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HEALTHCARE BENEFITS MANAGEMENT

Subtitle: 

Healthcare Benefits Management

abstract: 

GlobeMed Lebanon benefits from the tools and expertise, offered by GlobeMed Limited, to fully manage its network of healthcare providers ...

GlobeMed Lebanon benefits from the tools and expertise, offered by GlobeMed Limited, to fully manage its network of healthcare providers and administer health insurance claims from pre-certification of admissions and service provision to case management, claims adjudication and payment settlement. The process is facilitated by an e-claims portal available to GlobeMed Lebanon’s healthcare providers’ networks, allowing them to verify the patient’s eligibility, based on policy-defined benefits and medical necessity, and process claims online at every step of the patient service cycle.

 

In addition, GlobeMed Lebanon benefits from access to the following services:

 

Benefits administration and members’ enrolment services, including the definition of benefits and restrictions, technical and medical underwriting automation and rules, card issuing, policy management and policy owner services.

 

Reporting services and business intelligence capabilities to provide business analysis and performance monitoring.

 

Special customer service tools, including specialized call centers such as a policy and network information desk, complaint desk, IT helpdesk, and health information helpdesk.

HEALTHCARE BENEFITS MANAGEMENT

GlobeMed Lebanon benefits from the tools and expertise, offered by GlobeMed Limited, to fully manage its network of healthcare providers ...

INTERNATIONAL HEALTH SERVICES

GlobeMed offers a wide range of services to provide your members access to healthcare around the world...

PHARMACY BENEFITS MANAGEMENT

The PBM solution uses a core set of tools, built with a state-of-the-art engine, to help control both acute and chronic prescriptions...

ACTUARIAL

GlobeMed Lebanon supports its clients with a range of actuarial and statistical services through a qualified team of dedicated actuaries...

PUMA

Our models can be used to price substandard risks and our systems can serve to apply coverage conditions at the most detailed level.

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