Corporate Medical Solutions

What we manage for you

1. 1

   Corporate healthcare management

   We build the programme around your organisation: benefit levels and network tiers set against your budget, then enrolment for your staff and their families. As headcount and needs change, the programme changes with them.

2. 2

   Healthcare network management

   We contract with hospitals, clinics, pharmacies, laboratories and diagnostic centres, and manage those relationships for you: service quality, coverage by area, and adding providers where your people actually live.

3. 3

   Medical authorisation and service coordination

   Requests for treatment are reviewed against your programme and settled between us and the provider, with the right medical documentation in place. Nobody should be standing at a hospital reception desk chasing an answer about their own cover.

4. 4

   Medical claims management

   We receive, review and settle claims with providers through a defined process, and handle reimbursement for beneficiaries who paid up front. Every stage is recorded, so you can see what was paid and why.

5. 5

   Beneficiary services and support

   Your employees contact our team directly about their cover, an approval or finding a provider. Those questions come to us instead of landing on your HR team.

6. 6

   Healthcare data and reporting

   Requests, approvals and claims run through connected systems, which lets us report clearly on how your programme is used and what it costs. That gives you something solid to base decisions on.