CORE SERVICES

Our service offering comprises of four core services. Namely, these are

  • Healthcare Delivery
  • Utilisation Review
  • Claims Facilitation
  • Wellness Programmes

Healthcare Delivery

This service is about ensuring that your employees can easily gain access to necessary medical services and that the medical service providers (clinics and hospitals) dispense their services in accordance to the business rules you have set.

Healthcare delivery also addresses the issue of monitoring medical providers as a check on abuse. Often, this involves reviewing medicals bills to ascertain appropriateness of the treatment as well as the cost.

Utilisation Review

Utilisation review is all about gathering, tracking and analysing your healthcare transaction records. Each and every transaction is captured, scrutinised and analysed to detect trends and uncover both threats and opportunities. This information is often vital in establishing what course of action your organisation must take to ensure that achieves its healthcare goals.

Utilisation Report reports are presented to you both on a periodic and ad hoc basis so that you have at your disposal the latest information that impacts on your healthcare policies.This paves the way for timely business decisions and the drawing up of appropriate action action plans.

Claims Facilitation

Organisations typically finance their healthcare programmes either from internal funds or by way of insurance policies. If an insurance policy is involved, making a claims against the insurer can prove to be a very technical and time-consuming exercise. However, at R-Medic, we have the necessary experience, skill and business relationships to help you submit a successful insurance claim in the most painless manner possible.

Wellness Programmes

Wellness programmes are essentially preventive in nature. Various methodologies are deployed to increase your organisation's awareness towards healthcare issues in a effort to reduce incidences ot illness among your employees.