MediKredit’s technology is based on a unique USA patented rule stacking ability which enables clients to implement their own innovative benefit designs.
MediKredit then loads these as rules without any development being required. The configurable rules system allows rule changes to be documented, loaded, quality checked and activated within a short space of time.
MediKredit has the distinct advantage that its claims’ processing software is proprietary and all development is done ‘in-house’. This enables rapid responses to clients’ needs as there is no dependency on external software suppliers which could result in delays for any changes needed to be implemented.
The flexibility of the rules-based adjudication system ensures that all claims are consistently and accurately electronically adjudicated, against both client specific rules and requirements as well as industry standard rules, with sub-second online real-time responses (RMR®) to the healthcare provider.