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Our Services

Why take the risk? Live life peacefully with hassle-free insurance plans suitable to your needs. A Third Party Administrator (TPA) is an organization that specializes in healthcare administration for insurance companies and Self-Managed groups.
  • Quick claims management
  • Reduced cost of claim management
  • Professional claim administrators
  • 100% client satisfaction

Mailroom / Document Management

HeC’s mailroom services allow clients to rid themselves of opening and sorting headaches while taking advantage of naturally occurring economies of scale.
  • Clients send their documents in bulk to reduce the mailroom expense by routing mail directly to an HeC post office box.
  • Documents are prepped, sorted and fed through a scanner
  • Scanner imprints document control number and date – this eliminates the need to manually date and stamp each document.
  • Data is uploaded in the HeC System

Customer Services

At HeC we believe in customer’s satisfaction. In order to provide the same, our 24/7/365 dedicated Call Centre personnel who have access to the updated HeC client data in real time and is well equipped to handle customer queries.
  • Assistance is given by phone, fax and email
  • Assistance is provided to members, non members, network providers, corporate and insurance companies.
  • Details of network providers and their contact details are also provided.
  • Claim status including details of reasons why claim may be pending or rejected.

MIS Reporting

The highly advanced MIS system within HeC ensures that every customer service representative can provide the desired information to help our clients

Other Value Added Services includes:

  • Disease Management
  • Preventive Care Programs
  • Advanced Case Management
  • Provider Network Management
  • Product Development

Policy Administration

We have a full-time operation dedicated to policy administration. Data of insured members of insurance companies entered into our system.
  • Data of insured members of Insurance companies entered into the HeC system
  • Printing of Health ID Cards
  • All policy endorsements, eligibility, additions / terminations / deletions
  • Call Centre services required for policy administration
  • Any other services mutually agreed by both parties.

Case Management

With the team of qualified medical doctors as case managers, we ascertain the quality of care provided to the members. The Case Management program provides cost containment services to the beneficiaries.

Claims Management

HeC strives towards complete implementation of automated end to end customer satisfaction n i.e. from the time the paper claims are managed in the mail room and evaluated by the doctors and then the claims processors till they are successfully resolved.

Utilization Management

HeC encourages the highest quality of medical care through Utilization Management. Pre authorization services are provided including review of claims as per clients limits and policy terms, coordination with doctors, hospitals, network providers based on the updated real time data in our system.

Liaison with Insurance Companies

HeC services strive Health Insurance Policy’s as per the requirement of the Insurer as well as designs specialized health care insurance products.

What makes us move forward

One morning, when Gregor Samsa woke from troubled dreams, he found himself transformed in his bed into a horrible vermin. He lay on his armour-like back, and if he lifted his head a little
One morning, when Gregor Samsa woke from troubled dreams, he found himself transformed in his bed into a horrible vermin. He lay on his armour-like back, and if he lifted his head a little

Peloton

technology

Fitbit

Financial

Blue Bottle

Construction

Evident

Construction

Goodreads

Hospitality

Assistly

Retail

Backtype

Technology

Hardware Ring

Retail

In addition to the above TPA Services provided
HeC also offers :

CLAIMS-ONLY OUTSOURCING

HEC has experienced claim Professionals providing Re-pricing / Review services to Managed Care Organizations such as PPOs and TPAs in USA and UAE. Medical Insurance Claims are received at HEC Service Center as scanned images and EDI using secure FTP server and the paper claims never leave Client’s office.

DIRECT BILLING SERVICES

HEC also offers direct billing services to its Client base outside Pakistan. The objective is to offer a negotiated discounted network of hospitals and diagnostic centers where the customers of our Client get cashless hospitalization services. The coverage is provided for both emergency and elective cases.