Empowering Corporate Healthcare Solutions

At Red Alert, we streamline employee benefits and claims processing for self-funded corporate clients, enhancing efficiency and reducing costs through expert management.

Who We Are

RED ALERT is an organization that manages specific services related to self-funded corporate clients, employee benefits, or claims processing on behalf of corporate company, self-insured employer, or other entities. TPAs act as intermediaries between the corporate clients and medical provider. Their role includes managing administrative tasks, which can help streamline processes, improve efficiency, and reduce costs.

DashBoard

The system offers comprehensive monitoring capabilities for tracking new company sign-ups on a monthly basis throughout the year. Users can easily access insights into various registrations, including new companies, clinics, dental practices, and optical panel outlets. Monthly sales performance can also be closely monitored, providing invaluable data for business analysis. Additionally, the system enables tracking of terminated companies, ensuring that users can maintain an up-to-date overview of the landscape. For deeper insights, statistical reports can be generated for individual companies as well as for GP clinics, dental clinics, and optical outlets. Moreover, the software includes features to track mobile app registration movements, facilitating a better understanding of user engagement and growth trends in the digital space. This functionality ensures that stakeholders have access to critical information for informed decision-making.

Automated Real-Time Claims Processing

TPAs are often responsible for receiving, reviewing, and processing claims submitted by medical provider. This involves verifying coverage, assessing the validity of claims, and ensuring that the claims are paid according to the terms of the policy.

Comprehensive Services

Streamline your employee benefits and claims processing with our expert management services for corporate clients.

Efficient Management

We handle administrative tasks to improve efficiency and reduce costs for your organization’s needs.

Trusted Intermediaries

Acting as intermediaries, we simplify interactions between corporate clients and medical providers for better outcomes.

Corporate Services

Streamlining employee benefits and claims processing for clients.

Automated Real-Time Claims Processing

TPAs are often responsible for receiving, reviewing, and processing claims submitted by medical provider. This involves verifying coverage, assessing the validity of claims, and ensuring that the claims are paid according to the terms of the policy.

Enrollment and Administration

In the case of employee outpatient medical benefits, RED ALERT handles the enrollment of employees, monitor and manage employees/dependent medical benefits and maintain the track record of visits to medical providers.

Customer Service

RED ALERT provides backend support to companies, employees, and other vendors by attending to their queries on any health-related medical assistance including claim disputes

Compliance and Reporting

RED ALERT will work n comply according to the local government regulatory requirements.

→

→

→

→

We provide 24 * 7 customer service support

RED ALERT is committed to protect and respect the employee’s data and all data collected will be used solely for claim processing purpose and is handled in accordance to the data protection laws.

Some Vital Roles at RED Alert

Streamlining employee benefits and claims processing for clients.

RED ALERT works with network of doctors, dentist and optical outlets and provides corporate clients with a negotiated pricing and establish agreement with medical providers.

Data Management and Recordkeeping

RED ALERT at all time maintains an accurate record related to claims, employee and dependent information and coverage benefits. This can include both physical and electronic records, ensuring that data is updated and compliant with legal standards.

Fraud Prevention

RED ALERT will investigate any suspicious claims or activities to prevent fraud, ensuring that only legitimate claims are processed and paid out.

Financial Management

RED ALERT will process all claims and ensure payments are made to clinic and vendors according to the stipulated credit terms as agreed in the agreement

→

→

→

→

Network Management

Employee Benefits

• RED ALERT on own initiative or upon request from companies will organize health campaigns, health talks, occupational safety health and walkthrough surveys

• RED ALERT will act as one stop centre for corporate clients pertaining to any medical related requirement

• RED ALERT will help companies to design employee wellness programs that promote health and prevent illness. This might include fitness programs, stress management initiatives, mental health resources, and health screenings.

Reports

1. Monthly MC Summary Report

2. Clinic Visit Detail Report

3. Visit Summary by Employees

4. Detail Visit Report by Employees

5. Individual Detail Visit Report

6. MC Report by Clinic

7. Average Cost by Diagnostic/Clinic

8. Utilization Summary Report by Diagnostic/Average Cost/Visit/MC

9. Employee Utilization Summary Report by Visits/MC/Utilization/Visit Type

10. Summary of Monthly Utilization by Company/Visits/MC/Average Cost

Reseller Benefits Overview

Explore key advantages resellers gain through exclusive products, support, and profit opportunities.

Exclusive Product Access

Gain early access to new features and products for your customers.

Profit Margin

Receive co-branding opportunities and marketing materials to enhance your sales.

Training and Support

Access dedicated technical support and comprehensive training programs for resellers.

Marketing Support Offered

• Discounted Pricing

• Volume-Based Discounts

Marketing and Sales Support

Scalability and Growth

• Access to a Larger Customer Base: Resellers typically get access to a wider customer base, as the products they resell might be targeted toward a specific niche or market segment.

• Customization Opportunities: Some systems may offer customization options for resellers to tailor the product to customer needs, which can help generate more sales.

• Co-Branding Opportunities

• Marketing Materials

• Sales Training