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The SVK is automating the auditing process for its health insurer customers
The Swiss Association for Common Tasks of Health Insurance Companies (SVK) is automating its auditing process. To do this, it is using the Sumex solution developed by Suva and Elca. Sumex enables the digitally supplied accounts of its providers to be audited efficiently and accurately.
The Swiss Association for Common Tasks of Health Insurance Companies (SVK) audits invoices for health insurance companies, e.g. for transplants, dialysis or artificial nutrition. These invoices are generally complex, and auditing them is time-consuming. The SVK aims to offer optimal support to its customers and provide as efficient a service as possible despite the complexity of cases and strict data protection regulations.
The SVK therefore decided to automate the supplied data to the greatest possible extent, using the Sumex solution developed by Suva and Elca. “Sumex enables us to efficiently receive electronic invoices, process them in line with regulations, and transmit them to our customers”, says SVK director, Roger Schober. Thanks to Sumex, the audited invoices can be approved quickly and efficiently. Sumex is part of the “Data collection point in line with the Ordinance on Health Insurance (HIO) 59a”, which the SVK developed and brought into operation in collaboration with Elca. “With the professional collaboration and the specialist knowledge of all involved, we were able to successfully implement this challenging project in the record time of five months”, says Roger Schober.
Sumex is a joint project between Suva, various health and accident insurers and Elca as an innovation and technology partner. Over 20 health and accident insurance companies successfully deploy Sumex. Sumex currently checks the accuracy of almost 100 per cent of AIA (Accident Insurance Act) invoices and over 50 per cent of all invoices in line with the Health Insurance Act (HIA).