Expert support system which allows to litigate personal injuries according to the established business rules.

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Multidimensional epicrisis providing a full description of submitted claims and the amount of indemnity due.
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The only system supporting claims adjustment that conforms to your needs.
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Support of the qualified staff which resolve every issue individually.

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.

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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
“… creating from scratch the whole process of claims adjustment in the MEDATEX system, including document templates, text messages, e-mails lasts only several hours – it is the gesture towards innovation and support of competitiveness in the area of products – how often “erased” by the cost and time to adapt IT systems”
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
„Medatex distinguishes itself with agility against fairly rigid, framework tools for claims adjustment support prevailing on the market, where both creation and implementation of changes is expensive and is too slow in relation to the needs and changing insurance products. Software developers often do not understand managers, and vice versa – hence frequent and visible in rigid systems “trade-offs” occur between business needs and functionality.”
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
„While managing processes outside IT system, managers are not provided with the data enabling them to make the right decisions and optimize performance. The managers tend to react instead of making plans. Today MEDATEX records every “click” and shares all the data in any combination, at any time through the Business Intelligence module.”
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 „While managing processes outside of IT system, managers are not provided with the data enabling them to make the right decisions and optimize performance. The managers tend to react instead of making plans. Today MEDATEX records every “click” and shares all the data in any combination, at any time through the Business Intelligence module.”
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:

  1. Medical project

    • treatment plan
    • treatment estimate

  2. Certificates

    • complex
    • multidisciplinary
    • according to ICF
    • standard
    • by default
    • exit

  3. Expertise

    • hospital stays
    • surgeries
    • serious illness
    • incapacity for work
    • causes of death

  4. Opinions

    • related to pensions
    • in health care
    • in tourism
    • of prosthetic devices

  1. Preclusive

    • opinions of expert witnesses
    • opinions to suits
    • statements of defence

  2. 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

  3. Treatment of the injured persons

    • diagnostics
    • transport
    • surgical treatment
    • rehabilitation

  4. Obtaining medical records

Based on the claim analysis, it is possible to obtain results in the form of the following products:

  1. Medical project

    • treatment plan
    • treatment estimate

  2. Certificates

    • complex
    • multidisciplinary
    • according to ICF
    • standard
    • by default
    • exit

  3. Expertise

    • hospital stays
    • surgeries
    • serious illness
    • incapacity for work
    • causes of death

  4. Opinions

    • related to pensions
    • in health care
    • in tourism
    • of prosthetic devices

  1. Preclusive

    • opinions of expert witnesses
    • opinions to suits
    • statements of defence

  2. 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

  3. Treatment of the injured persons

    • diagnostics
    • transport
    • surgical treatment
    • rehabilitation

  4. Obtaining medical records

Recommended by Gazeta Bankowa in the category Hit of the Year 2017

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