“TOSHFA” is a comprehensive ERP solution for Insurers & Third Party Administrators for Health Insurance Quotation Engine, policy administration module and claims management module, hospital network module, analysis module, accounting module , Reinsurance module as well as 360 degree reporting to TPA, Insurers, Hospital, Corporate, Individuals, and Brokers & Agents.
TOSHFA has gone through various functional and technological revolutions over the years. It is a web based application along with integrated portals for Hospital Portal, Corporate Portal, broker Portal, Agent Portal and customer Portal to view the details and claim’s status and reports from the website login section.
In brief, it can notify policyholders about policy renewal date, it can manage all policy details received from insurers, preparation of ID cards, tracking of ID cards, dispatches of the cards, endorsement of employees and import policy data from excel files.
Maintains the record of network hospitals which includes hospitals detail entry, tracking suspended hospitals, record details of discount offered and claim analysis. Manage all aspects of claims related to Health, Adjudication, Billing, Settlement, preparation and dispatch.