Solutions
The platform handles the record. Everything else is people: adjudicators, doctors, assessors, and a contact centre that answers at three in the morning.
TPA solutions
Not a pipeline. Eight functions that run together across the life of a claim.
Challenges
Advanced encryption, secure cloud storage, and regulatory compliance measures.
Seamless interoperability, AI-driven claims processing, and real-time data sharing.
Automated systems and AI to reduce errors and speed up approvals.
Partnerships with high-tech companies for continuous innovation.
Scalable platforms and digital service enhancements.
Healthcare BPO
We handle customer interactions on behalf of each insurance company, to international BPO standards. A dedicated IVR number connects each insurer's customers to the right place. The centre runs 24 hours a day, in multiple languages, throughout the year.
Globally recognised standards applied to contact centre operations, transaction monitoring and claims processing. Customer Satisfaction and Net Promoter Score are tracked on every hospital-related interaction.
A panel of highly qualified doctors across diverse specialisations, performing swift and accurate medical evaluations. They strengthen scrutiny and approval, and give 360-degree clinical insight on every case.
A network of assessors across 15 districts, visiting patients in hospital to validate claims in real time.
The platform
The services above run on one system. Insurers, hospitals and our own teams work in the same record rather than sending each other files, which is what makes a three-day reimbursement and a twenty-minute discharge possible.
3 days
Reimbursement claim
20 minutes
Discharge
6
Core modules
How we work
The third part of how we work is the people who do it. How we hire and what we offer.
Transaction monitoring
Operations
Business continuity