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  |     [  Sunday, May 20, 2012  ]

      

Benefit for the company

         

Benefit for the members

-Complete solution with flexible option to your medical administration program.
-Able to track the complete claim incidence for every members
-Lesser load for department handling the claim processing
-Complete claims statistics for both Inpatient and Hospitalization. Information can be used for cost containment and benefits planning
-Central Data – Easy access to reports / Statistics
-Better Panel Management - We handle appointment of panel, the billing, the administration (claim form/sticker etc), the verification and enquiries.
 
-Cashless
-Easy access to Medical Providers (3000 Panels all over the country)
-Easier Request for GL 24 hrs, 7 days a week
-Fast members Claims
-Easier enquiry
   
  
      

Value proposition

-Organizing Wellness programs with Medical Panel.

-Our cost containment measure provides with good cost saving while not compromising with quality.

-Customised reports and ad-hoc reports for management reviews. 

For more inquiry please email to usha@medijaring.com.my or call 016 3187431. Meanwhile, please fill up the Fact Finding Form here and email to usha@medijaring.com.my                                            

 

   
  
      
Medijaring works together with insurance and takaful operators and act as Third Party Administrator (TPA) for Insurance and Takaful companies to manage their various insurance schemes such as Individual Medical Insurance and Group Hospitalisation Scheme.
 
Namely we act as TPA for the following companies:
  • Etiqa Takaful and Insurance
  • Maybank Life
  • AMLife
  • Kurnia Insurans

    We also have established working relationship with the following insurance and takaful operators:

  • UniAsia General Insurance
   
  
      

1) Insured Scheme - Group Hospitalisation and Surgical (GHS)

You may choose the insurer of your choice and appoint Medijaring as your Third Party Administrators. We will assist you in providing our cashless services and manage your medical cost through our effective cost containment measures.

We will provide you with a complete solution if your insurance coverage is limited due to policy exclusion but you still want to extend total coverage to your staff without hassle.

2) Self Funded - Group Hospitalisation and Surgical (GHS)
 
We are able to manage your employee benefits customized to your needs on a cashless basis for a very competitive administration fee. You will experience cost saving in terms of man-hours spent managing hospital admission and payment administration. Further, you will be relieved of the inconvenience of managing after office hours and during holiday’s admissions and discharge to hospitals.

3) Outpatient Insured / Self Funded
 
We are able to manage both insured and self funded scheme customized to your needs. Currently we have over 3000 clinic network throughout Malaysia accepting our medical card on a cashless basis.
   
  
      

Our scope of services

  • Over 3000 GP panels throughout the country accepting our medical card.
  • Over 300 hospitals and specialist through out the country accepting our guarantee letter.
  • 24-hrs call centre for staff verification, guarantee letter request, enquiry on location of panels, and other enquiries.
  • On-line GL management system
  • Medijaring portal at www.medijaring.com.my with latest directory of our panels as well as other related information on the schemes.
  • Online Claim System at selected Clinics and Hospitals.
  • Medical panels management – we appoint, manage and monitor
  • In House Medical Director to attend to medical matters
  • Medical Audit team to review bills to ensure reasonability of hospital charges.
  • Payment management – we process, verify and pay to Hospitals
  • Online Transaction summary for Client (HR Department)
  • Monthly reports and statistics on the benefit scheme