About MediSmart
MediSmart is a health management software from MediSolution designed for efficient healthcare service management. It combines solutions for healthcare needs, useful links, and contact information so that users can access the resources they require quickly. MediSmart is tailored to meet the demands of modern health service providers, ensuring they can manage patient data, track services, and stay connected with essential contacts. The platform supports various healthcare workflows and is utilized by hospitals, clinics, and public health organizations. Key capabilities: solutions for healthcare needs useful links contact management patient data tracking service management Best for: healthcare professionals that need to manage health services and patient information effectively.
MediSmart Healthcare Suite is a comprehensive, enterprise-grade healthcare management platform designed to digitize both clinical care delivery and medical scheme administration through a secure, cardless ecosystem. Built around biometric member validation, the system significantly reduces fraud while ensuring that only eligible beneficiaries access care, a feature that is especially valuable for insurers and HMOs. Its web-based, multi-device interface is structured into role-specific workbenches, allowing doctors, front-office staff, and administrators to focus on relevant tasks without unnecessary clutter, while patients benefit from a clean and intuitive mobile experience through the Smart Access App. Functionally, MediSmart excels in real-time benefit verification and intelligent claims adjudication, enabling providers to confirm coverage before services are rendered and allowing claims to be vetted automatically with minimal manual intervention. The inclusion of EMR, telemedicine, digital prescriptions, and integration with laboratory, radiology, and critical care systems ensures continuity of data across departments. Performance-wise, the platform is built for scale, supporting millions of enrollees and millions of annual encounters with high availability and fast biometric matching, even in busy clinical environments.
Pros & Cons
- +Biometric authentication effectively prevents fraud, providing strong security for insurers and self-insured employers
- +Real-time benefit checks reduce claim denials and improve overall operational efficiency
- +Modular design allows deep customization to adapt the system to unique clinical and administrative workflows
- −Initial setup of biometric devices and syncing the member database can be resource-intensive and time-consuming
- −Administrative screens display a large amount of data, which can feel overwhelming for new users
Features
Key features
- Biometric Member Validation
- Guarantees accurate identity confirmation using fingerprints or facial recognition to eliminate fraud, waste, and impersonation.
- Benefit Verification before Service
- Validates member eligibility and coverage limits in real-time at the point of care to prevent over-expenditure.
- Smart e-Claims Switching
- Facilitates the electronic submission and switching of claims from providers to administrators, significantly reducing payment cycles.
- Offline/Online Mode Capabilities
- Ensures uninterrupted service delivery with high system uptime (99.6%) by allowing for member validation even during connectivity outages.
- Remote Benefit Management
- Empowers administrators to remotely activate, cancel, or update member benefits and limits across the entire provider network instantly.
Additional features
- Biometric Member Identification
- Uses secure physiological data (fingerprints or facial recognition) to positively identify beneficiaries at the point of service.
- Benefit Verification
- Checks the member’s specific medical scheme rules, remaining balances, and coverage limits before services are rendered.
- Member Management
- Enables centralized and remote administration of member accounts, including membership activation, suspension, and data updates.
- Service Provider Management
- Provides tools for access control and monitoring of over 7,000 healthcare facilities within the Smart network.
- Online Real-Time Reporting
- Delivers instantaneous analytics on scheme utilization, expenditure patterns, and provider performance for informed decision-making.
- Smart e-Claims
- Replaces manual paper-based billing with a secure electronic claim submission process that automates data entry and reduces errors.
- Remote Benefit Updates
- Allows scheme administrators to push changes to benefit structures or limits to all provider points of service without physical intervention.
- Smart Access App
- Offers a mobile interface for members to manage their profiles, track utilization, and access digital health services.
- Fraud, Waste, and Abuse (FWA) Control
- Employs a combination of biometric validation and rule-based adjudication to prevent fraudulent billing and "over-servicing."
- System Analytics
- Processes clinical and financial data to pinpoint cost drivers and optimize the medical scheme's overall budget.
- Countrywide Provider Reach
- Ensures member accessibility to primary and secondary healthcare across a vast network of 7,000+ facilities in the region.
- Electronic Health Record (EHR) Integration
- Maintains a digital thread of member visits and utilization history to support clinical decision-making.
Pricing
Countries & Languages
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About MediSmart
MediSmart is a health management software from MediSolution designed for efficient healthcare service management. It combines solutions for healthcare needs, useful links, and contact information so that users can access the resources they require quickly. MediSmart is tailored to meet the demands of modern health service providers, ensuring they can manage patient data, track services, and stay connected with essential contacts. The platform supports various healthcare workflows and is utilized by hospitals, clinics, and public health organizations. Key capabilities: solutions for healthcare needs useful links contact management patient data tracking service management Best for: healthcare professionals that need to manage health services and patient information effectively.
MediSmart Details
MediSmart's In-App Market Place
Does MediSmart have an in-app market place?
Yes
How many Mini-Apps in the marketplace?
1
Mini Apps
No
Pricing Options
Accepted Payment Currencies
USD ($), EUR (€), GBP (£), CAD (C$), AUD (A$), JPY (¥), CNY (¥), INR (₹), MXN (Mex$), CHF (Fr.), SEK (kr)
Pros & Cons
- Biometric authentication effectively prevents fraud, providing strong security for insurers and self-insured employers
- Real-time benefit checks reduce claim denials and improve overall operational efficiency
- Modular design allows deep customization to adapt the system to unique clinical and administrative workflows
- Initial setup of biometric devices and syncing the member database can be resource-intensive and time-consuming
- Administrative screens display a large amount of data, which can feel overwhelming for new users
MediSmart's Support Options
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