we promote preventive care ,Wellness and create access to smart care . Our advanced e-health platform simplify health record keeping , offer personalized health , fitness and insurance solution for all our members .
We help our members experience the wired health and fitness world . At UAH we offer fabulous local and global “All discount” deals .
2. Who we are ?
We are Next gen wired healthcare and insurance
support service company, In collaboration with
American medical practice group and investor backed
health tech start up.
Our partners : AGS Health, Paramount health , Hyjiya,
Eximius InfoTech , Vocalcom.
Our People Experience : 150+ yrs. of collective people
experience in the field of health
care , Pharma, technology
outsourcing , Insurance ,
Investment banking , Media
Marketing and advertising.
3. What we do ?
we promote preventive care ,Wellness and create access to
smart care . Our advanced e-health platform simplify health
record keeping , offer personalized health , fitness and
insurance solution for all our members .
We help our members experience the wired health and fitness
UAH has partnered with reputed insurance world . At UAH we offer fabulous local and global “All discount”
companies , health care providers ,pharmacies, deals .
major retail outlets , grocery stores , airlines , tour
operators , hotel chains, spa centers , fitness clubs ,
gyms , e- gadget store , sports shops , beauticians ,
fuel station, auto care centers, telecom provider ,
banks and many more … in order to facilitate you
with best local and global deals at discounted price .
Wellness promotion . Health care marketing & Benefit consulting . Health Administration . Health Risk Management . E- Health
Records .Tele health . Tele Underwriting . Pre policy check up . Health outsourcing skill development .International
Outsourcing and health off shoring support services
4. Our product and service portfolio
To customers :
To Insurer & corporate health plans :
• Health and wellness plans
• E-integrated collaborative health records • Health TPA services
• Doc on call services – Video health • Revenue generation services
• Emergency assistance • Health Risk & managed care services
• Personalized health , fitness training plan and • Health Plan Design
diet management portal • Re insurance
• FDA approved diet supplement and nutrition • Tele Underwriting
products • Pre policy check up (Life)
• “All discount” deal program • Health data analytics and technology
• Health Gadgets solution
• Health Benefit consulting • Unified contact center & communication
• Home care and remote monitoring services
• Revenue generation services
Hospitals : • Retention , collections and renewal
Revenue cycle management management .
Revenue generation support
All in one marketing platform
Contact center
Because with us, you get :
. . .
5. Global Health & Insurance -BPO
Front End Processes
•Claims data entry
Information Capture
•Imaging
•Pre-registration
•Mailroom services
•Patient Admission
Core Administrative Functions •Insurance eligibility and verification
•Member eligibility •Discharge and Financial Counseling
•Enrollment and administration
•Benefit plan managements Charge Capture/Billing
•Claims adjudication
•Premium billing •Dictation and Transcription Management
•Payments and benefits explanation •Code and Abstract
•Appeals •Medical Records Storage and Retrieval
•Credit balance recovery
•Initial Contractual Adjustment
Customer Service •Claims edit process
•Bills Submission
•Call Center Services
•Email and Chat Receivables Management
Care Management •Claim Status
•Denial Management
•Pre-certification
•Referral authorization. •Secondary and bill resubmit
•Discharge planning •Cash posting
•Case management
Revenue Enhancement
Provider Management
•Collections process
•Provider setup and maintenance. •Management reporting
•Credentialing
•Performance analysis
6. Our Vision: “To be the innovative healthcare and insurance Industry value add support
service provider “
Our Mission: To Create better access to modern “wired care ” and get all our members stay
closer to healthy lifestyle ,accelerate smarter consumerism , enable savings , deliver more
value and better experience for all.
Values:
Integrity , Fairness , Innovation , Leadership , Accountable ,
Competitiveness and Team work.
We are Committed in delivering: Better Care ,Improving efficiency , enabling performance &
quality ; enable innovation , in order to build more value to all , coupled with higher level of
professionalism and friendliness .
Founder -Humanitarian belief : “Grow to Give, Give to Grow “
7. Our founding
member team
Prabhumurthy (MA,MBA,CFP)
Entrepreneur , young visionary and Professional executive start up . Managing partner –Eximius
info tech & Co -founder - United Africa health, is a management graduate from one of India's
most renowned institutions and has a wealth of experience & 10 yrs. of success in Business
development ,Marketing , business modeling , wealth advisory, outsourcing and international
business . Before his start up initiative ,heading international business and strategy for Med
scheme, one the largest health care group in south Africa , and he been instrumental towards
developing and implementing global business strategy ,and in Identifying M&A transaction in the
United States and Asia .
