The system allows the progressive enrollment of beneficiaries with the capability to move them from policy to policy, or in and out of coverage. It also enables importation and export of beneficiaries’ records from other systems. Life events that affect eligibility are tracked. These include: marriage, divorce, age, etc… The system allows the recording of clinical data for each patient pertaining to items such as family illnesses, medical history, medication history, vaccination records, allergy considerations and lifestyle factors.

Features Include Insurance card issuance Tracking changes and linking any related history of claims & approvals Tracking beneficiaries’ clinical, claims & approvals data. This can then be used to automatically vary pricing, adjudication and system alerts Specific conditions can be included or excluded Patient safety is addressed