SUMEX AG Information

Sumex AG is committed to making an important contribution to the cost stabilization of the Swiss healthcare system. Together with our customers, suppliers and partners we understand that claims processing is a key process for insurances and a key touchpoint in the customer life cycle with big potential to satisfy policyholders, manage the growth, reduce costs, making opportunities a reality and optimize profit. The Sumex Suite is a leading invoice verification solution tailored to the needs of Swiss insurance companies. Sumex is used by a large group of customers from the accident and health insurance sectors and more than 25 million invoices are verified by Sumex every year. Sumex is an established brand in the electronic checking of medical expenses for many years now and the current coverage of the Swiss market reflects this. All conventional medical care invoicing in Switzerland is supported by Sumex, both for inpatient and outpatient care. This includes tariffs such as TARMED, Swiss DRG and the newly established TARPSY tariff for psychiatric treatments. In addition to the validation of standard tariffs and regulatory rules, the Sumex Solution uses data analytics and statistical algorithms to effectively identify suspicious invoices, while maintaining the highest rate of automatization. By assuring the highest level of software quality, true multitenancy and high processing performance, the operations of Sumex is very efficient. The Sumex Suite is a modular solution that can be tailored to the individual needs of Swiss health and accident insurance companies.