Healthcare Administration

Claims assessing

Broker management and commissions

National branch network

Healthcare Provider Administration

Scheme contribution collections

Member query management (call-centres/email/fax)

Fund management

17 South African medical schemes

Managed Healthcare Services

Beneficial risk management:
Empowering identified beneficiaries and their healthcare professionals through informationsharing, including structured and integrated wellness assessments and education.

Provider management:
Developing strategies with healthcare providers that deals with cost and quality of care.

Hospital risk management

Chronic medicine risk management

Oncology management

Dental, optometry, pathology and radiology risk management

19 South African medical schemes



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