End-to-end operations + integrated wellness
Payer Solution
Built for insurers, TPAs, self-funded schemes, and health e-wallets. Operate benefits, pre-auth, care/case, claims & finance—and integrate wellness via ZHEP.
Core Modules
→ Product & benefits · → Enrollment · → Provider & tariffs · → Authorizations · → Care/Case management · → Claims/adjudication · → Payouts/reconciliation · → Analytics
Interoperability
Modern APIs & FHIR so HIS/EMR, labs, and claims talk to each other.
Outcomes
Higher activation and redemption; clearer reporting for executives.
>> AI, safely: Pre-auth triage, claims anomaly signals, next-step prompts—human-reviewed with audit trails.