Issues
The Department of Health (DOH) aimed to deploy an Eclaims platform to streamline exchanges between health providers and insurance companies, improving efficiency and transparency in claims processing.
Solution
A comprehensive digital platform was designed, customized to DOH specifications, developed, and successfully implemented to collect claims from health providers and insurers. The platform integrates business intelligence capabilities, enabling the generation of annual reports and dashboards supporting all DOH departments involved in financing, licensing, and public health.
Approach
The rollout was supported by a robust change management plan to help stakeholders transition to new claim submission processes and ensure broad adoption of the platform.
Recommendations
Key recommendations included proactive change management, vigilant data security measures, continuous user feedback collection, and thorough scalability planning for future expansion.
Engagement ROI
The DOH achieved 90% data completion for all medical visits and prescriptions through the eclaims platform. Several hundred reports are now generated by the system, serving management and department officers across all DOH units.