Dr Abhithab Gupta
Radiologist by profession with 20 + years of healthcare experience , he is regular faculty at NIA
and have authored more than 10 medical book. Dr .Abhithab , held several Sr management and c-
level position in India’s leading insurance and administration companies , wealth of health
management experience and currently managing more than 5 million lives in India . His
contribution toward developing innovative health insurance product and national e- health
strategy is remarkable in the Indian market.
8. Our Technical
Our Strategic advisory
Partners team
• Largest Health administration & outsourcing Prabhumurthy , Dr Abhithab Gupta , Dr Eric , Dr Harish
company in India & costa Rica , in total our partners Singh , Dr Chan , Dr Singh, Mr Krishana praharaj , Mr
administer over 8 million lives Roy Sanders , Dr Lyness , Dr Bill Hall , Dr Andrew , &
• American Physician group & ACO’s other International /Local technical operations and
• Telemedicine group process expert team, with relevant industry experience
• Start up Tech & Health Outsourcing companies in the more than 20 + years .
united states Our Technical advisory team has played a key high level
role in large health care companies , IT/BPO,
Investment firms ,Health administration group in India ,
Mauritius , south Africa, United States ,UK ,has rich
Our approach to business :
domain expertise in the health care , BFSI and
Collaboration . Globalization . Innovation
outsourcing space.
We believe in :
People , process , knowledge and technology
We guarantee :
Customer satisfaction ,value addition , cost savings , Innovation and growth to our partners .
9. How we help the UAH : Value
insurance summary
companies ?
• UAH , help insurer to
reduce health claims
cost and health plan
admin expenses
• UAH help Insurer simplify health claims
process and new client acquisition
• Our proprietary communication platform
help insurer to device effective member
communication strategy and improve
customer experience “ better retention ,
much better revenue “
10. Health risk , Audit & Managed care as a service
At UAH , All health plan risk management Our target member wellness
service delivered by qualified medical communication strategy and
professional and global health risk managers approach help insurer develop :
• Effective Communication
• Create Awareness
• Improve bottom-line profitability
Improved business
performance & plan
Reduced Claim cost Profitability
11. “My Value supplement card :Product feature & Benefit:
- overview
• Wellness and personalized health portal unlimited
access
• Medical records on 1 GB flash drive
• Second medical opinion – With local and
international specialist
• Tele medicine – Doc on call service *
• Home care assistance and emergency care - on call
or press of a button*
• Out patient and preventive care plans
• wellness and nutrition plan
• Health Benefit and wealth consulting – Benefit
expert service
• Access to more value deals and benefits ….
12. How our value supplement card help the insurer and our member ?
Our Value supplement card product support insurer to introduce new value add services
to their customers and help insurer differentiate their product from completion.
Other benefits to insurer : Our supplement plan and value health platform improve health
data efficiency and analytics , improve customer brand loyalty and help them offer more
savings to their customers with “our value deal program “
Our members or Users - We offer 10% discounts on all insurance premium , free access to
fitness world and other value deals .
• Priority medic service – Doctor visiting patient home
• Wellness tool and gadgets
• First consulting on call - for minor symptoms call your doctor helpline or connect online
• Elderly Home care assistance – “Express your love and care to your elderly by gifting our
home care assistance device ”
In case of any un attended emergency situation, we alert the family members , physician
network ,near by health facility and alert the ambulatory service .
• E- Health records - “No more paper file , No more searching “ UAH 1 GB Flash Card will
allow members to organize personal care and treatment history ,all in one place
,accessible any where any time, and over a click our members may request a second
opinion with any doctor of their choice .
• “Electronic health records & gain access to first line care via telephone & Internet”
13. Who will benefit from our product ?
• Individual - savings on spending , new health
care experience , comfort and extra care .
• Corporate - Express their care for their employee
wellbeing and by managing staff member health
, they can avoid health insurance premium
increase “ proactive approach towards saving
cost “
• Providers - Extensive marketing – meaning more
sales , more revenue and visibility
• Hospitals - Alternate platform to promote well
ness and care
• Insurer : Reduction in claims cost , healthy
business bottom line.
15. TPA – Third Party Administrator
TPA acts as a Facilitator between Insured & Insurer. Our
product for TPA offers the following :
Total benefit administration including hospital,
daycare, and clinic claims processing.
Rich, high performance reporting at-a-glance access
to the information you need in just a few
keystrokes.
