Med ClaimAssist Services
Our services to corporate clients span from providing support to healthcare intermediaries on claim queries to providing Value Added Products (VAPs) on insurance products. See below for the full range of our corporate services.
Outsource services to intermediaries
MCA provides a service, on a outsourced basis, to intermediaries efficiently dealing with claims on behalf our clients.
MCA as a Value Added Product on other insurance products
Our services are available as Value Added Product as an upsell on other appropriate
insurance products.
Supporting UMAs administering gap insurance products
We provide a service to Underwriting Management Agents (UMAs) that administer gap cover insurance products.
MCA as component of EAPs
Our service is a good fit and of value for employees on medical schemes and who benefit from Employee Assistance Programmes (EAPs).
Clinical IP available via API
An extensive database of clinical intellectual property (Clinical IP) which enables the system to identify coding errors, clinical inconsistencies, and other problems with medical schemes and/or insurance claims.
Outsource services to intermediaries
Med Claim Assist provides a service, on an outsourced basis, to intermediaries efficiently dealing with claims on behalf of our clients. The benefits of outsourcing the claims function to Med Claim Assist are:
Saves the intermediary time
Provides a service that might otherwise not be able to be provided
Ensures the client gets the right outcome due to MCA's deep knowledge and trust across the industry
Experience in dealing with clients who are disappointed when a claim is (correctly) not paid decreases client anger and frustration
Quick resolution of complex problems
Client retention: a well-served client is a client that stays
The value added to the intermediary includes:
Digitally source detailed information to support rapid feedback when a claim query is received
Real time feedback to broker and member through access to our systems
No long call queues to medical aids
No calls or follow ups to doctors and clinical know how when dealing with doctors
Online intermediary portal, one easy view of the services being provided to your clients
Valuable resource time freed up on claim queries
Med Claim Assist as a Value Added Product (VAP) on other insurance products
(including gap products)
Our services are available as a Value Added Product as an upsell on other appropriate insurance products.
This is available for individual sales as well as group sales, with a different pricing scale for each.
We are constantly approached by medical scheme members looking for assistance in getting claims
properly paid – there is significant demand for this service.
The VAP has proven to be good fit with gap insurance products and dread disease cover.
We look out for you!
+27 21 007 4516
Trading hours
08:00 - 16:30 Monday - Friday
info@medclaimassist.co.za
Claremont,
Cape Town, 7708