About Me (Company description, Biography, Services I provide):
I , prabhu Murthy Management professional with 8+ year of rich finance & International business development Experience . Academia : MA, MBA,CFP ,CFA level 2 candidate.
Currently associated with Medscheme subsidary - ACL Mauritius heading international business development vertical.
ACL Mauritius Medical Claims Outsourcing Services for Healthcare Insurers
ACL Mauritius provides all the claims and healthcare expense management services that a healthcare insurer requires for processing and paying medical claims. In 25 years of operation, ACL has established itself as a reliable and efficient processor of medical claims.
Its dynamic team of medical claims outsourcing professionals provides same-day processing in a highly automated operation, using ACL’s proprietary software, Schema 6. This rules-based system for processing medical claims is a highly-acclaimed flexible solution.
Our services enable insurers to concentrate on the results of the products that they design by removing the burden of administration. Instead of concentrating on processing, our customers are able to concentrate on product design, risk management and decision-making.
Our solutions provide efficient cost-conscious medical claims handling, recording, online validation, payment and recovery, including reinsurers accounts and statistics.
We also offer servicing of medical claims on a healthcare insurer’s own technology platform, using the insurer’s software, through secure connections to the insurer’s own remote servers or on servers located at our offices in Mauritius.
We are flexible regarding the manner in which our services are provided. Our aim is to match the customer’s requirements so that our skills and technologies are made available in an appropriate configuration as a solution to the healthcare insurer’s needs.
Medical Claims Outsourcing Services for Employee Health Benefit Schemes
ACL Mauritius offers the complete suite of medical claims outsourcing administration services that is necessary to run an efficient employee health benefit scheme. Currently ACL Mauritius provides solutions to a distinguished list of health benefit schemes representing, in total, 50,000 beneficiaries.
Same-day processing and validation of medical claims provides patients with immediate clarity regarding their entitlements. It also provides schemes with up to date information on costs without any processing delays.
Our dynamic and caring team of medical claims outsourcing administrators are available to advise scheme members in relation to entitlements or the status of claims refunds, or even in relation to aspects of their medical care that may be unfamiliar to them.
Combining our medical claims outsourcing team’s experience of the healthcare services market with our proprietary software, Schema 6, now in its sixth version, we provide health benefit schemes with a powerful, acclaimed and scaleable administration capability, giving medical schemes the information needed to make better fact-based decisions in a shorter timescale.
Flexibility and versatility is at the core of ACL Mauritius’ medical claims outsourcing service offering. For example, our rules-based software, Schema 6, allows us to adapt quickly and easily to changes in the healthcare services market, without any need to re-programme our software. New benefits for individual members or for an entire scheme, and new information requirements to support decision-making, can easily be accommodated without any additional software programming or delays.
Network with Me (Types of transactions I seek, Professionals I like to be referred):
I would interested in netoworking with Aus ,Nz ,China ,Philipines, India ,US & Canada investment banker network and Health care KPO/BPO sector M&A specialist.
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