Automated Preauthorization Workflow for high
speed processing of preauthorization's received by
fax or mail.
Advanced correspondence logging for single click
access to Word documents, emails, or Excel
spreadsheets previously sent to clients or insured,
along with SMS and email push features.
Automated Electronic Claims Queue Processing for
Streamlined processed of claims.
Open Architecture Database design allows access to
data by your existing applications or reporting tools.
In the process of HIPA compliance including security
tracking, patient security features, and acceptance
of all HIPAA data formats.
18. PHR (Permanent Health Record)
PHR is a permanent health record on the web, which
is lifelong archive of person’s medical history. It can
be accessed online anytime, anywhere, and by
anyone with the required security credentials.
Permanent Health Record contains:
Basic personal information
Medical insurance coverage details
Immunization records
Medical history (past & current)
Medication information
Information of Allergies
“Smart Tag” technology that keeps track of
members information as a critical care
access report which can be accessed in the
case of a medical emergency
19. Benefits of PHR
24*7 access and handy source of entire
medical history
Pro-active approach to tackle
emergencies
Increased consciousness towards one’s
own health
Life time health insurance records and
health checkup records
Online health record accessible
Members will be able to add, edit or
upload new record as and when
required
Unique identification (username/
password) for everyone
We can upload the scanned copy of
original documents
Tracking Of Insurance details
100% Accuracy
22. Products: Pre Policy Health Check
Pre Policy is intranet/internet based web application providing
common platform to the insurance company, corporate,
individual, hospital provider & management where they can
interact with each other. It is complete Business Optimization of
Process of Health Check up, for clients who opt for Insurance
Policy. Following are the main features:
Exhaustive MIS for Insurance companies and corporate,
Providers, Administrator.
SMS and E-push integration throughout the system for
periodic updates.
Reporting of all processes, all appointments, TAT
reports, and accounts reports
Separate Logins for Agents, Development officers,
Insurance companies, Corporate.
Annual health checkup for corporate is available.
Facility to customize the packages and rates for each
Diagnostic Center, Insurance company, and corporate.
Reports can be fetched in various formats as per the
requirements.
Integrated accounts module that takes care of invoices,
debit note & Payment Received.
23.
24. Pre Employment
Pre Employment Health Check up is a Business Optimization
Process of Pre Employment health Checkup for the Employee
by Corporate. It is intranet/internet based web application
providing common platform to their corporate, individual,
hospital provider & management where they can interact
with each other.
Following are the features:
Separate Logins for Agents, Development officers,
Insurance companies, Corporate.
Annual health checkup for corporate is available.
Exhaustive MIS for Corporate, Providers,
Administrator.
SMS and E-push integration throughout the system
for periodic updates.
Facility to customize the packages and rates for each
Diagnostic Center, Corporate.
Reports can be fetched in various formats as per the
requirements.
Reporting of all processes, all appointments, TAT
reports, and accounts reports
Integrated accounts module that takes care of
invoices, debit note & Payment Received.
25. Annual Health Checkup
Annual Health Check up is a Health Check up Process for
Employees by Corporate every year. It is intranet/internet
based web application providing common platform to their
corporate, individual, hospital provider & management
where they can interact with each other. Following are the
features:
Integrated accounts module that takes care of
invoices, debit note & Payment Received.
Facility to customize the packages and rates for
each Diagnostic Center, Corporate.
Separate Logins for Agents, Development officers,
Insurance companies, Corporate.
SMS and E-push integration throughout the system
for periodic updates.
Reporting of all processes, all appointments, TAT
reports, and accounts reports
Annual health checkup for corporate is available.
Exhaustive MIS for Corporate, Providers,
Administrator.
Reports can be fetched in various formats as per
the requirements.
27. Tele - Underwriting
Tele - Underwriting
Teleunderwriting is a new tele-interview underwriting system
for proposers seeking medical insurance policies.
Features
Immediate risk analysis - Our system enables the
interviewer to analyze the risk for more than 40
common diseases on the spot.
Effective Call center office automation – Optimizes the
use of your call center and office manpower to save you
money as well as increase efficiency.
Health Data gathering – Which can be useful to
insurance companies as well as the Ministry of Health.
Benefits
Increase productivity - spend less time on paperwork
and more time doing what you do best meeting with
clients and selling.
Improve turnaround time - more detailed information to
the underwriters, which reduces the need for the most
time-encompassing requirements.
Alleviate awkwardness - Applicants often prefer
providing personal information to a third-party
interviewer rather than face-to-face with an agent who
may be a friend or associate.
