Bespoke Services

Everything we do is designed to enhance member experience by delving deeper into their benefits and entitlement management. We personalize to your exacting needs.

Customer Service Careline

  • • Admissions and discharges
  • • 24×7 Call Centre
  • • 30 minutes TAT

Provider Management

  • • Appointment & Termination
  • • Provider Audit
  • • SOA/Re-conciliation

Data Management

  • • Onboarding
  • • Data movement
  • • Automation
  • • Data security

Claims Backoffice

  • • Cashless
  • • Reimbursement
  • • Reports
  • • Invoicing
  • • 5-7 w/days
  • • Business Rules Management System/Engine
  • • Automation / Auto-adjudication

Medical Management

  • • Concurrent Reviews
  • • Engage with Attending Dr.
  • • CDM Exercises
  • • Medical Utilization Reviews
  • • Medical Audits 
  • • Wellness Programs 

Reports Analytics

  • • Scheduled
  • • Interactive
  • • Descriptive
  • • Diagnostic
  • • Prescriptive
  • • Predictive

List of Panel Clinics and Hospitals

2400+ panel of GP Clinics and 130 panel of hospitals