Key Quantitative Figures
- Over 50% of cashless pre-authorisations are now completed in under five minutes
- Enhanced claims experience achieved a Net Promoter Score (NPS) of 67
- Calls from claimants have dropped by over 60%
- MAven Guard's new release detects fraud, waste and abuse with up to 50% greater precision
Platform Upgrades and Impact
MAven Intelligent Document Processing (MAven IDP): AI-enabled document processor that reads and standardises hospitalisation documents into structured clinical summaries, enabling faster and more consistent claims decisions. Now available to insurers and healthcare providers beyond the Medi Assist Group.
MAgnum: Provides real-time visibility to hospitals regarding patient qualification for Raksha Prime, claim status, and settlement information, enabling faster admissions and fewer queries.
MAven Guard: Enhanced fraud detection system with significantly improved precision in identifying fraud, waste and abuse while allowing genuine claims to move faster.
Operational Impact
The technological advancements have resulted in:
- Faster hospital admissions for patients
- Reduced paperwork friction
- Strengthened claims integrity
- Improved member satisfaction as reflected in the NPS score of 67
- Significant reduction in claimant inquiries (over 60% call reduction)
Business Context
Medi Assist Healthcare Services Limited is India's leading health benefits administrator. Through its wholly owned subsidiary, Medi Assist TPA, the company acts as a facilitator between insurance companies and policyholders, insurance companies and healthcare providers, and the Government and beneficiaries of public health schemes. Through Mayfair We Care, the company provides benefits administration services to Indian corporates & insurers outside India as well as services global insurers and beneficiaries.