Self Fund

Self Fund
(Claim Adjudication for Corporate Funded Plans)

Self Fund- Health service organisation (HSO) is a customised and convenient process adopted by corporates to offer employee flexible benefits with its own fund. Corporates can customise the medical benefit program as per their requirement and the payment structure to their employees.

  • Call Centre assistance
  • End to end adjudication of claims
  • Claims advocacy and settlement
  • PAN India Hospital network dedicated Account Management team
  • Analytics support
  • Account Manager
  • Escalation matrix
  • Analytics support (Number of claims, allowed/disallowed)
  • Help corporates to modify benefits to reduce the claim ratio
  • Managing Cost and funding
  • Projection on the fund required on YOY to sustain claims
  • Customised Support with data management and analytics to the corporate
  • Periodic review of claims administration
  • Networks and discounts
  • Round the clock assistance available to employees