Introduction

LOCAL MANAGEMENT AND COST CONTAINMENT OF MEDICAL TREATMENT IN SOUTH AFRICA, AFRICA, EGYPT, AFGHANISTAN AND PARTS OF THE MIDDLE EAST AND ASIA.

Interhealth acts on behalf of ASSISTANCE COMPANIES, INTERNATIONAL AND LOCAL HEALTH INSURANCE COMPANIES as well as INTERNATIONAL AND LOCAL CORPORATES and GOVERNMENT AGENCIES, to manage the local & regional healthcare for their clients and employees

We pride ourselves in the fact that we are independent medical claims managers in the healthcare industry. We are not linked to any particular hospital group or any other service provider network.

We work on a very "hands on" approach with our patients, thereby ensuring that they receive personal service.

The benefits of this independence are that we are able to negotiate special rates with the various hospital groups and all the other service providers in the healthcare delivery chain. These benefits are then passed on to the client. We are able to refer our members / patients to the most appropriate service provider - without limitations!

We have developed a good understanding of the healthcare delivery network in the regions that we are operating in. Through this understanding, we are able to assess the levels of treatment and costs in various regions, and therefore provide our clients with comprehensive service.


At Interhealth, we manage the whole process on behalf of our clients, by managing the entire process, from the time the member has identified that they require medical treatment, through the treatment process right up to the final billing, ensuring that over-servicing and overcharging are limited.

We provide a 24 hour - 365 day service for our clients.

We have developed a network of service providers, where members managed by Interhealth are able to get direct access to treatment in the regions that we are operating in.

We manage the entire process on behalf of international or local funders, from an initial local contact point for their members, gathering information and getting the relevant authorisation from the funders, to proceeding with the treatment, through the management of the treatment to the final checking and billing process.

This system makes the entire process more convenient for members in the region, as well as a smoother and more cost efficient process for the funders.
We are able to reimburse service providers in various countries in the region, as well as reimburse members for payments made by the member, once we have received authority from the funders to reimburse the member. This process can accommodate co-payments that have to be made by member, whereby we deduct the co-payment amount from the actual amount paid back to the member.
Our clients vary from Governments, Corporates, to large International Health Insurance Companies and Assistance Companies. Our clients also include local insurance companies and corporates.

Our philosophy is to keep the business model as simple as possible and reduce the burdens of our clients, whilst saving them money and ensuring that the medical treatment process is made as convenient as possible for their members.

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