Complete administration for medical aid schemes and corporate health plans: membership, benefits, contributions, claims and analytics in one system — connected directly to the Pauweb switch.
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Enrolments, dependants, upgrades, suspensions and terminations with full history.
Model and maintain benefit options, limits, co-payments and exclusions — enforced automatically at adjudication.
Invoice employers and members, reconcile receipts and manage arrears.
Rules-driven adjudication fed directly from the switch, with clean exception queues for the grey areas.
Loss ratios, cost per life, chronic-condition trends and provider cost comparisons.
Digital membership confirmation and claims visibility that cut call-centre load.
Your benefit options, rules and contribution tables are modelled in the platform.
Membership and claims history are migrated and reconciled.
A managed cut-over at renewal or month-end, with parallel checks before the old system is retired.
Book a walkthrough with our team and see exactly how it would work in your organisation.
