Electronic based administration process, cashless and real time. Benefit:
Digital claim filing and processing service.
Coordination of benefits (CoB) is a system used to determine the responsibility of payments for health claims when there is more than one health provider. Coordination of benefits ensure participants with more than one health insurance to receive the guaranteed benefit while avoiding overpayment by one of the provider.
AdMedika CoB is an integrated solution developed specifically to support the National Health Insurance.
By using AdMedika CoB, benefit and cost of health insurance can be easily configured and shared between Top-Up Payer and Healthcare and Social Security Agency (BPJS Kesehatan).
AdPay Corporate is a billing payment solution for claims that have been verified from insurance to providers via online.
AdMedika Value Added Services
AdMedika provides additional services as part of value added services for participants.
1. SMS Gateway
Participants can learn about the status of claim by sending SMS to the number provided by AdMedika.
2. Personal Care Officer
Special personnel placed on site by AdMedika in Top 20 Hospitals with the highest traffic.
AdMedika provides outstanding medical emergency, travel and personal assistance services through local or abroad service provider networks.
AdMedika provides benefit program combined with 24-hour Emergency Medical Assistance to be offered to participants, as an added value to the existing health insurance program.
Below are the details of Emergency Medical Assistance Services:
1. Air Ambulance
Special airplanes equipped with advanced life support equipment during evacuation or repatriation of a patient.
2. Medical Team
Consists of anaesthetists, ICU, advanced trauma life support, nurses, ICU, general trauma life support.
3. Medical Equipment and Supplies
Portable medical equipment, defibrillator, intubation kit, neonatal transport incubator with a built-in ventilator, transport monitor etc.
Access to International Provider
Medical insurance services by AdMedika for outpatient or inpatient care conducted by overseas health providers.
Medical Check Up (For Employee)
Periodic health evaluation activities which is conducted to determine the record or health status of employees per year, to find out earlier the possibility of illness suffered by the employee and monitor the course of the illness suffered or complications such as diabetes, high blood pressure, cholesterol, etc.
Medical Check Up is done by indication on one of the risks, such as:
Complete Blood Count, ECG Test, Complete Urine Test, Liver Function Test, Audiometry, Hepatitis B Test, Ultrasonography (USG), Kidney Function Test, Pyromidry, Blood Sugar Test, Pap Smear and X-ray.