Digital Solutions for Health Insurers

BAYOOMED develops digital applications for statutory health insurers, from member portals to DiGA billing and ePA integration.

Digital Solutions for Health Insurers

BAYOOMED develops digital applications for statutory health insurers, from member portals to DiGA billing and ePA integration.

BAYOOMED MedicalOne Connect Microservice DiGA and ePA

Why health insurance companies need to digitize now

Digitalization is not just a “nice-to-have”; it is essential for service quality, cost-effectiveness, and competitiveness. Intuitive applications lower barriers for policyholders, speed up processing, and increase satisfaction. At the same time, they improve response times to feedback and enable companies to adapt their services more quickly to market needs.

Accelerate internal processes with AI & automation

Automated workflows – from application acceptance and risk assessment to digital policy management – reduce manual effort, avoid media disruptions and shorten processing times. AI-supported document processing, intelligent routing rules and digital files create transparency and take the pressure off teams – with demonstrably lower costs per process.

Here’s a practical example: Offline LLMs can be used to automatically analyze medical documents and process sensitive data locally—allowing organizations to benefit from modern AI without compromising data privacy. You can find more insights on this topic in our blog post.

External services: Apps & Companions, seamless in TI/TIM/ePA/DiGA

You connect mobile patient and insurance apps, self-service portals, and companion solutions directly to your end users—regardless of service hours. We integrate TIM (KIM messages), ePA, DiGA, and TI services to ensure your offerings work seamlessly across the board. Chatbots and AI assistants answer standard inquiries around the clock, significantly reducing the workload on your support team.

Personalization & customization for measurably more satisfaction

Through profiles, preferences and user-centric design, policyholders receive relevant content at the right time – from digital mailboxes to personalized tariffs. This increases loyalty and at the same time reduces contact volumes at traditional touchpoints.

Data analysis for better decisions & tariffs

Modern analytics provide a solid foundation for statutory services, service decisions, and pricing. With data protection by design and transparent models, you can leverage the potential of data without compromising compliance.

Increase efficiency, reduce costs

Automated processes, digital communication and integrated prevention offers (incl. Companions) reduce process and follow-up costs – while at the same time providing faster, more transparent processing for policyholders.

Direct line to insured persons – in real time

Digital platforms enable immediate feedback, faster product customization and active interaction – from biometric login to status updates and push notifications. The result: shorter paths, less friction, higher service quality.

Compliance, security & accessibility

We develop according to current security standards and information security best practices. Barrier-free front ends in accordance with BITV 2.0 ensure digital participation. By working closely with TI service providers such as RISE and industry partners such as Bitmarck, we ensure stable integrations and smooth operating processes.

Success story: “meineBIG” – the service app from BIG direkt gesund

BAYOOMED and BIG direkt gesund have been working closely together for several years—from the initial concept through the ongoing expansion of the meineBIG app as a central service platform. During the 2019–2020 relaunch, BAYOOMED impressed with a modular solution design, a high level of technical expertise, and efficient, transparent processes (Scrum). The app was redesigned with a user-centered approach and has been continuously expanded ever since.

Key features include biometric login, a secure electronic inbox, and integrated reward features. Future expansions, such as integration with the electronic patient record (ePA), are already firmly planned. A deep understanding of BIG’s processes accelerates further development, while partners such as UID ensure an excellent UI/UX. The collaboration is characterized by trust, professionalism, and a clear focus on measurable results.

“Together, we’ve taken the meineBIG app to a whole new level for our policyholders—and throughout the process, our collaboration was always professional, respectful, and based on trust.”

Natalia Boldina
Product Owner App at BIG direkt gesund

You can find out more about our collaboration with BIG in our Success Stories.

Why BAYOOMED

We combine domain expertise in the health insurance sector with technical excellence in regulated ecosystems. Our teams work closely with gematik stakeholders and TI enablers, securely integrate TIM, ePA, and the patient and insured person app, and develop scalable portals and apps—user-friendly, auditable, and future-proof. Learn more about our services:

Get Started on Your Digital Transformation with BAYOOMED

Whether it’s a patient portal, a companion app, or the automation of your core processes: We’ll show you concrete quick wins and a realistic roadmap—including compliance, security, and accessibility.

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