Health Benefits Management Software
Quikcard, Canada’s leading health benefits provider, required a comprehensive claim settlement system for settlement of claims about health, dental, vision, and wellness to unify claim management, policy plans, and cardholder oversight. Their legacy desktop-based Oracle system slowed efficiency and scalability.
Process maturity
CMMI Level 5
Information security
ISO 27001
Industry experience
25+ years
Global clients served
600+
Project Scope & Challenges
Before HMS adoption, Quikcard faced several pain points:
Fragmented Legacy System
Oracle-based desktop app restricted scalability.
Manual Claim Settlements
Time-consuming, error-prone claim adjudication.
Complex Policy Management
Limited flexibility for tailored company-specific plans.
Scalability Gaps
Thousands of cardholders across businesses required a modern, centralized insurance CRM.
Mapelcode’s Solution
Mapelcode collaborated closely with Quikcard to deliver an enterprise health insurance ERP solution that:
Automated claim initiation, adjudication, and settlement workflows.
Enabled custom insurance software development for flexible, tailored insurance plans.
Integrated real-time claims processing software with accuracy-driven adjudication.
Embedded role-based access and secure workflows for transparency.
Modernized the system by moving away from the legacy Desktop app to an enterprise portal using Java, Spring, and Angular
Compliance, Security & Government Readiness (Canada)
The software was designed to align with Canadian government and industry regulatory requirements, ensuring enterprise and public-sector readiness.
Architecture Designed To Support Compliance With Applicable Canadian Regulatory And Privacy Frameworks
Secure Data Handling Practices With Enterprise-Grade Controls
Role-Based Access Control, Audit Logging, And Data Traceability For Regulatory Reporting
Cloud Security Best Practices Including Encryption Of Data
This compliance-first approach enables Quikcard to confidently support enterprise clients, regulated industries, and government-aligned organizations across Canada.
100% tax‑deductible employer contributions, delivering measurable cost savings in line with Canadian regulations
Centralized application portal for reporting, enrolment, funding, and financial management
Support for both “cheque‑based” and electronic payment processing
Seamless claims submission via web application and mobile app
Unified dashboards with extensive details for business stakeholders
Tech Stack We Utilized
Frontend
AngularBackend
Java
SpringDatabase
Oracle
SqlArchitecture
Microservices-based insurance softwareFeatures Delivered
Comprehensive Claim Management
Intimation, adjudication, and settlement.
Customizable Insurance Plans
Tailored benefits for enterprises and SMBs.
Real-Time Adjudication
Automated review and approval processes.
Advanced Calculations
Algorithm-based reimbursements with accuracy.
Insurance Policy & Plan Management Software
Flexible coverage and updates.
Results & Achievements
Digitized the entire insurance claim lifecycle into a paperless insurance CRM.
Automated workflows cut settlement delays significantly.
Delivered scalability for large enterprises and SMBs via health insurance ERP.
Enabled real-time adjudication and faster reimbursements.
Successfully completed a 6-year transformation journey from legacy to next-gen ERP.
Digitized the entire insurance claim lifecycle into a paperless insurance CRM.
Automated workflows cut settlement delays significantly.
Delivered scalability for large enterprises and SMBs via health insurance ERP.
Enabled real-time adjudication and faster reimbursements.
Successfully completed a 6-year transformation journey from legacy to next-gen ERP.
Reimagining Insurance Claim Settlement with Real-Time HMS
Mapelcode empowered Quikcard to move from legacy inefficiencies to a modern digital claims management solution for insurers. The HMS improved claim automation, policy flexibility, and operational transparency, giving insurers a reliable and scalable platform for long-term growth.
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