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SuperMed, Super Fast, Super Efficient, Super Simple
SUPERMED
Supermed is a fully fledged administration system that has been custom designed to be deoployed in Medical Scheme Administrators
or large Medical Aid Brokerages.
EMPLOYERS AND BROKERS
Contribution Management
- Full debtors management module for individual members
and corporate groups
- Flexible contribution rates setup
- Online subscription and bank reconciliation facilities
- System caters for weekly, fortnightly, monthly,
bi-annual and annual billing
- Contribution collection via various payment methods
- Bank payment interfaces
- Standard contribution reporting including age analyses
Commission Payment
- Full support for broker/intermediary administration
- Flexible role-based commission structure
- Commissions processing and calculation fully integrated
in administration system
- Choice of commission settlement via Electronic Fund
Transfer (EFT) or cheque
PROVIDERS AND MEMBERS
Claims Processing
- Claims engine optimised for 24hr turnaround times
- Separate claims batching and pre-capturing facility
- Instant assessment of real-time online submitted
or pre-captured claims
- Support for major electronic claims submission formats
like EDIFACT and proprietary formats
- 80% of claims can be automatically adjudicated and
settled with no human intervention
- Real-time duplicate claims history checking enables
proactive fraud management
- ICD10 Level 3 coding enabled
Reporting
- Integrated Report Builder
- Online claims analysis down to member level
- Full suite of membership administration reporting
- Fully integrated financial fund income reporting
- Management information reporting
- Claims exception, analysis and payment reporting
Call Centre
- Maintenance of demographic information on groups, members and dependants
- Online access to entire subscription and claims history
- Call interaction logging, tracking and resolution facilities
- Interactive Voice Response (IVR) functionality for member eligibility and benefit queries alleviates pressure on call centre
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