Estimate analysis | Jalma

About jalma

Partners
Meet our partners.
News
Our latest news and press publications.
Team
The largest team of social protection and personal insurance consultants.
Corporate culture
Our values and strengths.
Key Figures
Our company in a nutshell.
Our area of expertise
Acturial science
Healthcare risk management
Strategy, Marketing and Distribution
Project implementation
Pricing and risk management
Inventory
Decision-making
Solvency II
Chronic diseases management
Primary care organization
Patient associations
New health technologies
Strategy
E-business and multichannel
Product creation
Communication
IT projects
Transformation projects
Operations and change management
Implementation of regulatory changes
OUR HEALTHCARE CONTENT
Our experteo© solution

Estimate analysis
experteo © advisory, control and automization modules.
PRACTITIONER AFFILIATION & THIRD PARTY PAYMENT
experteo © modules for management of health provider affiliations and third party payment.
Our publications

White papers
Read our White papers for a better grasp of future changes in health insurance.
Surveys
A statistically detailed view of the market.
Health insurance panoramas
Our Panoramas seek to examine current changes in social welfare and innovations in personal insurance.
Health and Ageing Survey
Consequences of ageing on our healthcare system.
Careers

Our core business
Everything you want to know about jalma.
Join our team
Become a consultant at jalma.
Our vacancies
Job and internship opportunities.
Apply
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Estimate analysis

Estimate analysis

ADVISORY SERVICES

experteo © analyses client data in order to advise them on :

Services offered by healthcare providers
Going prices
Complementary insurance coverage level and optimization of out-of-pocket costs
Computation of mandatory, complementary and out-of-pocket reimbursement

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DATA PROCESSING AUTOMATION

The automation module enables the optimization and systematic process of coverage data and distinguishes between mass data entry and the analysis and advisory functions. It performs :

Data capture by account managers to create a batch
Integration of data files into experteo
Procedure recognition and treatment replication algorithm
Separate management of files where an added value service can be delivered (advice on reducing out-of-pockets costs, verification of files presenting irregularities)

This module can increase productivity by up to 75%

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CONTROLS

experteo © carries out automated controls on regulated services depending on level of coverage :

Control of regulation compliance
Control of service and price

Depending on the level of controls implemented, savings may reach 35% of risk.

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