UCO Med Assistance

Specialized medical assistance system. Automate the entire lifecycle from managing insurance programs and routing patient calls to automated audit of hospital invoices.

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What Problems Does UCO Med Assistance Solve?

Handling insured patients manually leads to skyrocketing operating costs and fraudulent claims. Here is how we help:

Inflated Bills from Partner Clinics (Fraud)

Medical institutions often bill for unrendered services or inflate tariffs. UCO Med Assistance automatic audit checks incoming claims against active contract price lists.

Slow Service Approvals

Patients wait on the line while the dispatcher manually checks insurance limits. Our system calculates service limits and deductibles instantly.

Complex Billing Reconciliation

Manually reconciling thousands of invoices from dozens of clinics takes weeks. The system automates register imports and identifies discrepancies in one click.

Functional Modules

Insurance Program Constructor

Flexible setup of tariffs, deductibles, limits on services, and medication guidelines for corporate and individual voluntary health insurance (VHI) programs.

Dispatcher Workspace (Call Center)

Rapid call handling, instant client search by IIN, real-time balance checks, and automated letter of guarantee generation for clinics.

Automated Billing Audit

Import and automated verification of electronic service registers from clinics against pre-negotiated price lists and customer balances.

Healthcare Provider Integration

Connect clinics via API for seamless real-time delivery of guarantee letters, visit results, and settlement invoices.

Business Value & ROI

Assistance automation cuts costs on fraudulent claims and optimizes backend coordinator labor:

10-15%

Payout Reductions

Save by blocking duplicate services, incorrect pricing, or services outside of policy rules.

-40%

Ticket Processing Time

Coordinators handle claims faster with instant limits lookup and automated document flows.

100%

IIN Validation

Prevent serving unauthorized third parties by checking identities against the database of insured citizens.

Integration Blueprint

The system links insurance providers, dispatch teams, and medical facilities together:

Real-Time Data Synchronization

The UCO architecture supports secure integration with all key enterprise IT systems through modern interfaces:

ERP & Accounting: Two-way synchronization with 1C:ZUP, 1C:ERP, and SAP HR.
Directory Services: Single Sign-On (SSO) and employee credentials via Active Directory / LDAP.
External Platforms: Connections with access control systems, healthcare portals, job boards (hh.ru), and digital signatures.

Frequently Asked Questions (FAQ)

Common questions about UCO Med Assistance:

Does the system comply with Kazakhstan medical data protection regulations?

Yes, UCO Med Assistance conforms with the RK Law "On Personal Data and its Protection", as well as the RK Code "On People's Health and the Healthcare System". Medical and diagnosis data is encrypted and kept within your local server perimeter.

What Medical Information Systems (HIS) are supported for integration?

We integrate with all popular HIS platforms in Kazakhstan (including Damumed, MedElement, SmartMedicine, as well as proprietary clinic systems via REST or SOAP APIs).

Can we configure separate medication limits and physician visit limits?

Yes, the policy constructor supports arbitrary granularity: specific limits for physician consultation counts, laboratory test lists, partner pharmacy drug lists, and custom co-pay rules.