Features

MediKredit Healthcare Claims Management: Features

  • Claims gate keeping
  • Application of rules in a scalable, flexible and customizable manner allowing for implementation of complex benefit designs
  • The ability to create a specific rule for a specific patient for a specific healthcare product or service (“rule-stacking”)
  • Financial and clinical risk management for medical schemes
  • Provider and scheme call centre support for membership and technical queries
  • Highly innovative technology solutions
  • On-line real time (OLRT) processing
  • Guaranteed system availability
  • Accurate reporting and benchmarking
MediKredit’s claims processing systems are ISO:9001 compliant.
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