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Mobile health apps are streamlining medical billing and insurance claims by enabling patients and providers to access, manage, and share health information anytime, anywhere.
They can automate claims submission, provide real-time claim status updates, integrate with electronic health records, simplify payment processes, provide cost transparency and estimation, manage claim denials, enhance communication channels, secure data handling, and provide analytics and reporting. Mobile apps can improve the efficiency, accuracy, and transparency of the billing and claims process, leading to better patient satisfaction and provider revenue.
Montar Healthtech specializes in developing customized mobile apps aligned with your business goals, optimizing patient care and business outcomes.
Good news for humankind: we’re living longer. Thanks to medical breakthroughs and greater accessibility, we are getting better treatment. But bad news for clerks, admin staff and backend teams: we are buying/claiming more health insurance than ever.
The healthcare billing and claims process, as it stands, often feels like a maze for everyone involved: patients, providers, and insurance companies alike.
Patients grapple with navigating complicated paperwork, providers — including doctors, hospitals, and healthcare organisations — face challenges in efficient billing and timely reimbursements, and insurance companies strive for accuracy and fraud prevention.
Enter mobile health apps, replacing tedious pen and paper steps with faster and more efficient digital interactions. This can potentially improve the insurance and billing process for all stakeholders.
For patients, they offer clarity and convenience; for providers, a chance to streamline operations and enhance service quality; and for insurance companies, an opportunity to optimise processes and strengthen customer relationships.
So, how can these healthcare mobile apps bridge the gaps in insurance operations and delivery? Let's dive right in!
The best health insurance apps are at the forefront of the industry’s digital transformation, offering practical solutions to streamline financial aspects like billings and claims management.
Mobile apps can enable the submission of insurance claims electronically, eliminating the need for manual paperwork, through healthcare claims adjudication software.
For instance, your healthcare app could allow patients to take photos or mobile scans of their insurance card, reports, in-patient and out-patient records and medical bills, which it then processes and submits to the insurance company electronically. This eliminates the need for manual data entry and paperwork.
Many health apps offer real-time updates on the status of claims, including pending, approved, denied, or paid. This can help healthcare providers and patients track their claims and avoid unnecessary follow-ups.
Up to 20% more mobile apps are now integrated with electronic health records (EHR) systems, enabling seamless data transfer. This can eliminate manual data entry and improve data accuracy, saving up to $300 billion in the US alone.
Moreover, integration with EHRs can
Patients and healthcare providers can also use these apps to make secure and convenient payments. The healthcare industry can save up to $20 billion by adopting electronic transactions. They can facilitate in-app payment gateways and integration with insurance providers for an integrated ecosystem.
Mobile health apps can also provide detailed breakdowns of medical expenses during cloud medical billing, such as co-pays, deductibles, coinsurance, and out-of-pocket costs.
A medical billing API can help patients estimate future medical costs based on their insurance plans and treatment options. Companies may save $20 billion annually, or 48% of the current annual expenditure, by exclusively switching to web-based medical billing.
These apps allow healthcare professionals and patients to deal with claim denials more effectively. They can provide detailed information and explain the basis for claim denial and how to appeal it. They allow users to resubmit claims, upload supporting documentation, and track the status of appeals.
Within six months, a claims management software- AI Advantage™, helped Schneck reduce denials by an average of 4.6% monthly, significantly enhancing efficiency. Corrections that took 12-15 minutes can now be completed in under 5 minutes. It also ensured staff concentrated on segments with higher reimbursement potential, eliminating wasted effort on unlikely-to-be-reimbursed high-value claims.
Healthcare providers, insurers, and patients can communicate more effectively with the help of health tech apps. Through chatbots, messaging platforms, or phone calls, they can help resolve billing and claim-related queries quickly. These web-based medical billing and health apps provide feedback mechanisms for users to rate their experiences and suggest improvements.
Bupa collaborated with Spixii for the insurance mobile app development of a chatbot solution for their digital customer journey in health insurance. The chatbot, hosted on the Bupa UK website, engaged users in interactive conversations to provide guide prices and gather preferences for precise quotes.
This user-friendly interface was built on the core principle of “refining the conversation to the requirements of legal and compliance teams” and asking the customer, “How do you want the conversation to be structured?”
Health insurance API (Application Programming Interface) can protect sensitive patient information during billing and claims processing. To ensure data privacy and compliance with regulations such as HIPAA, they can use encryption, authentication, authorisation, and other security measures.
HIPAA compliance is just the first step of the process. Subsequently-
Using mobile apps, healthcare providers can analyse their billing and claims performance. They can generate reports and dashboards that show key metrics such as revenue cycle management (RCM), claim denial rates, reimbursement rates, and payer mix while providing insights and recommendations to optimise workflows and improve outcomes.
In addition to the features mentioned above, some insurance-based mHealth apps may also offer additional features that can enhance the user experience and satisfaction, such as:
Search for in-network doctors & hospitals: Your patients can find and compare doctors and hospitals in their insurance network using these apps. This can help them save money and avoid surprise bills.
Mobile health apps are revolutionising how medical billing and insurance claims are handled in the healthcare industry.
At Montar Healthtech, we have the expertise and experience in healthcare mobile app development that meet your specific needs and comply with industry standards. Whether you want to create a new app from scratch, enhance an existing app, or integrate your app with other systems, we can help you achieve your goals. We work with you to understand your requirements, deliver high-quality solutions, and provide ongoing support.
Contact us today and discover how we can help you streamline your medical billing and insurance claims with mobile apps.
