Value Proposal

To elevate the control of healthcare costs and to contribute to sustainable and economic development, maximizing the performance of cooperatives and providing competitive advantage.

Challenges

• Reduction of damage, frauds and disallowances
• Cost-benefit of healthcare plan for customers
• Measurement and determination of affiliated providers
• Quality of services offered by affiliated providers
• Productivity transferring to the provider
• Productivity transferring to the associate member

Solutions

• Plan Management
• Web Authorizer
• Electronic Medical Record
• Diagnostic Medicine
• Management of Affiliated Providers
• ERP Back Office
• Planning
• Data Collection
• BI
• CRM
• ECM
• HCM / HR
• Asset Maintenance
• Tax
• Fleets
• SPED

Results Achieved

• Customization of plans and authorization processes 100% automated
• Reduction of damages and frauds through identification by biometry
• Automated medical audit
• Structure of plans, assuring the best cost-benefit
• Improvement of plan invoicing
• Determination of affiliated providers according to real needs
• Knowledge about sufficiency indicators of affiliated providers