","Integration with third-party data providers","Analytics and reporting dashboard",[21,22,23],"An insurer can automate first notice of loss intake, reducing claim processing time by up to 60%.","A claims adjuster can leverage AI-powered triage to prioritize high-value claims for immediate attention.","A TPA can provide real-time claim status updates to policyholders through a self-service portal.","The Health Insurance Claims Management platform provides a comprehensive solution that integrates seamlessly with existing insurance infrastructure. It manages the entire claims lifecycle from first notice of loss through investigation, adjudication, and settlement. The system uses configurable business rules and AI-powered analytics to automate routine decisions while routing complex cases to specialized adjusters. Built-in reporting provides real-time visibility into claims performance metrics.",[26,27],"Policy Admin","Claims","https://newgensoft.com",0,"2026-03-15T13:08:38.781Z","2026-03-15T19:22:19.910Z","2026-03-15T19:22:19.925Z","en",{"id":35,"documentId":36,"name":37,"slug":38,"description":39,"website":28,"type":40,"featured":41,"createdAt":42,"updatedAt":43,"publishedAt":44,"locale":33,"overview":45,"categories":46,"services":49,"sort_order":29},206,"omp3xqwdky6f21jruh1rg1nc","Newgen","newgen","End-to-end insurance software for P&C, life, and motor lines of business.","app",false,"2026-03-15T13:08:36.588Z","2026-06-29T07:58:47.455Z","2026-06-29T07:58:47.481Z","Newgen Software delivers comprehensive insurance solutions spanning property & casualty, life, and motor insurance. Their low-code platform enables rapid application development and process automation. With insureMO integration, Newgen provides P&C insurance management, streamlined life insurance policy issuance, and specialized motor insurance software that helps carriers digitize their entire value chain.",[47,48],"policy-admin","claims",null,[51],{"id":52,"documentId":7,"name":53,"slug":9,"short_description":54,"long_description":55,"features":56,"use_cases":64,"functionality_overview":68,"tags":69,"app_url":28,"sort_order":29,"createdAt":70,"updatedAt":71,"publishedAt":72,"locale":73},593,"健康保険クレーム管理","健康保険会社向けのデジタル請求自動化ソリューション。AI駆動のトリアージと自動判定機能を提供します。","NewgenのHealth Insurance Claims Managementは、健康保険会社向けのデジタル請求自動化ソリューションです。AI駆動のトリアージと自動判定機能を提供し、請求プロセスを合理化し、手作業の介入を減らし、精度を向上させます。本ソリューションは、請求登録から決済までのエンドツーエンドの請求自動化を提供し、組み込みの不正検知・分析機能を備えています。",[57,58,59,60,61,62,63],"エンドツーエンドの請求ライフサイクル管理","請求の自動トリアージ・ルーティング","リアルタイム請求ステータス追跡","不正検知・予防","文書管理・保管","サードパーティデータプロバイダーとの統合","分析・レポートダッシュボード",[65,66,67],"保険会社は初回損害通知の受付を自動化し、請求処理時間を最大60%短縮できます。","請求担当者はAI搭載のトリアージを活用し、高額請求を優先的に即時対応できます。","TPAはセルフサービスポータルを通じて契約者にリアルタイムの請求ステータス更新を提供できます。","Health Insurance Claims Managementプラットフォームは、既存の保険インフラとシームレスに統合する包括的なソリューションを提供します。初回損害通知から調査、判定、決済に至るまでの請求ライフサイクル全体を管理します。本システムは設定可能なビジネスルールとAI搭載分析を使用して日常的な決定を自動化し、複雑な事例は専門の担当者にルーティングします。組み込みのレポート機能により、請求パフォーマンス指標をリアルタイムで可視化できます。",[26,27],"2026-07-29T08:48:39.860Z","2026-07-29T09:20:56.456Z","2026-07-29T09:20:56.478Z","ja",{"pagination":75},{"page":76,"pageSize":77,"pageCount":76,"total":76},1,25]