Administration Services
Innovative Solutions for Healthcare Excellence
Trusted Expertise: Your Partner in Seamless Healthcare Administration
Universal Healthcare Administrators is a leading provider of comprehensive and innovative healthcare administration services. With our proven track record of over 40 years and a commitment to operational excellence, we specialise in streamlining processes for enhanced customer experience. Our hands-on, experienced management and executive team work closely with scheme board of trustees and employer groups, sharing industry knowledge with a personalised approach.
Accreditation and Expertise
Universal Healthcare Administrators is accredited without conditions as a medical scheme administrator by the Council for Medical Schemes, reflecting our adherence to industry standards and regulatory requirements. We bring together decades of industry expertise, cutting-edge technology, and a customer-centric approach. Our mission is to empower organisations with efficient and reliable administration services that optimise healthcare delivery and enhance member experiences.
Understanding Complex Challenges
As a trusted partner, we understand the complex challenges facing the healthcare industry today. Our experienced team is well-versed in navigating these challenges and providing effective solutions. We stay ahead of industry trends and developments, continuously adapting to meet the evolving needs of our clients and the healthcare landscape. Our range of services includes:
Membership management
Contributions management
Fee-for-Service and alternative reimbursement management, including Capitation Plans
Governance, risk, compliance and internal audit
Partner with us and experience the difference of working with a trusted industry expert. We combine our deep expertise, cutting-edge technology, and customer-centric approach to deliver seamless healthcare administration services. Trust us to optimise operations, enhance member experiences, and drive positive outcomes for organisation.
Comprehensive Administration
Benefit from our comprehensive administration services, including:
- Efficient management of claims processing, member enrolment, and scheme financials
- Streamlined communication and support for scheme members and healthcare providers
- Robust data management and reporting to drive informed decision-making
We handle all administrative and healthcare management functions with utmost precision.
Harnessing Cutting-Edge Technology for Cost-Effective Administration
Experience the power of technology in revolutionising healthcare administration. We leverage our in-house IT infrastructure to deliver cost-effective solutions without compromising the quality of service. Our commitment to innovation drives us to utilise advanced technology, streamlining processes and enhancing efficiency. This is accomplished by:
Cost-Effective Administration
- Utilise our in-house IT systems and service-oriented architecture to reduce non-healthcare costs.
- Deliver cost-effective solutions that prioritise quality without compromising affordability.
- Maintain financial solvency above industry standards, even in the face of high healthcare costs.
Cutting-Edge Technology
- Leverage a robust and flexible IT system that empowers us to perform effectively.
- Utilise advanced information technology infrastructure to manage clinical risks.
- Meet and exceed client expectations through technology-driven solutions.
Unlock the potential of technology in healthcare administration with us. By harnessing cutting-edge technology, we deliver cost-effective solutions, maintain financial stability, and meet the evolving needs of the industry. Experience the seamless integration of technology and healthcare expertise for a more efficient and effective administration process.
Your Partner in Exceptional Healthcare
We put our clients at the forefront, offering unparalleled support and personalised experiences. Our dedicated team works closely with clients to understand their needs and act as a trusted healthcare partner. We ensure:
Client Satisfaction Through
- Striving for exceptional client satisfaction by understanding their unique needs
- Serving as a trusted healthcare partner, providing hands-on support and guidance
- Adopting a results-driven approach to consistently exceed client expectations
Member Support and Engagement Through
- The provision of a dedicated member support through a mobile App, online portals, and a member contact centre
- Proactively engaging members to promote wellness initiatives and healthy lifestyles
- Offering personalised assistance in navigating the healthcare system and maximising scheme benefits
Experience the difference of working with a client-centric organisation that is committed to client satisfaction. At Universal Healthcare Administrators, we prioritise clients’ needs, delivering exceptional support and engagement. Trust us to be your partner in achieving optimal healthcare outcomes and enhancing member experiences.
Customised Benefit and Product Design
Experience a transformative and customised approach to benefit design that prioritises access to appropriate, quality care which maximises economic benefits, and achieves optimal healthcare outcomes for every Rand invested. We provide:
Tailored benefit design and plan options that meet the unique needs of the scheme and its members.
Flexibility to adapt benefit structures and offerings based on market trends and regulatory changes.
Expert guidance in optimising benefit design to enhance member satisfaction and cost-effectiveness.
Experience the future of healthcare design with us, where quality, affordability, and member-centricity converge for optimal outcomes.
Innovative and Holistic Solutions Resulting in Positive Healthcare Outcomes
Experience unparalleled healthcare funding solutions designed for medical schemes, employer groups, scheme members, and providers. Our dedicated team is committed to delivering an exceptional service experience that prioritises health, wellness and holistic solutions. We pride ourselves in being leaders in innovation:
- Pioneering innovative, holistic, and integrated solutions for employer groups, open and closed medical schemes.
- Focus on delivering cutting-edge services that drive positive healthcare outcomes.
- Continuously staying ahead as industry leaders, shaping the future of healthcare.
Unlock the potential of innovative and holistic healthcare solutions with us. As leaders in innovation, we are dedicated to transforming the healthcare landscape through our cutting-edge services. Trust us to deliver positive healthcare outcomes for your scheme and employees, while ensuring excellent customer experience all stakeholders. Experience the difference of working with a team that is committed to your well-being and success.
Fraud Prevention: Safeguarding Healthcare Funds
We prioritise the prevention of fraud and safeguarding healthcare funds under our management. Through a range of proactive measures and strategic collaborations, we maintain a vigilant stance against fraudulent activities. Key initiatives include:
Fraud Hotline
Our dedicated hotline enables employees, members, and service providers to report any irregularities. Reported cases are diligently investigated, and appropriate actions are taken.
Micro-management Approach
We carefully monitor all hospital admissions and conduct clinical audits of claims to identify any potential irregularities.
Data Mining and Analysis
Through advanced data mining and analysis techniques, we identify “out of the ordinary” claims from our database and conduct in-depth analysis to detect any fraudulent patterns or activities.
Systematic Provider Profiling
Our systematic provider profiling process compares claims submitted by individual providers against their peers. Any anomalies identified are thoroughly investigated.
Membership of BHF Forensic Management Unit
As active participants in the BHF Fraud Management Unit, we collaborate with other industry stakeholders to detect and prevent fraudulent activities.
We remain steadfast in our commitment to combat fraud and protect healthcare funds under our management. By employing these comprehensive measures, we ensure the highest standards of transparency, accountability, and trust within our healthcare ecosystem.