Global Medical Assistance and
Cost Containment Services
Our Services
Assistance Services
Our dedicated staff are available around the clock to support clients and assist members. We implement strict policies for the wait times and serve you in a timely manner. We select our staff based on their character and ability to handle stressful situations whilst staying calm and understanding.
Account Management: Key Account Manager, Reporting, Quality Assurance for all departments. Our account managers are trained to know your book of business. We include your account manager throughout the enrollment process. We believe that this is key to having the best resource available to you.
Case Management: Pre-Authorization, Steerage, Policy Verification, Cost Estimates and Charges to Date, Overutilization Control, Case Review, Medical Records, Itemized Bills, Medical Second Opinion, Prescription and Bill Review.
Concierge services: Specialist Requests, Telemedicine/House Calls, Flights/Hotels/Taxi Patient Steerage- In/Out of Network Options.
Like your account manager, your case manager will be involved in the process of enrolment for your members. The case managers will know where, when and why your members are using their benefits. We train our case managers to be aware of the costs of healthcare in the region where your members are located. They will often be the ones to flag issues to our claims department and catching red flags early is key.
Assistance Services
Our dedicated staff are available around the clock to support clients and assist members. We implement strict policies for the wait times and serve you in a timely manner. We select our staff based on their character and ability to handle stressful situations whilst staying calm and understanding.
Account Management: Key Account Manager, Reporting, Quality Assurance for all departments. Our account managers are trained to know your book of business. We include your account manager throughout the enrollment process. We believe that this is key to having the best resource available to you.
Case Management: Pre-Authorization, Steerage, Policy Verification, Cost Estimates and Charges to Date, Overutilization Control, Case Review, Medical Records, Itemized Bills, Medical Second Opinion, Prescription and Bill Review.
Concierge services: Specialist Requests, Telemedicine/House Calls, Flights/Hotels/Taxi Patient Steerage- In/Out of Network Options.
Like your account manager, your case manager will be involved in the process of enrolment for your members. The case managers will know where, when and why your members are using their benefits. We train our case managers to be aware of the costs of healthcare in the region where your members are located. They will often be the ones to flag issues to our claims department and catching red flags early is key.
Cost Containment Services
Our success in the field of cost containment is due to our promise. We are loyal to our networks, and we honor our negotiations.
- PPO Network
- Negotiations
- Direct Contracts
Additional Cost Containment Services
We believe that top-up services allow us to be flexible with our clients. Whatever the service you are looking for we will entertain its possibilities. The more helpful we can be, the greater the service we provide.
- System Access for Payers/Providers/Members
- VOB/GOP Placement (Assistance Involvement)
- Bill Review and Second Medical Opinion (Medical Director Involved)
- Check Issuance (Available Throughout the Americas)
- Translation of Medical Documentation (Certified Medical Interpreters)
- Medical Interpretation Services (Certified Healthcare Interpreters)
- Bill Auditing
Strategic Alliances
Among our core partners, we have created our very own service branch, named opal select network.
This network solution is tailor-made for expats, allowing them to have access to the health professionals they are accustomed to without falling out of network.
We know the importance of feeling secure when working abroad and therefore we believe that it is essential that the employee has a say in who they would like to consult with.
Best in class CRM with a specific design for Opal Care, maximizing efficiency and allowing access to all core partners and clients in real time.
An end-to-end solution built to modernize and provide transparency throught our operations.
Strategic Alliances
Among our core partners, we have created our very own service branch, named opal select network.
This network solution is tailor-made for expats, allowing them to have access to the health professionals they are accustomed to without falling out of network.
We know the importance of feeling secure when working abroad and therefore we believe that it is essential that the employee has a say in who they would like to consult with.
Best in class CRM with a specific design for Opal Care, maximizing efficiency and allowing access to all core partners and clients in real time.
An end-to-end solution built to modernize and provide transparency throught our operations.