Fully Electronic Data Interchange Enabled
All payments are received and processed
systematically thereby lessening any human processing errors

Intergrated Pre-Authorisation,Case and Chronic Medication Management
Managing the hospitalisation event, chronic medicine costs and other high
value items with specific clinical input and integrated with the claims
process based on the pre-authorised case values

Rules based health plan claims processing
The use of these internationally based codes
ensures the system is viable both nationally and internationally

CPT 4 and 1CD 10 Clinical
The use of these internationally based
codes ensures the system is viable both nationally and internationally

Electronic communications to all stakeholders
System generated information prevents the necessity
of manual communications and ensures that
all members are effectively and timeously updated

Data Warehousing
This area encompasses financial, clinical and membership analysis,
member and provider profiling, fraud detection and service level management

Customised interactive website for all stakeholders
Customised websites are available to all stakeholders
offering access to benefit and membership details, claim
queries, broker queries, statements, financial and risk management information