ECCS — The AI Engine Powering Modern Claims
ECCS is MediLink-Global's flagship claims management platform—an end-to-end AI-driven system that transforms how payors and TPAs process, adjudicate, and settle healthcare claims.
Straight-Through Processing Rate
Average Adjudication Time
Data Accuracy Rate
Reduction in Operational Costs
How It Works
The ECCS Claims Lifecycle
From submission to settlement—every step is automated, audited, and optimised.
Submission
Claims received from hospitals, clinics, or direct channels
Structuring
AI converts unstructured data into standardised formats
Validation
Policy rules and eligibility checks applied automatically
Adjudication
AI engine approves, adjusts, or flags for human review
HITL Review
Complex cases reviewed by clinical and claims experts
Settlement
Approved claims processed for payment and reconciliation
Platform Modules
Six Integrated Modules. One Unified Platform.
Claims Intake & Structuring
Ingests claims from hospitals, clinics, and direct submissions. Converts unstructured documents into standardised, machine-readable formats.
AI Adjudication Engine
Applies policy rules, clinical benchmarks, and historical patterns to adjudicate claims in real time. Handles 80%+ of claims via straight-through processing.
HITL Exception Routing
Complex, flagged, or high-value claims are automatically escalated to human reviewers with full AI-generated context and recommendations.
Cost Intelligence & Analytics
Every processed claim generates analytics-ready data for cost trend analysis, provider benchmarking, and fraud detection.
Settlement & Reconciliation
Automates payment processing, settlement instructions, and reconciliation against provider invoices and bank statements.
Compliance & Audit Trail
Full audit trail for every decision, with BNM, PDPA, and industry regulatory compliance built into the core architecture.
Technical Specifications
Enterprise-Grade Architecture
Cloud-native microservices architecture
RESTful API and HL7 FHIR integration support
Real-time processing with sub-second response times
Multi-tenant, multi-product configuration
Role-based access control (RBAC) with SSO support
End-to-end data encryption (AES-256)
99.9% uptime SLA with active-active failover
Bank Negara Malaysia (BNM) and PDPA compliant
20+
Years of Claims Expertise
1M+
Claims Processed Annually
Ready to Deploy ECCS?
Join Malaysia's leading insurers and TPAs who have transformed their claims operations with ECCS.
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ECCS powers the entire MediLink-Global ecosystem — explore how it serves each stakeholder group.