Our Services
The existence of strategic partnership with advanced software company CoreTech) has contributed to the production of advanced digital programs and applications that have artificial intelligence so these programs are able to manage health insurance contracts with high quality and professionalism according to the following:
- Having information systems adopting international codes approved by WHO with distinctive specifications that qualified the company to reach high accuracy in controlling health insurance expenses.
- Creating research development center to study the international codes and apply it in health insurance management, and work continuously to develop and update work mechanisms in order to reach accuracy in serving all insurance parties.
- Using advanced digital transformation in development of health insurance services, which achieved the following benefits:
- Creating medical file for each patient.
- The implementation of the High-Tech system in the company is minimizing the subscribers debts.
- Automated and prior monitoring to prevent the duplicate of the same procedures.
- Ensures That The patient is eligible to benefit from health insurance in the real time of claim occurrence.
- Ensures That the medical provider is eligible for treatment during claim occurrence.
- Verify that medical diagnosis for the patient is not subjected to special conditions.
- Ensures matching diagnosis, treatment and procedures with the patient’s age and gender.
- Ensures matching medical procedures prices with the agreed prices.
- Ensures matching medical procedures with health insurance instructions according to the coverage.
- Contorlling of drug consumption within specific period of time.
- Verify the coverage of the medical diagnosis according to health insurance instructions.
- Checking financial limit for medical diagnosis.
- Checking for any additional Conditions Can be defined through health insurance instructions.
