Medical Overview

  1. Medical HMOs

  2. HMO Providers

  3. HMO Coverages

The medical module of the application supports HMOs and medical claims. Medical claims, once approved are processed as part of payroll.

Medical HMOs

Health maintenance organizations (HMOs) provide health insurance coverage for a monthly or annual fee. An HMO limits member coverage to medical care provided through a network of doctors and other healthcare providers who are under contract to the HMO.

HMO Providers

A health care provider is an individual or an institution that provides preventive, curative, promotional, or rehabilitative health care services in a systematic way to individuals, families or communities. Institutions include hospitals, clinics, primary care centres, and other service delivery points.

HMO Coverages

Coverages are health care services to which a policy holder is entitled under the terms of a contract. Explore and add different services rendered by health care providers.