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Medical Claim Management System V1.0

Managing medical claims manually is slow. Paper files get misplaced. Excel sheets become scattered. Tracking approvals, rejections, reimbursements, and policy limits becomes confusing.

Now imagine handling hundreds of employee medical claims in one structured, secure, and automated system.

That is exactly why we built the Medical Claim Management System V1.0 — a powerful Excel & VBA-based tool designed for organizations, HR teams, finance departments, and healthcare administrators.

If you are looking for a ready-to-use Medical Claim Management System in Excel, this is the complete solution.

Table of Contents

Click to Purchases Medical Claim Management System V1.0

What Is Medical Claim Management System V1.0?

Medical Claim Management System V1.0 is a fully automated Excel VBA-based application that helps organizations:

  • Manage employee medical claims

  • Track claim history

  • Control user access

  • Generate reports

  • Export data

  • Secure data using login credentials

It works inside Microsoft Excel but behaves like a complete software application with forms, buttons, filters, sorting, and role-based access control.

You do not need external databases.
Everything runs inside one structured Excel file.

Why Your Organization Needs a Medical Claim Management System

Without a proper system, organizations face:

  • ❌ Duplicate claim entries

  • ❌ Missing reimbursement records

  • ❌ No proper filtering by date

  • ❌ No audit history

  • ❌ No user-level access control

  • ❌ Difficulty in generating reports

With this tool, you get:

  • ✅ Structured claim tracking

  • ✅ Role-based security

  • ✅ Easy add/update/delete options

  • ✅ Excel export facility

  • ✅ Date-based filtering

  • ✅ Centralized claim history

This system is especially useful for:

  • Corporate HR Departments

  • Insurance Processing Teams

  • Hospitals & Clinics

  • Third Party Administrators (TPA)

  • Healthcare Finance Teams

Key Features of Medical Claim Management System V1.0

Let’s explore every module in detail.

1️⃣ Login Form (Role-Based Security)

Login Form
Login Form

The system starts with a professional Login Form.

You simply enter:

Default Admin Login:

  • Username: Admin1

  • Password: abcd

Default User Login:

  • Username: User1

  • Password: abcd

After login, the system redirects you to the Main Claims Form.

Click to Purchases Medical Claim Management System V1.0

Why This Is Important

  • Ensures data security

  • Prevents unauthorized access

  • Allows different access permissions for Admin and Users

  • Supports password reset functionality

Only Admin can access advanced controls like User Access Control.

2️⃣ Claims Claims

Claims

This is the heart of the system.

After login, you land on the Claims Management Main Form.

From here, you can manage everything.

📌 List Box (Center of Main Form)

At the center of the form, you will see a structured List Box displaying all claim records.

This allows you to:

  • View claims instantly

  • Select any record

  • Double-click to update

  • Track status

📌 Filters

Above the List Box, you can filter records by:

  • Date Range

  • Selected Columns

  • Custom filtering logic

This helps you analyze specific time periods or categories quickly.

📌 Sort By Feature

You can sort claim records using the Sort feature.

Sorting options help you organize data based on selected columns.

📌 Control Buttons

Below the list box, you will find powerful control buttons:

1️⃣ Add New Record

Add a completely new medical claim record.

2️⃣ Update Existing Record

  • Select a record

  • Click Update

  • Or simply double-click the record

  • Modify details

  • Click Submit

3️⃣ Delete Record

Remove unwanted or incorrect claim entries securely.

4️⃣ Export to Excel

Export the list box data into a new Excel file for:

  • External reporting

  • Management review

  • Sharing with insurance providers

This makes reporting extremely easy.

3️⃣ History Form

History Form
History Form

The History Form opens when you click:

  • Add New Record

  • Update Existing Record

This form allows you to:

  • Enter new claim data

  • Modify claim details

  • Submit updates

This ensures all data entries are structured and controlled.

Navigation Menu (Left Side Panel)

Click to Purchases Medical Claim Management System V1.0

The system includes a complete navigation bar for seamless control.

Let’s explore each option.

1️⃣ Firm Information

Update your organization details:

  • Company Name

  • Address

  • Contact Information

  • Registration Details

This keeps your system personalized.

2️⃣ User Management

User Management
User Management

This section allows Admin to:

  • Add new users

  • Update user details

  • Delete users

  • Reset passwords

  • Change passwords

This ensures complete user control inside the organization.

3️⃣ Manage List

Manage List
Manage List

Using this section, you can:

  • Add list values

  • Delete list values

This is helpful for managing dropdown fields dynamically.

