Our Services

We will foster a close working relationship with the chosen Third‑Party Administrator's provider to facilitate efficient and seamless claim management.

We’re committed to helping your company enhance operational efficiency while delivering an outstanding service experience to every participant.

Within Pacific Cross Indonesia Service Assistant (PRISA), the Case Monitoring Team supervises patients’ health conditions during treatment or medication. We make certain that medical services comply with policy, reflect accurate medical indications, and are conducted effectively and efficiently.

This includes—but is not limited to—the data validation process and claim analysis workflow, including daily case monitoring, claim adjudication, and claim approval for both reimbursement and cashless procedures.

Our health insurance management system supports efficient policy administration and claim analysis, ensuring that client data is accurately recorded and maintained throughout the process.