Cost effective - Comprehensive - Affordable

Medical Insurance TPA

SERVICES

Home / Claims Management
Claims Management

FMC Network UAE has its own proprietary technology platform which reduces the claims processing time, with less paperwork and efficient validation making your claims process hassle-free. We not only diligently settle payments to providers but also tightly manage benefit utilization without compromising on accuracy & consistency of the quality services. We assess the claims as per policy terms and conditions. We have highly qualified medical coders who are professionally specialized in international medical coding standards and protocols.

FMC Network has successfully achieved the complete E-claim Cycle. This has further reduced Claims costs and drastically improved processing time, resulting in faster reporting.

Additionally, FMC Network has integrated with DHA approved CEED Medical Edit Rules Engine into our claims processing system to help adjudicate claims in line with Medical necessity and Best practice guidelines. With the latest processing systems and integration of the international codes our claims processing software errors are minimal. We have also acquired the Pharmacy Benefit Management (PBM) capabilities with tie-ups with a leading PBM tool provider.

 

Real Time (In-house Claims Management Centre) 

FMC has an In-House System which provides a web-based online portal called "Real-Time" for Claims Submission, Claim Processing, Adjudication, Approval, Payment Advice and Payer Remittance Advice etc. A Live Chat Service with a competent and dedicated staff is available for all queries.