Outsourcing - Medical out-patient reimbursement administration - Mazars - Indonesia
Outsourcing - Medical out-patient reimbursement administration
With the sky-rocketing costs of medical insurance and given that many companies historically encounter lower claims reimbursement than yearly insurance payments, it’s an increasing trend for companies to investigate the financial benefits of self-insuring, particularly outpatient claims. Given this trend, we are now offering services to help you administer your self-insured reimbursement of medical costs for your staff.
Basically, we will render assistance to facilitate the administration process in order to meet the payment timing and to ensure that the medical reimbursements are in accordance with the Company’s policy and available limits. Most importantly, these reimbursements will be reviewed by our qualified Doctor to ensure their technical consistency.
The main objective of the product is to reduce the tedious administrative work of your employees and subsequently improve the efficiency of your department. Further analysis has also shown that there is substantial cost savings associated with this particular outsourcing compared to managing the administration internally or even through a third-party insurance agency.
While managing medical reimbursements internally can bring efficiencies, administrative staff in general often do not have the necessary technical medical skills to read and approve that the diagnosis/sickness is indeed covered under the Company’s medical policies. To date however, the only alternative has been to pay what may turn out to be very costly premiums to a third-party company.
What we are offering is the best of both worlds, savings accruing from the fact that reimbursement of medical, plus our professional service fees may be far lower than standard premiums charged by third-party companies. Again, this has typically been the case with outpatient reimbursement whereby the company maintains its inpatient third-party insurance. Savings on total outpatient costs can be 40% or even more.
Three main benefits
- Eliminate tedious and administrative work
- Administrative staff do not usually have medical knowledge
- Estimated cost savings of approximately 40% compared to insurance premium payment
Scope of Services
- Initial medical reimbursements policies and procedures development
- Administration of self-insured medical reimbursement in terms of:
- Technical Medical (reviewed by qualified doctor)
- Limits available
- Payment processing of the medical reimbursements
- Reporting e.g. Medical limit updates & Medical analysis reports, common sickness.
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- Copyright 2012 - Mazars - Indonesia
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- Copyright 2012 - Mazars - Indonesia
