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on 23 November 2016

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Transcript of MediVisa

KSA Presentation
MediVisa in Numbers
The Road Ahead
Corporate Services
2016 and beyond
Plenty more Textholder, Choose any of them
Riyadh, KSA 2016
MediVisa Group is a Third Party Administrator offering comprehensive health insurance management solutions to Medgulf and large self-funded schemes.
Relies on a robust IT system and invests continuously to enable online and EDI capabilities. Today the system current database size, in KSA only for example, has reached 60GB with over 25m claims and still works smoothly.
Operates a large network of over 1,200 healthcare service providers and applies highly effective and efficient control protocols to claims management procedures.
Operated by a team of over 500 highly skilled professionals having extensive field experience in the Kingdom of Saudi Arabia.
For more than 22 years, managed a large portfolio of beneficiaries, which has today reached over 1,500,000
Policy Briefings
Concurrent Review
Claims Adjudication
Case Management
Claims Processing
Customers and Providers Support
Healthcare Providers Relations
Statistical and Technical Support
Our Vision
Need to enhance client outreach through capturing insured members mobile numbers.
Will continue exploring and implementing decentralization of functions on basis of best quality and lower cost.
Will continue investing in training our staff and nourishing the operations with additional resources.
Need a complete marketing plan that highlights to clients all our joint services which are a match to competitors.
Need to continue investing in IT development and expand electronic claims capabilities.
Need to offer additional services that attracts new clients.
Need to nourish Fraud detection to achieve extra savings.
Need to enhance network relation to achieve more volume and PP discounts.

To Be The Absolute Best TPA, Measured By The Value We Deliver To Our participants/insured members
Full transcript