Health Cloud Administration
jHealth Cloud for Insurance
Design member and provider claim journeys with integrated document management to
automate claim intake and reduce administrative costs with digital self-service claim tools.
Manage provider claim denials, appeals, and grievances in a compliant and intuitive way using a
comprehensive claims data model integrated with service codes and benefits structures.
The health insurance data model provides objects for managing the ways care is paid for. It represents information about participants such as employment, insurance coverage, and dependents. You can manage details of the benefits provided by plans to members and treatment preauthorization requests made by members or providers.
The health insurance data model includes standard objects and record types on standard objects. You can use these objects to model your organization’s work flows as you manage health insurance data.