28. Tele – Med
• Interactive health care over distance using information or
telecommunications technology
• Telemedicine brings the expertise of a specialist to the point of
care and allows that expertise to be customized to that patient
• Telemedicine facilitates the provision of medical aid from a
distance. It is an effective solution for providing specialty
healthcare in the form of improved access and reduced cost to
the rural patients and the reduced professional isolation of the
rural doctors. Telemedicine can enable ordinary doctors to
perform extra-ordinary tasks.
• Using telecommunications and computers to exchange
information to support medical decision making
a. Medical Records – EMR and PHR
b. Literature search
c. Decision support
d. Remote monitoring
e. Consultation and Conferencing
30. Wellness Portal
Portal Benefits:
• Provide a focus for purchaser, provider and consumer
communication.
• Ensure timely and cost effective communication
• Provide greater consumer access to information about
health care providers
• Enhance the community in healthcare networks
• Provide a secure file exchange and storage environment
• Provide technology to emerging consumer to consumer
support groups for chronic conditions
Wellness and Health Portals Sections:
•Many content options and wellness and health programs
•Implementation of client specific information, such as:
• Medical Directories
• Health Benefits for Employees
•User progress and usage reports
•Intranet and Internet accessible
•Health Risk Assessments
•Weight Control Programs
•Disease Centers
•Health Tools
31. Current Technologies
Microsoft .Net Platform 2.0,3.5:
The .NET Framework is: Common Language Runtime – provides
an abstraction layer over the operating system, Base Class
Libraries – pre-built code for common low-level programming
tasks, Development frameworks and technologies – reusable,
customizable solutions for larger programming tasks. The .NET
Framework allows applying common skills across a variety of
devices, application types, and programming tasks, integrate
with other tools and technologies to build the right solution
with less work and Build compelling applications faster. We are
using C#, VB.Net Languages with other features in ASP.Net.
SHAREPOINT :
Microsoft SharePoint, also known as Microsoft SharePoint
Products and Technologies, is a collection of products and
software elements that includes, among a growing selection of
components, web browser based collaboration functions,
process management modules, search modules and a
document – management platform. SharePoint can be used to
host web sites that access shared workspaces.
32. Current Technologies
Current Technologies
WCF / WPF /WWF (WF)
DATABASE LANGUAGE(SQL SERVER):
Windows Communication Foundation (WCF) is
Microsoft’s unified programming model for building
SQL Server 2005 has reduced application downtime
service-oriented applications. It enables developers
increased scalability and performance and tight yet flexible
to build secure, reliable, transacted solutions that
security controls.
integrate across platforms and interoperate with
existing investments.
SQL Server 2005 makes it simpler and easier to deploy
manage and optimize enterprise data and analytical
Windows Presentation Foundation (WPF) provides
applications.
developers with a unified programming model for
building rich Windows smart client user experiences
It enables you to monitor manage and tune all of the
that incorporate UI, media, and documents. It
databases in the effective way.
provides Databinding, Built in Animation, Templates
Failure of the primary system applications can
& Styles, Resource management.
immediately reconnect to the database on the secondary
server using Database Mirroring.
Windows Workflow Foundation(WWF) is a
SQL Server 2005 provides a new capability for the
framework that enables users to create system or
partitioning of tables across filegroups in a database.
human workflows in their applications
Has Features of XML Multidimensional Expressions
Microsoft Silverlight is a new cross-browser, cross-
(MDX) and XML for Analysis (XMLA). Integration with the
platform implementation of the .NET Framework for
Visual Studio development environment provides more
building and delivering the next generation of media
efficient development and debugging of line-of-business
experiences and Rich Interactive Applications(RIA)
and business intelligence (BI) applications
for the web. It runs in all popular browsers,
including Microsoft Internet Explorer, Mozilla
Firefox, Apple Safari, Opera.
33. We focus on building and enhancing the N-Layer
Architecture, and hence all our applications are not very
load-intensive on servers as the load is shared.
Distributed Application Architecture is used where we
can distribute application’s parts into multiple server.
We focus on Making application’s ready for Web Form.
Focus on distributing caching topologies.
Integrated Application and Project Management
techniques
Focus on Business Intelligence tools integrated within the
application.
34. United Africa Health
Thanks you
Prabhu Murthy (MA,MBA,CFP)
Entrepreneur & Sales optimisation Consultant
Mob:+230 4231666 ; Skype : prabhumurthy
PrabhumurthyM
Prabhumurthy Maduraimuthu