Payers

Reshaping Health Insurance by
Doing Payments better

Our mission to accelerate universal healthcare coverage in Botswana and beyond is supported by our work as a payment facilitator and innovator in technologies that unite the various parts of the healthcare system into a single network.

Doing Patient Payments Better

We bring out the technology that we are all used to using day to day, but are not really used to using at our medical providers, so that you can pay your bill at your convenience, when you want, how you want. 

Benefits

Reduce cost

Increases partners’ operational efficiency by automating tasks and surfacing data to reduce waste and fraud.

 

Increase quality

Leverages advanced data analytics to continually improve the system for patients and providers.

 

Improve experience

Streamlines health insurance administration
to save time and improve the experience for
members, providers, and administrators.

Stay Connected

Our modern technology platform provides you with everything required to manage health schemes of any size, and confidently fund health services.

Think Ahead

“It’s easy to collect money when the patient is in front of you; how do you collect payment when they’re gone?” Our answer lies in automation, integration and exceptional customer service. es you with everything required to manage health schemes of any size, and confidently fund health services.

How it Works

We provide a suite of intelligent and scalable applications, which are powered by longitudinal patient data, to help payers manage various aspects of healthcare financing. Our applications facilitate enrollment, identification, claims submission, claims processing, and reporting in a fast and efficient manner.

How to get Started

Next Steps

01. Enrollment

Explore Plexilife's facility automation suite


Health scheme administrators enroll new members using our application. Personal data is collected and used to issue identification cards that each member will present to access the scheme’s health services. This enhances the member experience, as they can access healthcare services with ease and confidence..

02. Identification

Evaluate, Strategise, Deliver, ROI

Members' identities and eligibility for services are accurately confirmed by hospital administrators when they visit a facility using our application.

03. Claims Submission

Unlock, Acess, Engage

 

The automatic compilation of claims using our EMR, which records members' medical information, labs, drugs, and services received during their visit, simplifies the submission process to the health scheme provider.

04. Claims Processing

Workshop, Innovate, Deploy


Health scheme administrators can use our application to manage payment schedules for facilities alongside the review and receipt of claims..

03. Claims Reporting

Unlock, Acess, Engage

 

The automatic compilation of claims using our EMR, which records members' medical information, labs, drugs, and services received during their visit, simplifies the submission process to the health scheme provider.

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