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A software for monitoring health schemes

Reshma Ravishanker Bengaluru: Jan 27, 2015 DHNS 2:00 IST

Quic Claim helps hospitals and govt share beneficiary details

Technology has enabled a private firm to devise a foolproof platform to record the transactions and other details under the newly launched Jyothi Sanjeevini and Rajiv Arogya Bhagya healthcare schemes.DH Illustration For Representation
Technology has enabled a private firm to devise a foolproof platform to record the transactions and other details under the newly launched Jyothi Sanjeevini and Rajiv Arogya Bhagya healthcare schemes.

The Quic Claim software, designed by Remidinet Technologies Private Limited, helps both the empanelled hospitals and the State government share information about the beneficiaries. The software also keeps patients in the loop.

According to Munish Daga, CEO, Remidinet Technologies Private Limited, the system not only helps record accurate data, making it easy for audits, but also, reduces the patients’ waiting time and ensures that there is no manipulation of data.

Speaking to Deccan Herald, Daga said the software, also being used for the Vajpayee Arogyashree Health Scheme, is made use of from the time the patient is admitted to the hospital till the time he is discharged.

“The minute the patient’s details are entered and the initial diagnosis is done, data is fed through the software keeping the government aware of the case. Then on, the system also shows the treatment rates and how much the patient is eligible to avail under the scheme in which he is enrolled,” he explained.

Delay monitoring
As each update in the patients’ cases will be recorded along with the time, when an approval or service is delayed, the person concerned can be held responsible. “If there is a delay in the procedure anywhere, there is documented proof to tell whether the hospital took long or the government,” said Daga.

The patients’ documents such as BPL or APL cards are uploaded on the software to ensure that everything is foolproof.

The patients will also be permitted to see the data entered by the hospital and hence there cannot be any alteration in the amount entered by the hospitals.

Besides, the software also provides that the hospitals have to give an explanation in writing in case patients are charged the fee over and above the one agreed upon.

“For instance, if the hospital has fixed a particular rate for an appendix surgery, the patient will be asked to pay 30 per cent of the expenses and the government will pay the rest. If the hospital does additional tests or charges extra, it is mandatory that it mentions in the remarks column of the software before submitting. This way, unnecessary tests cannot be performed and the government will find out if anything of that sort is done,” he said.

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