Optimize the patient experience — with smart automation and AI.
Whether it’s reviewing insurance coverage, managing patient records, tracking costs, or submitting claims—all of these tasks in the healthcare sector can be automated. Our modular architecture enables customized solutions for specific healthcare needs—flexible and scalable.
By developing standard products, we increase cost efficiency without sacrificing customized features. Automated self-service functions reduce the workload on healthcare professionals and optimize processes, while AI-powered data collection ensures maximum ease of use. Customized front ends for Android, iOS, and the web ensure a seamless user experience across all relevant platforms. Thanks to their integration with the telematics infrastructure, our solutions are future-proof and promote efficient, digital healthcare.
As experts in invoice management and e-prescriptions, we’d like to offer you additional support based on our many years of experience and help you automate your service processes efficiently and intelligently. Take advantage of our continuously refined standard products, or implement a customized solution tailored to your needs. Together with Insiders, you’ll experience future-proof ease of use while saving time and money. Feel free to contact us, and we’ll find the right e-health solution for you!
For more than 25 years, Insiders has been a reliable partner to the (health) insurance industry. From receiving claims documentation to case processing and billing—our standard products ensure time savings, quality, and efficiency throughout the entire process. Developed in close collaboration with our customers and continuously refined, they reflect decades of industry expertise.
smart PKV is our standard product for the automated processing of medical service claims in the German insurance market. It effortlessly distinguishes between more than 65 classes, extracts all relevant service data, and performs logical checks based on a comprehensive set of rules. Benefit from reduced manual effort and improved process quality!
smart TARMED+ is our standard product for the automated processing of medical service claims in the Swiss insurance market. Designed to align with the “tarif médical,” it immediately captures all data contained in the TARMED invoice, whether it is header or table information. Comprehensive logical and technical checks ensure exceptional quality and maximum efficiency.
OmnIA is our market-established standard product for the automated processing of your entire incoming correspondence – regardless of input channel, format, and structure. All incoming messages are captured in a single system and classified based on textual and visual features. Relevant information is automatically extracted, validated, and routed to the correct business process. This way, you optimize your processes from data intake through to the completion of the business transaction.
Our software not only routes messages to the right recipients – from customer advisors and support to qualified decision-makers – faster than any human, it can even answer typical inquiries independently or provide staff with intelligent suggestions. Combined with simple, straightforward integration into your system, this saves you valuable time and ensures the sustainable optimization of your processes.
“Through our partnership with Insiders, we can also offer proven billing management in combination with the RISE ePA solution. This strengthens our portfolio for private health insurers, alongside ePA, digital ID, and IT services.”
Dr. Christian Schanes
Head of Telematics & IT Security, RISE
AI in business boosts efficiency, reduces costs, and unlocks new opportunities for innovation in nearly every industry. Our customers’ use cases demonstrate how successful process optimization makes companies more efficient and innovative. By implementing intelligent solutions, they have been able to optimize their business processes and achieve sustainable competitive advantages. Let our success stories inspire you!
AI agents are increasingly planning, deciding, and acting independently – yet without central control, traceability is lost. OmnIA integrates agentic AI applications into your existing IT landscape in a controlled, explainable, and data-protection-compliant manner.
“Working with Insiders Technologies allows you to break new ground in AI while being confident that the quality will be right in the end. The future of digitalization will lie in complementing rule-based systems with AI-based systems—just as smart FIX already does today.”
Patrick Schneider
Debeka Krankenversicherungsverein A.G.