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NEXtCARE’s system to power DHA’s insurance programme

DUBAI, July 3, 2015

NEXtCARE, a leading third party administrator (TPA) across the GCC and Middle East and North Africa (Mena) region and the provider of health insurance management services, has delivered cost optimised innovations to the Dubai Health Authority to power the government body’s ‘Saada’ insurance programme.

Through the technology implemented by NEXtCARE, more than 3,500 Saada enrolments are facilitated every day, said a statement.

‘Saada’ targets approximately 130,000 UAE nationals living in Dubai and are not currently benefiting from any type of insurance plans.

The recently launched programme grants them access to a wide range of private medical providers through a government funded health insurance program.

NEXtCARE technology creates a seamless registration process that does away with insurance cards by utilising applicants’ Emirates IDs.

Dubai nationals with a valid Emirates ID can download a mobile app or go through the ‘Saada’ website to book a registration appointment.

The enrolment process is straightforward, with the Emirates ID details and a copy of the family book being sufficient to enrol into the scheme.

More than 20,000 people are expected to register per week at any of the four appointed DHA healthcare centre and a mobile unit that cater to elderlies and differently abled people.

NEXtCARE, a member of Allianz Worldwide Partners, is offering ‘Saada’ beneficiaries access to a large network of healthcare providers now part of the Saada network. Beneficiaries only need their Emirates ID, to avail services, when they walk into a healthcare provider.

Christian Gregorowicz, chief executive officer, NEXtCARE and MEA Allianz Global Assistance, said: “NEXtCARE is delighted to be the technological and administrative partner to manage DHA’s Saada programme. We are offering innovative technological solutions to make the entire process straightforward, and offer access to a wide network of private healthcare providers in the most convenient way.”

At the heart of the system is NEXtCARE’s provider portal ‘Pulse’ that will allow providers to instantly check beneficiaries’ eligibility, obtain e-authorisations, submit claims electronically and access claims history.

André Daoud, chief business officer, NEXtCARE, said: “We have ensured capabilities for uninterrupted registration and processing. Part of our remit is to create a smart system that tracks and monitors claims. DHA has mandated smart preventative care to be part of the system – where we offer functionality such as tracking whether beneficiaries are responsibly handing chronic illnesses.”

NEXtCARE’s competitive advantage stems from its proprietary web enabled ‘Tatsh System’ that caters to the need of more than 90 insurance companies across the region.

The company has more than $1 billion in premiums under management and processes $750 million worth of claims via its complex rule edit engine. - TradeArabia News Service




Tags: Insurance | cost | innovation | DHA | Nextcare |

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