Enforce Medical Guidelines and Protocols
- Medical coding based on international standards (ICD10, CPT, CDT, HCPCS...)
- Diagnosis Configuration
- Pre-Existing Case Alert
- Chronic Medical Conditions Management
- Diagnosis Based Clinical Indicators
- Customized Approval Rules
- Medical Case Management
- Services / Drugs
- Hierarchy, Grouping, and Classification
- Drugs Classification and Management
- ACT Ingredients + Chemical Compounds
- Customized Approval Rules
- Procedure Protocols
- Drug Dispensation Rules
- Service Based Clinical Indicators (Age, Gender...)
- Crosswalks
- Doctor Specialty - Procedures Crosswalks
- Doctor Specialty - Diagnosis Crosswalks
- Diagnosis - Services Crosswalks