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
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