Claims administration and management has been an area of concern for the corporate having a direct tie-up with hospital or the insurance company. With the non availability of professional teams and core business of the corporate being something other than claims management, it becomes highly difficult to contain the Health expenditure. Attempting to contain the expenditure catering internal resources proves costly and time consuming to the corporate.
At GHPL our strength is to analyze and ensure a certain amount of saving is generated to the corporate from their current medical expenditure. The Document verification and the medical scrutiny are the two main checks to control the medical expenditure and thereby generate an assured saving. Medical Audit also forms part of our claims management. By Medical Audit, we mean, that every claim document is checked keeping in mind the
- The plan of treatment
- Treatment given
- Drugs prescribed
- Investigations performed
The well defined controls under claims management helps the clients/corporate to access world class health care services at affordable cost.