Members and benefits
Associate insured people, authorised family members, membership cards and policies for eligibility and benefit checks.
IMS / LDM+Tech
IMS | Insurance Member Services Plus
Insurance Member Services Plus (IMS) connects member identities, policy benefits, provider networks and service transactions for insurers and member-service operators. Membership services form the core, with plugin-based extensions planned for future services.
Put member services at the core, connecting benefits, providers and services.
Designed for Insurers, health-plan administrators, healthcare providers, pharmacy chains and employer-benefit operators
CAPABILITIES
Capabilities organised around practical workflows.
Provider networks
Organise insurers, providers and branches with explicit service scope and operator permissions.
Direct billing and limits
Organise eligibility, benefit reservations, consumption, reversals and refunds, with insurer or ITPA integrations agreed per project.
Settlement and reconciliation
Link transaction detail, settlement batches and exceptions for provider- and period-level reconciliation.
FUTURE ROADMAP · PLUGIN EXTENSIONS
Membership at the core. More services through plugins.
The “Plus” represents future service extensions. Pluginisation is an architecture roadmap; the modules below are not advertised as installable or delivery-ready plugins.
IMS core
Member identity, organisational permissions, baseline benefits and shared service rules form the stable foundation.
Service plugins · planned
Assess plugin packaging and composition for direct billing, assessments, follow-up, pharmacy services, claims coordination and provider integrations.
WORKFLOW
Make every step connect.
- 01
Verify members and benefits
- 02
Connect providers and services
- 03
Track services and transactions
- 04
Reconcile settlements and records
MARKETS & DELIVERY
Local requirements. Global perspective.
China
Scope Chinese-language workflows, local integrations, data permissions and delivery responsibilities with the operating organisation. Channel support is agreed per project.
International projects
Use English-language solution discussions to assess local workflows, language, time zones, data hosting, coding and payment systems. Product suitability is confirmed for each market.
Solution design and upgrades build on existing membership and direct-billing modules. Deployment scope and external connections are agreed per project.
FAQ
Frequently asked questions
What is IMS?
IMS stands for Insurance Member Services Plus. It organises commercial health-insurance services around members, benefits and service providers.
What does the “Plus” mean?
“Plus” represents planned plugin-based extensions. Define the IMS core and extension contracts first, then plan, validate and deliver service plugins individually.
How do IMS and ITPA work together?
IMS focuses on members, policy benefits, service networks and transactions. ITPA focuses on case evidence, adjudication, review and claims operations. Rule evaluation, interfaces and financial responsibilities are scoped per project.
Does direct billing mean automatic claims approval?
Direct billing follows policy coverage, eligibility, authorisation and integration results. Business operators confirm the workflow and review points.