Sumex Suite is a flexible workflow solution for the automated processing of claims documents in the Swiss healthcare system, aimed at health insurers. Sumex Core holds the business components and workflows for the electronic verification of invoices. It is complemented by reference data with tariffs and a drug master database, expert systems that validate billed services, analytics models based on statistics and machine learning, a tool for batch checking of SwissDRG invoices, and capture of scanned bills. Dashboards give an overview, and according to the vendor the solution integrates with existing systems.
The solution comes from Sumex AG, a Swiss company that is part of the ELCA Group. Switzerland is not an EU member state but an EFTA country with an EU adequacy decision. The vendor does not state where data is hosted or whether the software is delivered as a service or installed, so this should be asked. The ELCA Group privacy notice says that data processing for customers is governed by a data processing agreement. No foreign parent company is mentioned.