INNOVATION

M-TIBA helps slash health insurance claim approvals time by 96%

This, as it continues to transform health insurance with digital connectivity and Real-Time Analytics.

In Summary

•The platform offers real-time insights that enable insurers to significantly reduce costs, detect unusual behaviors, and manage risks more effectively.

•It streamlines operations, provides a deeper understanding of customer needs, and enhances transparency, building greater trust within the health insurance ecosystem.

M-TIBA Managing Director Pieter Prickaerts / HANDOUT
M-TIBA Managing Director Pieter Prickaerts / HANDOUT

Health insurance technology platform, M-TIBA, is riding on digital connectivity and Real-Time Analytics to transform health insurance in the country, improving service delivery.

Leveraging real-time capabilities, the platform has helped cut the time between treatment and claim approval by an impressive 96 per cent, enabling faster payout and greater financial efficiency for all stakeholders.

M-TIBA is transforming the health insurance landscape with its cutting-edge platform, which empowers insurance companies through real-time data analytics and digital connectivity.

By digitising and automating the entire health insurance journey, M-TIBA seamlessly connects members, insurers, and healthcare providers, driving efficiency and transparency across the board.

The platform offers real-time insights that enable insurers to significantly reduce costs, detect unusual behaviors, and manage risks more effectively.

It streamlines operations, provides a deeper understanding of customer needs, and enhances transparency, building greater trust within the health insurance ecosystem.

"M-TIBA’s platform enables member activity, claims, and provider interactions to be fully integrated," said Pieter Prickaerts, Managing Director of M-TIBA.

"This digital connectivity helps insurers simplify health insurance through informed decision-making, while healthcare providers benefit from faster payouts and shorter payment cycles. Ultimately, these innovations lower costs and improve the overall patient experience."

One of the standout features of M-TIBA’s platform is its ability to improve the speed and accuracy of claims processing dramatically.

With real-time analytics, insurers can proactively address trends and challenges, eliminating the delays associated with traditional reporting cycles.

This enables insurers to understand members better, develope tailored strategies, and explore opportunities to penetrate previously uninsured markets.

The platform’s robust connectivity breaks down data silos, enhancing the healthcare experience for members, insurers, and providers alike.

By improving data flow and communication, M-TIBA is driving higher member satisfaction, industry trends indicate, making health insurance more accessible and easier to manage for Kenyans.

M-TIBA is a health insurance technology platform that empowers the individual by connecting members to healthcare payers and providers through their mobile phone.

"Through digital technology, our mission is to make health insurance more accessible, transparent and affordable for all," management affirmed.

By improving the way money flows through the healthcare ecosystem, M-TIBA empowers hospitals to invest in quality care, insurers to optimize their business operations and unlock new market segments by offering more affordable health insurance solutions tailored to specific needs.

M-TIBA is ISO/IEC 27001 certified for its Information Security Management System, acknowledging its expertise in confidentiality, information integrity and availability of data.

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