Innovative Insurance Administration

Modern technology platform with everything required to manage health schemes of any size, and confidently fund health services.

  • No Paper
  • Cleaner Claims
  • EHR-linked Claim Verification
  • Beneficiary Identification
  • Settlement Management
  • Easy & Flexible Integration

How it works

Our suite of scalable, fast and intelligent applications—powered by longitudinal patient data—help payers manage enrollment, identification, claims submission, claims processing, and reporting.

Enrollment

Health scheme administrators enroll new members using our application. Personal data is collected and used to issue identification cards that each member will present to access the scheme’s health services

Identification

Upon visiting a facility, members’ identities and eligibility for services are confirmed by hospital administrators using our application

Claims submission

During the visit, members’ medical information, labs, drugs and services received are recorded on our EMR. These are automatically compiled as claims and submitted to the health scheme provider

Claims processing

In addition to receiving and reviewing claims on our application, health scheme administrators can also set payment schedules for facilities

Reporting

Our application also provides health scheme administrators with real-time data on enrollment, utilization, claims and more. These reports are critical for system-wide analysis and improvements

Impact

Helium helps health insurance partners increase efficiency and streamline administration.

  • Reduce cost

    Increases partners' operational efficiency by automating tasks and surfacing data to reduce waste and fraud.

  • Increase quality

    Leverages advanced data analytics to
    continually improve the system for patients
    and providers.

  • Improve experience

    Streamlines health insurance administration
    to save time and improve the experience for
    members, providers, and administrators.

Learn More About Our Other Solutions

For Providers

Helium Health gives healthcare providers a comprehensive suite of technology solutions dedicated to managing every aspect of healthcare delivery, from electronic medical records and telemedicine, to administration and financial management.

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For Patients

Take charge of your healthcare with our patient solutions. View your personal health records, prescriptions and lab results. Connect with your health team via telemedicine, find new healthcare providers, access loans to pay for your care, and much more.

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For Partners

We provide partners who care about accelerating universal health coverage with the information, insights and tools to gather real world evidence and make important decisions such as allocating resources, managing population health or creating smart policy.

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Make better funding decisions

Request more information about our payer solutions