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Our Services
For questions regarding our services, e-mail to
inquiry@pacificcross.co.id
Third Party Administration (TPA)
We may help in maintaining close working relationship with the chosen Third Party Administration provider to ensure smooth claim management process.
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Administrative Services Only (ASO)
We are here to help your company enhance operational efficiency and provide the best service experience for every participant.
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PRISA - Case Monitoring Team
PRISA – Case Monitoring Team is the process of monitoring and supervising the health condition of clients/patients undergoing treatment or medication, to ensure that the medical services provided are in accordance with the policy, medical indications, and are effective and efficient.
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Claim Administration
This include but not limited to data validation process, claim analysis process – starting from daily case monitoring, claim adjudication, until claim approval process, for both reimbursement and cashless procedures.
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Technology Systems
Our health insurance management system will be used to support the policy administration and claim analysis process, ensuring clients data to be recorded correctly.
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