Our Services
Health Benefit Consultants Co., Ltd. (“HBC”) is the third party administrator. We provider claim administration and advisory services to insurance companies as well as employee medical benefit management for leading companies in Thailand.
MEDICAL CLAIM
ADMINISTRATION
EMPLOYEE BENEFIT
MANAGEMENT
Claim
Adjudication
- Full-time nurses with the advice from medical consultants to perform review to ensure accuracy and appropriate treatment provided to members. The services is available 24 hours.
- Operation system designed to support claim adjudication process with record in detail
Customer
Services
- 24 hours call center services responding to inquiries from insured members
- Mobile application and Line OA to check policy, navigate location of hospitals/clinics in network and submit claim online in the case of reimbursement
- Integration of AI technology to enhance efficiency for call center and claim operations to ensure swift response to your employee
Hospital
Network
- HBC provider network includes 526 hospitals/clinics nationwide
- Close coordination with network hospitals to enable cashless payment for 24 hours.
- Website portal for network hospital to confirm OPD claim in an instant
- Concurrent review to minimize process at discharge for IPD
- Proactive communication with hospitals/clinics to review service and cost
Data analytics and
advisory services
- Performance report for management purpose
- Analytical report customizing for specific needs from insurance companies
- Advisory services to develop new product capturing unmet demand
