Transform and modernize public-sector health benefit administration
Managing health care for millions of citizens is a complex task. Simplify your business processes and expand your capacity using a system specifically designed for public health benefit programs.
Health care program administrators need solutions that expand their capacity to process claims, enhance decision-making capabilities and improve communications between all stakeholders in the health care system. At the same time, they need to reduce operational costs. That’s why health leaders across Canada and in international markets choose the flexibility, scalability and value of Medigent®. It transforms health care benefits systems to realize better outcomes and value for the money.
jurisdictions in Canada use one or more Medigent modules
A proven, modular solution for health care administration
Medigent plays a vital role in transforming health care benefits systems to realize better outcomes and return on investment. Benefit from the efficiencies of a commercial off-the-shelf (COTS) system that can be configured to manage unique programs. Learn more about Medigent.
Claims and Payment Modules
Efficiently administer provider claims using Medigent's claims and payment modules, including medical, pharmacy and supplementary benefits, dental, medical travel, and reciprocal billing claims.
Streamline and automate your business processes for enrolment and renewing eligibility, and provide tools for the public to submit and change their information.
Store provider and payee information, manage claims and invoices, and process registrations made by web, phone or paper.
Harness the potential of robust data
High-quality data allows users to
- better analyze current program performance
- identify trends proactively
- predict future health system requirements
- adjust programs accordingly
Medigent provides both rich data and a complete audit trail of all claims processing by offering a comprehensive data model and the ability to configure additional information. Our high-quality data standards allow for effective auditing and provide the foundation for reporting and analytics. Medigent clients can improve reporting and predictive analytics to enhance their businesses.
Why choose Medigent?
Using Medigent integrated modules ensures that the right work gets to the right people, at the right time. This process reduces manual effort and allows health care administrators to focus on higher-value tasks. For over two decades, Medigent has helped manage Canada’s publicly-funded health insurance programs by:
- Expanding benefits administration capacity
- Enhancing decision-making capabilities
- Improving communications flow
- Optimizing business process to reduce program administration costs
- Providing self-serve functions to improve service and contain costs
- Increasing efficiencies and providing opportunities for cost savings
- Improving privacy and security
Connecting insights so you can identify trends, predict future health system requirements and adapt to change.
Medigent features a wide range of options from software-only solutions to fully managed outsourced services.
Medigent leverages automation so that staff spend less time on manual tasks and more time on value-added activities.
Part of staying relevant in today’s health care environment is ensuring Medigent remains on the cutting edge. Regular updates are essential, to accommodate the legislation and industry changes identified by our current customers located in 10 of the 13 provinces and territories in Canada.