4️⃣ Medical Policy

Medical Policy
Medical Policy

You can define and manage:

  • Policy types

  • Claim limits

  • Coverage structure

This helps align claims with policy rules.

5️⃣ Employee Master

Employee Master
Employee Master

Maintain employee records:

  • Employee Name

  • Department

  • Policy coverage

  • Other master details

This ensures clean claim referencing.

6️⃣ Reports

Reports
Reports

Generate Excel-based reports for:

  • Selected date ranges

  • Filtered claim data

Reports can be used for:

7️⃣ Manage User Access Control (Admin Only)

Manage User Access Control
Manage User Access Control

This feature allows Admin to:

  • Enable or disable specific modules

  • Assign permissions to User roles

  • Control access at feature level

This ensures proper segregation of duties.

8️⃣ Logout

When you click Logout:

  • Data is saved

  • Forms close properly

  • Excel file remains secure

9️⃣ Email Us

Need customization?

You can directly contact us for:

  • Feature modification

  • Branding updates

  • Additional modules

🔟 Visit Our Website

Clicking this button redirects you to our website where you can:

  • Explore more tools

  • Purchase additional systems

  • Upgrade your digital ecosystem

System Compatibility (Important Highlights)

⚠️ Please read carefully before purchase.

  • ✅ Compatible with Windows 10 and above

  • ✅ Works with Microsoft Excel 2010 and above

  • ✅ Works only with Microsoft Excel Desktop Application

  • ❌ Does NOT work on Mobile devices

  • ❌ Does NOT work on Tablets

  • ❌ Not compatible with Mac Operating System

This is a VBA-based tool and requires Excel Desktop version.

Advantages of Medical Claim Management System V1.0

  • ✔ Ready-to-use structured system

  • ✔ Role-based login security

  • ✔ Add, Update, Delete functionality

  • ✔ Dynamic filtering and sorting

  • ✔ Export to Excel facility

  • ✔ User access control system

  • ✔ Master data management

  • ✔ No external database required

  • ✔ Cost-effective solution

  • ✔ Fully customizable

Opportunities for Improvement

  • 🔹 Add automated email notifications

  • 🔹 Add dashboard analytics module

  • 🔹 Add approval workflow system

  • 🔹 Add claim status tracking visual dashboard

  • 🔹 Add multi-branch support

Customization is available upon request.

Best Practices for Using This System

  • ✔ Change default passwords immediately after installation

  • ✔ Take weekly backup of the Excel file

  • ✔ Assign role-based access carefully

  • ✔ Maintain updated employee master records

  • ✔ Use filters before exporting reports

  • ✔ Restrict Admin access to authorized personnel

Frequently Asked Questions (FAQs)

Click to Purchases Medical Claim Management System V1.0

Q1: Does this system require internet connection?

No. It works completely offline.

Q2: Can I customize it for my company?

Yes. We provide customization support.

Q3: Can I use it on Mac?

No. It is not compatible with Mac OS.

Q4: Does it work on mobile?

No. It works only on Excel Desktop version.

Q5: Is coding knowledge required?

No. It is ready to use.

Why Choose This Excel VBA Medical Claim Management System?

Because it is:

  • Structured

  • Secure

  • Automated

  • Affordable

  • Professional

  • Scalable

Instead of spending thousands on complex software, you can start with this powerful Excel-based solution.

Final Words

Medical claim management should not be messy.

It should be structured. Secure. Organized.

The Medical Claim Management System V1.0 gives you full control over claims, users, policies, and reporting — all inside Microsoft Excel.

If you want a reliable, ready-to-use Medical Claim Management System in Excel, this tool is built for you.

Visit our YouTube channel to learn step-by-step video tutorials

Youtube.com/@PKAnExcelExpert

Click to Purchases Medical Claim Management System V1.0

Watch the step-by-step video tutorial:

PK
Meet PK, the founder of PK-AnExcelExpert.com! With over 15 years of experience in Data Visualization, Excel Automation, and dashboard creation. PK is a Microsoft Certified Professional who has a passion for all things in Excel. PK loves to explore new and innovative ways to use Excel and is always eager to share his knowledge with others. With an eye for detail and a commitment to excellence, PK has become a go-to expert in the world of Excel. Whether you're looking to create stunning visualizations or streamline your workflow with automation, PK has the skills and expertise to help you succeed. Join the many satisfied clients who have benefited from PK's services and see how he can take your Excel skills to the next level!
https://www.pk-anexcelexpert.com