Third Party Administration
- Efficient claims processing and payment
- Claims assessing
- Fund management
- Sales and marketing
- Membership management
- Key accounts management
- Secretarial services
- Client-centric servicing and support
Healthcare Consulting
- Health risk management protocol formulation and review
- Utilisation and price management
- Healthcare cost and quality tracking
- Benefit design
- Intelligent data management and analysis
Health Risk Management
- Service provider engagement
- Actuarial and health informatics and analyses
- Drug utilisation review
- Actuarial services (benefit design, pricing and utilisation management)
- Case management
- Hospital authorisation
Healthcare IT Solutions
- Various clinical classification standards such as ICD-10 diagnostic codes
- Proactive health risk management through a rules-based clinical adjudication system
- Highly parameterised functionality and customised client set-up
- Fast response times; designed to deal with consistently high volumes of claims transactions
- Flexibility; ability to be interfaced with various other systems running on different platforms
Our Clients
Registered in Zimbabwe as Medscheme Zimbabwe, Sovereign Health belongs to a bigger group, Medscheme Holdings. Sovereign Health is proud to provide sustainable healthcare solutions to these leading medical aids in Zimbabwe.