Proses Tuntutan Perubatan Ditakrifkan
Proses Tuntutan Perubatan Ditakrifkan
Piawaian Baru DalamPenasihat PerubatanKawalan PerbelanjaanAudit Rawatan Dan TuntutanPematuhan Kepada CPGPenyelesaian Tuntutan
Terbaik Daripada Perkhidmatan Kami
Keselamatan Pesakit
Kos Penbendungan
Penasihat Pakar
Featured Services
Delivered With .....
24 X 7 Patient Assistance
PAT members respond to your member needs 24 hours a day, 7 days a week, and 365 days a year to ensure all your queries are addressed.
Billing and Audit
Highly experienced and trained Medical Review Team (MRT) ensure appropriate treatment and billing, reduced billing inaccuracies and over billing.
Nationwide Coverage
Get Cashless access to over 3000 Panel clinics and Hospitals nationwide. From Sabah to Perlis, e-MAS Panel clinics got you covered
Spend Management
Member benefit entitlement spend is effectively audited and accounted for with the various panel providers.
Guarantee Letter Issuance
Requests for GL and approvals are responded with utmost importance to facilitate quick administration at e-MAS Panel Hospitals.
System and Interaction
Authorized Data accessible via the internet with secured login access, mobile apps and digital B2B connectivity.
Service Focus
Value Extraction
Case management
- Overloading - Preventing claims from overloading, saves members’ future medical expense.
- Monitoring - Monitoring medical treatment plans to ensure expedient and quality care.
- Transparency - Facilitating transparency between the provider and the patient relating to medical care.
- Audit - Emphasizing on utilization and audit reviews using highly refined processes to deliver clinical excellence.
Patient Safety
- Safe—avoiding injuries to patients from the care intended to help them.
- Effective—providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit
- Patient-centric — providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.
Expert advisory
- Empowering - Empowering patients to make informed decisions
- Second Opinion - Seeking second opinion from medical expertise to ensure appropriate diagnosis and treatment.
- Avoidance - Avoidance unnecessary invasive procedures or surgery.
- Advisory - Providing patient confidence and risk advisory.
Perkhidmatan
Kami Melakukan Perkara Yang Berkaitan
Pentadbiran Tuntutan
Perkhidmatan Pentadbiran Pihak-ketiga (TPA) seperti pemprosesan tuntutan, penghakiman atau penyimpanan rekod, biasanya bagi pihak majikan bahawa manfaat kesihatan yang Diinsuranskan sendiri.
Audit Tuntutan
Audit tuntutan perubatan pada dasarnya dilakukan untuk mencegah dan mengawal lebihan pengecasan oleh pengamal perubatan dan pertubuhan
Pengurusan Kos
Pengurusan kos melibatkan penyelenggaraan tahap perbelanjaan perubatan untuk mengelakkan/mencegah perbelanjaan dan prosedur perubatan yang tidak perlu
Pengurusan Kesihatan
Menyediakan khidmat perundingan dalam penilaian kesihatan dan rawatan pekerja syarikat dan pekerja asing
About Us
A Comprehensive Services Company
eMAS, Eximius Medical Administration Solutions Sdn Bhd, adalah 100% Syarikat milikan Malaysia yang menyediakan pentadbiran perubatan/penyelesaian pengurusan. Ia ditubuhkan dan ditadbir oleh profesional penjagaan kesihatan senior dengan matlamat utama untuk mengoptimumkan setiap tahap perkhidmatan perubatan. Sebagai sebuah syarikat yang berdedikasi, eMAS menyediakan pentadbiran perubatan sulit, bil, Audit dan penyelesaian perundingan yang komprehensif menggunakan penyelesaian teknologi maklumat untuk menyampaikan perkhidmatan terasnya.
Products In Focus
Product of the Week
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