Managed Care stands for any arrangement for healthcare in which an organization, a different type of doctor-hospital network, or an insurance company, acts as an intermediate between the person seeking care and the physician.
Remed Assistance has launched the first "Managed Care" system in Turkey through its Antalya Alarm Center mainly for the use of travel insurance companies.
The claim arbitration service specialists of Remed Assistance operate as a dedicated expertise and consulting department for small claims and PPOs, as well as for out of PPO and for large amount claims. Dealing with claims promptly and efficiently, Remed Assistance leaves travel and health insurers space to focus on their core risk management and sales. Its dedicated telephony and IT infrastructure allows Remed Assistance to ensure a branded response free of language barriers. The claims are settled as advised and authorized by the insurers/ assistance companies, within the limits defined in the beneficiary's policies or as they appear on different provision IT databases.
The Managed Care system has got a big success and services most of the Russian and Ukrainian travel insurance companies since the year of 2000. The system consist of :
- A local multilingual call center that receives the first calls of the patients
- Experienced staff of multilingual doctors and coordinators,
- An effective PPO network contracted under standard prices,
- Regular follow up of the cases through control calls,
- Immediate intervention in case of need through a system of mobile medical and escort teams
- Dedicated software
- Dedicated "expertise & consulting department" for the evaluation of medical bills
The same managed care system has been established in Egypt and runs with success since 2003.
Remed Assistance provides its services on a common database and on highly efficient operation platforms with optimum staffing and subsequent high performance.
For more information and quotation requests, please call +90 212 371 07 00 or contact us
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Assistance Services
