Value Proposal

To elevate the control of healthcare costs to the cooperative, through information and indicators that are reliable and agile, facilitating thus decision making. TOTVS solutions for Healthcare Cooperatives are complete and integrated. Also, they contribute to sustainable and economic development of companies, maximizing their performance 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

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