MAI has its own claims system developed in house which complies with legal requirements on data protection and business continuity. A dedicated team of engineers accommodates our clients' requirements.
MAI performs the following claim administration functions :
- evaluates medical necessity of services and uses second opinion when appropriate
- adjucates claims and pays them within 5 working days
- reimburses in more than 130 currencies by cheque or bank transfer
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- emergency pre-certification services available 24/7 and 365 days/year
- MAI International Network provides wide access to health care facilities worldwide
- Members benefit from cashless services – Hospitals paid directly based on agreements
- verifies and renegotiates invoices based on reasonable and customary
- negotiates preferential rates with providers
- performs statistical monitoring of claims and cost control recommendations
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