Do you finally want to monitor healthcare claims and the related costs within your organisation? To achieve this, implementing advanced information systems is essential. The EUGESIS platform is a specialised medical claims processor for the healthcare sector, designed to support the claims offices of Local Health Authorities (ASL), NHS trusts, and private hospital organisations.

The platform provides integrated management of compensation requests and related proceedings, ensuring full compliance with the Gelli Law and Legislative Decree 232/2023. As a leading medical claims processor, EUGESIS supports the adoption of organisational models for clinical risk management in all healthcare facilities. Both public and private providers are now required to activate robust monitoring, prevention, and risk management functions to protect patient safety.

The departments collaborating with the claims office can be actively involved in the process through this integrated medical claims processor solution:

✔ Medico-Legal: streamlined coordination for legal reviews

✔ Clinical Risk and Patient Safety: proactive monitoring of adverse events

✔ Claims Management and Evaluation Committee: collaborative assessment of healthcare claims.

Fully compliant with GDPR, EUGESIS protects sensitive personal data while managing the entire lifecycle of extrajudicial, judicial, and administrative cases with a flexible workflow. Thanks to its integration with corporate legacy systems, this medical claims processor adapts perfectly to existing healthcare macro-processes, significantly optimising operational efficiency.

Discover how to improve clinical risk management and the oversight of healthcare claims with a solution fully compliant with current regulations:

• Monitor and manage healthcare claims arising from compensation requests or formal notices by patients or heirs, covering every management phase.
• Request, organise, and analyse documentation, enabling comprehensive claim assessment through the collaboration of the Evaluation Committee and the Risk Manager.
• Cooperate with other company departments involved in the clinical governance process.
• Facilitate data transmission to competent regional authorities, ensuring maximum transparency in the oversight of healthcare claims.
• Manage the mediation phase and track financial information related to reserves and settlements.
• Oversee the resolution phase, including negotiations with the injured party and the transition to litigation if necessary.

• Monitor final compliance obligations, such as periodic reporting to the relevant authorities and potential recourse actions.