Stratech introduces a web-based online medical benefits and claims information and processing system specially developed for Governments, Major Corporations, Healthcare Insurance Companies and Healthcare Service Providers offering cost savings and increased productivity through central management and processing of healthcare benefits and medical claims information over the Internet.

Built on centralized and standardized services such as access control, interactive voice response and Web-based queries, the system provides a real-time and reliable electronic means to access and submit accurate medical benefits and claim information. Stratech Systems has implemented SmartCare that addresses the above challenges for Singapore's entire Civil Service. Launched in April 1999, SmartCare is currently being used to centrally manage and provide online and up-to-date information on the healthcare benefits and medical claims of more than the 300,000 employees of the Civil Service of Singapore, and their dependents.

Unique Features:

• Developed using open industry systems standards as a secured intranet application that is accessible over a wide area network through phone lines, leased lines and the Internet
• Built on centralized and standardized services such as access control, interactive voice response and Web-based queries
• External interfaces to organizations include Web, IVR, RPC, FTP and Email
• Easily customized to meet additional requirements, including integration with existing information systems
• Scalable to handle many concurrent connections from many agencies and users
• Capturing of entitlement records from various Entitlement Agencies into a central entitlement database
• Web-based maintenance of medical schemes
• System to System (RPC) and batch validation for the entitlement by Healthcare Service Providers
• System to System and batch proration of medical bills from Healthcare Service Providers
• Interfaces with Payment Agencies to effect payment to Healthcare Service Providers
• Interfaces with Recovery Agencies to effect recovery from employees.

Distinctive Advantages
(PEACE of Mind)

Professionalism

• Medical leaves are monitored by audit team through the web-based system
• Minimise incidence of forgery of medical certificates
• Monitor quality of the medical service provided
• Close monitoring of claims
• Care of employees’ health, resulting in a healthier workforce

Efficiency

• Fully automated medical claims processing
• Availability of ad-hoc information required by the management
• Utilisation/management reports can be retrieved anytime, anywhere

Accountability

• Human Resource department has full administrator rights to monitor all medical claims/leaves
• Department Heads has access rights to monitor respective department’s medical expenses
• Finance Department has access rights to monitor corporate medical expenses

Cost Management

• Cost containment and savings by addressing issues with accidental overcharging, fraud, clinic-hopping, irrelevant medication and/or over-provisioning of services
• Reduction of resources handling mundane and complex work

Ease

• Accessible through large base of hospitals and clinics strategically located
• Utilisation reports can be easily downloaded into various formats (including Excel, text files, database)
• Historical utilisation information readily available (up to 7 years)
• One bill and one-stop payment for all claims