CoverGo Claims

Process claims digitally

Automate up to 80% of your claims processes, ensuring a seamless and efficient workflow. Our user-friendly platform streamlines the entire claims lifecycle, reducing manual workload and increasing overall efficiency.   

Currently, all health product lines are supported - claims management for life and P&C lines coming soon.

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Streamline your processes with our future-proof solution

Our regular system updates ensure you always have the most innovative platform, not just today or tomorrow, but in the next decade.

Business benefits

Operational efficiency

80% of operational efficiency achieved through improved claim management

Cost savings

Collect data to support better negotiated rates with providers

Features

Claims detailing

View all GOP and Claims status, filter claims, and zoom in to view claim and settlement details.

Claims management

Users can create, duplicate, edit, or delete claims individually or in batches.

Task handling

Users can assign tasks to claims handlers, or escalate claims higher up your organization.

Claims adjudication

CoverGo automatically handles claims adjudication based on your member's product.

Remaining balance calculation

When entering data, remaining balance calculations are executed on the fly.

Required document checks

CoverGo will notify your clients when documents are missing upon the creation of claims.

Inline user requests

Users have access to all information related to their claims in one screen. Users can send requests to external stakeholders without leaving the platform.

Document & claims history

Find all documents and claims history for each member in your database.

Relevant case studies

AXA

Fubon Life

MSIG

All case studies

Want to know how we can help your business?

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CoverGo launches next-gen AI-powered health claims management platform

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