What we do

Six functions, one goal.

Each one is a job that somebody has to do before a guest can be treated and a hospital can be paid. We do all six, on the same file, so nothing falls between them.

Cashless arrangements

Credit facilities held on both sides, so an eligible guest is admitted without paying a deposit or an admission fee.

Pre-authorisation

Policy identified, eligibility confirmed, and an authorisation letter with the provider before or at the point of admission.

Guarantee of Payment

The insurer’s guarantee obtained against the proforma, and ours reciprocated to the hospital with the amount stated in full.

Claims scrutiny

Final invoice, discharge summary and itemised laboratory and pharmacy breakdowns checked line by line against policy terms.

Settlement & reconciliation

Collected from insurers inside the agreed credit period, disbursed to providers inside theirs, reconciled invoice by invoice.

Case management

A named coordinator per case, tracking the patient from notification through transfer, treatment, discharge and repatriation.

Documentation

The artefacts that move at each stage.

If it is not written down, as far as the file is concerned it did not happen.

Notification: Patient identity, policy number, location, the transfer required.
Pre-authorisation letter: Written confirmation of eligibility, issued by us to the provider.
Proforma invoice: The hospital’s estimated cost, with the medical report attached.
Guarantee of Payment: Two of them — the insurer’s to us, and ours to the hospital, each stating an amount.
Final invoice: Itemised, with discharge summary and laboratory and pharmacy breakdowns.
Remittance advice: What was received, what was paid, and which invoice line each amount belongs to.

Getting started

Five steps, once.

Opening an arrangement is slower than running a case, and it only has to be done a single time.

A conversation

Twenty minutes on what your policies actually say and where your travellers actually go.

Output Call

Terms aligned to your wording

Credit period, documentation standards, escalation routes and limits, drafted against your policy language.

Output Draft terms

Arrangement signed

One document on each side. It only has to happen once.

Output Signed arrangement

Desk live

A named coordinator, a direct line, and a case reference format agreed in advance.

Output Coordinator assigned

First case

Which, by then, is the least eventful part of the whole thing.

Output Case file

Next step

Six functions. One conversation.

Tell us how your policies read and we will tell you exactly how a case would run.

Inquire Notify a case