• We are able to provide transparent and auditable healthcare claims information

  • Significant time and cost savings by working in a paperless EDI (Electronic Data Interchange) environment

  • Elimination of manual processing errors

  • Adaptability allowing for the successful implementation of complex benefit or rule designs

  • Patients can make informed decisions about their healthcare benefits

  • Healthcare providers can instantly assess, at the point of service, what the payment obligations are between the medical scheme and its members

  • Healthcare providers can implement member co-payments at the time of service delivery – eliminating administration and non-payment risk

  • The improvement of cash flow and reconciliation issues

  • Healthcare providers can highlight the clinical risk of services and products provided

  • Elimination of duplicated products and services, drug interaction concerns, overdoses and inappropriate medication - based on historic processing data, 3% of claims adjudicated are faulty in some form


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