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Value Proposition:Operations
  • Cashless treatment at Networked Hospitals across the country.
  • Access to a 24-Hour Alarm Centre assisted by a National Toll Free Line.
  • Round-the-clock Ambulance Referral Service.
  • Cost Containment, Control and Utilization Reviews.
  • A Health Assist Photo ID Card provided to each insured member.
  • Access to advice by our Experienced Medical Officers over the phone 24 x 7 x 365.
  • Arranging for House Calls.
  • Access to medical information and advice through the internet.
  • Electronic Claims Processing on the tailor made iCLAIMS web based System .
  • Follow up with the Care Providers at all times in order to ensure prompt processing of reports.
  • Obtaining feedback from The Insured, The Insurance Agents & Brokers, and Insurance Company, pertaining to quality of service rendered by East West Assist and its Care Provider Network.
  • Overall case management and Third Party Administration.
Value Proposition:Doctor to Doctor Monitoring
Concurrent Review
  • Monitoring & Management of each claim at Network Hospitals across the country as it arises, by our in-house team of Experienced Medical Officers (Doctors).
Critical Care Monitoring
  • Monitoring critical care patients on a daily basis by our in-house team of Medical Officers in order to monitor medical costs and to ensure optimal medical care.
Retrospective Review
  • Follow up of the each case with Network Hospitals and their doctors on presentation of bills in order to achieve higher degree of cost containment.
 
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