Ese vets your claims (CLAIM-it or eClaims) at a whopping speed of 50 - 60 claims per second! You are good to go in just about a few minutes.
Ese flags medications that have no ICD-10 diagnosis to justify their inclusion in your claims.
Diagnosis(es) that are gender-specific and have been ascribed to the wrong gender are flagged by Ese. For example, if you choose prostate cancer as a diagnosis in your claim for a female, or uterine fibroids for a male, it will be detected and flagged.
Ese detects all G-DRGs that are misappropriated to the wrong age groups and flags them.
Ese cautions you of all duplicate claims i.e. claims with the same NHIS Membership IDs and dates of attendance are detected.
Ese picks up every G-DRG - Diagnosis Mismatch and suggests ICD-10 diagnosis(es) that would fit the submitted G-DRG.
All medications that are above the NHIA-certified prescribing level of your health facility are flagged by Ese.