Revolutionise your healthcare administration operations with our affordable, intuitive and flexible web-based core administration suite.
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Comprehensive policy management
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Clinically managed healthcare solution
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Real-time data integration
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Fully integrated Digital Business Engagement Platform and Big Data solutions
MEET OUR TEAM'S MANCO
Medical Aid
Health Insurance
Managed Care
Hospital Pre-autorisation
Disease Management
Gap Cover
Our Solutions
Consolidates all elements on a single platform so that you can focus on service excellence
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Real-time data and Management information to enable faster decision making.
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Smooth, reliable, and predictable administration processes, integrated with the Digital Business Engagement Platform improve the end user experience.
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Streamlined authorisation and claim assessment processes enable faster turnaround.
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Robust data protection and secure access management for enhanced security
CONTACT SALES
Healthcare
Product & Benefit Management
Elevate product management with product and benefit templates, white labelling, cloning, customisation, and 'Product in a Box' for seamless operations and accelerated market entry.
New Business Acquisition
Expand your reach with multi-channel digital solutions, customisable rules, dynamic script application, flexible commission structures and its marketing support capabilities. These include full campaign management call centre integration, leads management and a broker management sub-system. Being largely parameter-driven, it is flexible enough to handle multiple schemes, health insurance products, GAP products, benefit options, and commission structures.
Configurability
As your membership base grows or new plans are made available, our resilient solution will be reconfigured to handle the new demands. Scale up or down with a rule-based system that creates a digital ecosystem for an improved customer experience. Further increases speed to market by leveraging business rules for product updates increasing your business agility. Accelerate new product development through reusable rules and templates.
Commission Management
Optimise onboarding and commission calculations, manage multi-level structures and broker accreditations, and ensure transparency with clear payment and approval processes.
Collections & Payments
Automated Payment and Billing cycles, contributing towards increased efficiency and streamlined business processes. Simplify collections with various methods, perform complex premium calculations, generate detailed payment reports, and enhance retention with integrated rejection management.
Maintenance & Client Services
Real-time integration between operational departments, including external clinical advisory and managed care services. Streamline client services with efficient upgrades, renewals, policy changes, role management, and seamless cancellations and reinstatements.
Claims Management
Automate claim registration and assessments, drive efficiency with workflow-driven authorisations and approvals, and cover a comprehensive range of claim types. Our electronic claims processing spans the full lifecycle of a claim which unlocks faster claims processing to improve customer service. Our clients benefit from simplified claims handling, improved loss ratios, and decreased loss adjusting expenses.
Actuarial & Reporting
Gain insights with near real-time custom reporting and analytics, track movements, generate internal reports, and utilise big data solutions for strategic planning.
Audit & Security
Customise security groups, conduct thorough audits, ensure secure access management, and protect your data with robust authentication processes.
Self-help
Our Self-help solution allows for benefit reservations via the Internet, Mobile App, WhatsApp and any other channels that technology brings.
State of the Art Solutions
Our solutions are kept up to date with the latest in technological trends. This enhances the digital experience of all application users and allows administrators to keep customers well informed.
Patient Health Management
From authorisation to hospitalisation to recovery keep track of a patients progress and adherence to treatment. Assist patients to manage their chronic conditions through reminders and follow ups.