Office Work

Third Party Administration (eClaims)

Preparation to Go-live

  • Provider mapping

  • Discussion on Benefit Terms & Condition

  • Plan & Benefit  setup

  • Membership Enrollment

  • Data Upload & Provider training

  • Data upload & UAT

  • Team Training

Patent Preparation and Prosecution
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Mobile Application

  • E-card

  • Plan and Benefits

  • Benefits Limits

  • Claims History

  • Nearest Provider

  • Request Call from CS

  • CS Live Chat

  • Discharge Button

  • Chat with Doctor

Mobile App
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Management Reports

  • Admission & Discharge SLA

  • Top 20 Diagnosis (ICD 10)

  • Top 20 Hospitals -  visits

  • Top 20 Claimants

  • Top 20 Policies

  • Incident / Cost / LOS

  • Payor /Corporate

  • Aging by MTD/YTD

Discuss reports
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Customer Centric Services

  • 24 X 7 Call Centre  &   Whatsapp Chat

  • Cashless Treatment at Clinics and Hospitals

  • Update on treatments

  • Alert on billing

  • Treatment counseling

  • Second Opinion

Customer Service
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Cost Containment

  • Treatment monitoring

  • Cost Management

  • Provider Selection & Tariff Negotiation

  • Access to Overseas Provider (Malaysia & Singapore)

  • Free Access to Second Opinion

Image by bady abbas
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