Solutions | Health plan carriers

Overview

Specialized control for managing
the business

The MV solution for Health Plan Carriers organizes and controls the administrative, financial and management processes of health plan carriers, taking into account the modalities of self-management, group medicine, philanthropic, medical cooperative and benefits administrator. The system simplifies the business activities, contract and beneficiaries management, processing and auditing of accounts, authorization of procedures and financial management. It also ensures the monitoring of trends and performance indicators, project management and action plans.

Specialized control for managing <br>the business

Benefits

  • It prevents overpayments in commissioning, thus avoiding extra costs and vulnerability in financial control;

  • Reduces the number of lawsuits for the failure to comply with the response times to customers by replacing the papers with scanned and cataloged records;

  • Ensures the compliance with the deadlines and legal obligations and avoids undue expenses and the payment of fines;

  • Ensures the application of adjustments, avoiding financial losses and fraud;

  • Improves the process of authorizations, preventing procedures to be unduly released and avoiding financial losses;

  • Allows for the reduction of personal attendance, as well as the rate of incoming calls in the call center through the implementation of online services;

  • Eliminates fraud in the consultations, using the biometric scanning technology to validate the beneficiary; and

  • Ensures the full compliance with the legal obligations in all aspects of the business, avoiding financial losses, dissatisfaction of users and problems with the image and credibility of the institution.

Units covered

  • Health Plan Carriers
  • Products and Rules

  • Companies and Sales Units

  • Policy Committees

  • Sales Control

  • Contracts

  • Beneficiaries

  • Cards Production Logistics

  • Authorizations

  • Call Center

  • Web Authorizer

  • Refund

  • Account Analysis

  • Audit

  • Affiliate Network

  • Exchange

  • Procurement

  • Storeroom

  • Accounts Payable

  • Accounts Receivable

  • Bank Control

  • Treasury

  • Cash Flows

  • Accounting

  • Costs

  • Budget

  • Equity

  • Customer Service

  • Telemarketing

  • Indicators Panel

  • Business Intelligence (BI)

  • Balanced Scorecard (BSC)

  • Key Performance Indicators (KPI)

  • Project Management

  • Access Control

  • Users Management

Commercial

  • Products and Rules

  • Companies and Sales Units

  • Policy Committees

  • Sales Control

Registrations

  • Contracts

  • Beneficiaries

  • Cards Production Logistics

  • Authorizations

Support Service

  • Call Center

  • Web Authorizer

Medical Bills

  • Refund

  • Account Analysis

  • Audit

  • Affiliate Network

  • Exchange

Supplies

  • Procurement

  • Storeroom

Financial

  • Accounts Payable

  • Accounts Receivable

  • Bank Control

  • Treasury

  • Cash Flows

Accounting

  • Accounting

  • Costs

  • Budget

  • Equity

Marketing

  • Customer Service

  • Telemarketing

Strategic Management

  • Indicators Panel

  • Business Intelligence (BI)

  • Balanced Scorecard (BSC)

  • Key Performance Indicators (KPI)

  • Project Management

IT

  • Access Control

  • Users Management

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