Expert support system which allows to litigate personal injuries according to the established business rules.
The system uses logical rules to build decision nodes.
Handles claims adjustment on the basis of legal, medical and insurance standards and provides liquidators with analytical solutions to assess the situation of injured persons and
the severity of the damage suffered by them. It enables automatic generation of documents, including templates for correspondence with the injured person, or the proxy and decision templates.
Handles claims adjustment on the basis of legal, medical and insurance standards and provides liquidators with analytical solutions to assess the situation of injured persons and the severity of the damage suffered by them. It enables automatic generation of documents, including templates for correspondence with the injured person, or the proxy and decision templates.
One of the recommended conduct paths in the Medatex system is the assessment according to the ICF classification.
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How it works
Thanks to decision nodes, Medatex handles claims adjustment (on the basis of legal, medical and insurance standards)
Suggests optimal conduct paths
Provides medical support
Organises process
Provides expertise

For the purpose of treatment organisation, we use a proven solution in the form of the Meedy system.

Features that distinguish Medatex among other products on the market:
Standardisation
- introduces standardised “work-flow” for each product, – generates the same decisions in similar state of affairs
- provides substantive support in the process of liquidation
- imposes performing specific and necessary actions
- precludes committing procedural errors
- enables efficient management of the claims process

Konrad Bednarowski – ICR project manager
Agility
- enables designing the process of handling and adjusting of claims individually for each insurance product
- does not require trade-offs between the business needs and the functionality of the system
- it is possible to quickly develop a completely new process for another product, even if it is not a mass product
- enables a smooth change of handling current products according to the new guidelines
- allows for fast implementation of even ‘niche’ products for which creation of IT systems has not been profitable so far

Łukasz Andrzejczyk – CEO – Enterprise Software
Data analysis
- software supported Lean Management
- full statistics and event log available
- flexibility in shaping reports
- any corrections of decision parameters

Bartosz Bednarek – member of the ICR management board
Expert modules are the greatest value of Medatex.
We provide you with the tools for:
- reconstruction of events and settling responsibility
- medical diagnosis and treatment planning of the injured persons as well as knowledge base which contains: regulators’ guidelines, applicable laws and general insurance conditions
- estimating the damage to health and calculation of compensations (inter alia according to the ICF classification)
- fraud detection
- calculation of pensions and lost earnings

Michał Kretkowski – president of the ICR management board
Based on the claim analysis, it is possible to obtain results in the form of the following products:
-
Medical project
- treatment plan
- treatment estimate
-
Certificates
- complex
- multidisciplinary
- according to ICF
- standard
- by default
- exit
-
Expertise
- hospital stays
- surgeries
- serious illness
- incapacity for work
- causes of death
-
Opinions
- related to pensions
- in health care
- in tourism
- of prosthetic devices
-
Preclusive
- opinions of expert witnesses
- opinions to suits
- statements of defence
-
Diagnostics
- posttraumatic back injury
- posttraumatic sight injury
- posttraumatic hearing injury
- posttraumatic hip injury
- posttraumatic knee injury
- PTSD (posttraumatic stress disorder)
- verification of mental health after bereavement
-
Treatment of the injured persons
- diagnostics
- transport
- surgical treatment
- rehabilitation
-
Obtaining medical records
Based on the claim analysis, it is possible to obtain results in the form of the following products:
-
Medical project
- treatment plan
- treatment estimate
-
Certificates
- complex
- multidisciplinary
- according to ICF
- standard
- by default
- exit
-
Expertise
- hospital stays
- surgeries
- serious illness
- incapacity for work
- causes of death
-
Opinions
- related to pensions
- in health care
- in tourism
- of prosthetic devices
-
Preclusive
- opinions of expert witnesses
- opinions to suits
- statements of defence
-
Diagnostics
- posttraumatic back injury
- posttraumatic sight injury
- posttraumatic hearing injury
- posttraumatic hip injury
- posttraumatic knee injury
- PTSD (posttraumatic stress disorder)
- verification of mental health after bereavement
-
Treatment of the injured persons
- diagnostics
- transport
- surgical treatment
- rehabilitation
-
Obtaining medical records
