HealthTech · Public Health
85% of authorizations resolved digitally
One of Brazil's largest self-managed health plans, serving federal public servants, was overloading its support team with manual requests. Today 85% of authorizations are digital and support tickets are down 60%, across 200,000 members.
Authorizations handled digitally
Reduction in support tickets
Members served digitally
Challenge
Challenges we know well
The client served hundreds of thousands of members on legacy systems that limited operational efficiency and capped the digital experience available to users.
Legacy systems holding back operations
Modernizing legacy health plan management systems that capped operational efficiency and made digitizing services difficult.
Member portal and app
Building a web portal and mobile app with self-service features, reducing the dependence on in-person and phone support.
Digital procedure authorization
Implementing digital pre-authorization flows for medical procedures, removing manual steps and cutting response time.
Integration with the provider network
Connecting accredited hospitals and clinics over APIs for electronic claim exchange, standardized health billing and automatic reconciliation.
Solution
Our approach
We ran a complete digital transformation, modernizing core systems and building digital channels for members and the provider network.
01
Member portal
A web portal and mobile app with a digital membership card, appointment scheduling, procedure authorization and usage statements.
02
Digital authorization
A digital pre-authorization system with automated workflows, cutting response time and improving the member experience.
03
Provider network integration
APIs connecting hospitals and clinics for electronic claim exchange, standardized health billing and automatic reconciliation.
Results
Measurable impact
Numbers that show how digitization reshaped the client's operation and its members' experience.
Digital authorizations
Of all procedures
Fewer support tickets
Self-service in the app
Digital members
Served through the platform
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Talk to our healthtech specialists and find out how to modernize your systems and build digital channels for your members.