Our Services

Policy Contract Review (PCR)

For clients with active HMO plans in place, we offer a meticulous review of their claims history. Our aim is to identify any unjustly declined cases that rightfully merit coverage. Additionally, we assess whether the benefits align with prevailing market standards, ensuring the retention of valuable talents. Moreover, we scrutinize premium sufficiency, guarding against unwarranted increases vis-à-vis utilization rates. Our comprehensive evaluation goes beyond routine checks, delivering peace of mind and value that resonate with our commitment to excellence.

Sales Assist (SA)

Third-party HMO sales agents sometimes lack the comprehensive technical expertise required to effectively cater to their existing clients. Often, they struggle to grasp the nuanced policy exclusions, leading to a decline in service quality. Moreover, their unfamiliarity with hospital-HMO procedures during claims and availments can jeopardize account renewals. This is where our role becomes pivotal. We step in as the bridge, representing these agents to serve their clients adeptly. By doing so, we not only ensure client satisfaction through seamless assistance but also solidify the path to account renewals. Our intervention transforms potential pitfalls into opportunities, cementing our commitment to excellence.

Their clients will have access to our 24/7 customer support and Text- Assist Services.

HMO & Life Insurance Products(HLIP)

We can connect you with HMO, Medical & Life Insurance companies. We tailor-fit a proposals that match your needs based on utilization history. This includes reviewing your current policies, managing utilization effectively, and providing 24/7 customer support for all ranks of employees.

Bridging Utilization Management & 24/7 Customer Care Services(BUMCCS)

For clients with active policies encountering issues with their current provider, our company offers utilization and customer care management solutions to bridge the gap until the renewal date. We facilitate a seamless transition to a better service provider. Your employees will enjoy 24/7 access to our customer care hotline, ensuring their needs are met promptly. As an employer, you can rest assured that our utilization management approach will avert premium hikes during renewal, delivering both cost-effectiveness and quality service.