eIntelliClaim by Pillarsis
Modernize member administration, benefit management, provider connectivity, preauthorization, medical claims processing, reconciliation, and reporting with eIntelliClaim Enterprise and professionally implemented openIMIS solutions.
Access Platform Login (opens the secure application environment in a new tab)Two delivery paths
A proprietary enterprise claims platform and specialist services for an established open-source Digital Public Good—clearly separated, supported by one implementation team.
Proprietary platform
A configurable claims and provider-connectivity platform for private insurers, TPAs, employer health plans, and healthcare networks.
Open-source implementation services
Implementation, configuration, integration, hosting, training, and support services for the open-source openIMIS platform.
Operational outcomes
Replace fragmented, manual handoffs with governed workflows that help teams make faster, better-informed decisions.
Confirm member status and benefit access at the point of care.
Apply consistent validation rules before claims enter review.
Give provider networks a more consistent submission workflow.
Route complete claims to the right reviewer with context.
Bring benefit usage and claims activity into clearer view.
Maintain traceable provider interactions and claim status.
Connect adjudication outcomes with payment tracking.
Support oversight with configurable reporting and audit data.
End-to-end workflow
Coordinate the administrative and clinical checkpoints that determine whether a claim is complete, eligible, reviewable, and ready for reconciliation.
Capture members, households, plans, and coverage.
Confirm identity, eligibility, and active benefits.
Review services against program rules.
Connect the care event with approved coverage.
Receive standardized electronic claim data.
Check completeness, rules, and anomalies.
Support documented review decisions.
Track approved claims and payment status.
Turn activity into operational insight.
Enterprise capabilities
A focused capability set for members, providers, claims, controls, and accountable operations.
Manage member records, plans, limits, and benefit rules.
Coordinate facilities, agreements, users, and network access.
Verify coverage and identity at critical service points.
Route requests through configurable approval workflows.
Standardize submission, correction, and claim-status workflows.
Apply rules and preserve reviewer decisions in an audit trail.
Connect approved claims with invoices and payment status.
Support operational, management, and program reporting.
Surface exceptions and patterns for informed investigation.
Coordinate relevant notices across stakeholder workflows.
openIMIS implementation
Pillarsis provides implementation, customization, integration, secure deployment, hosting, training, and ongoing support for openIMIS-based health financing and social protection programs.
openIMIS is an open-source Digital Public Good. Pillarsis provides implementation and support services; openIMIS is not owned by Pillarsis or eIntelliClaim.
Interoperability
Plan connected workflows across clinical, financial, identity, payment, and government systems without assuming every program starts from the same architecture.
Customer evidence
Selected implementations demonstrate provider connectivity, claims throughput, and measurable administrative improvement.
Connected more than 40 healthcare facilities through integrated member verification and claims workflows.
Verified scope supplied for this website.
Supported more than 7,000 claims monthly and reduced invoice preparation from weeks to within one day.
Verified scope supplied for this website.
Experience includes hospital workflow platforms, provider claims integration, health information systems, digital health interoperability, and public-sector information systems.
No unverified customer logos or quotations used.
Security by design
Security controls are designed into identity, access, data handling, deployment, operations, and traceability. Final controls are aligned to each customer environment.
Deployment flexibility
Plan deployment around ownership, residency, infrastructure, integration, support, and procurement constraints.
Hosted and managed by Pillarsis with operational support aligned to the program’s requirements.
Deployed into a customer-designated cloud environment with agreed responsibilities and controls.
Installed within customer infrastructure or a designated data center where program constraints require it.
The appropriate model depends on program scope, data residency, security, integration, and operating requirements.
Talk with Pillarsis about your program, provider network, current systems, claims workflows, and implementation priorities.
