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UAP Old Mutual signs Smart Applications to automate its electronic data Interchange for medical claims

NAIROBI, Kenya, Jun 4 – UAP Old Mutual has partnered Smart Applications International, a leading healthcare management technology solutions provider in automating the UAP Old Mutual’s member access processes and digitizing the medical claims interface with healthcare service partners.

The digitization through Smart’s Electronic Data Interchange Solution (EDI) will enable UAP Old Mutual clients faster access to treatment and result in more efficient, paperless medical claims through the healthcare facilities.

The new platform will greatly enhance UAP Old Mutual’s innovation in service delivery, achieve a paperless hospital engagement process. The solution also brings on board the capability for auto-claims validation before submission and auto-vetting once submitted, leading to faster and more efficient payments to all accredited healthcare providers serving UAP Old Mutual members.

The General Manager Health Business, Japheth Ogalloh said “This innovation which has been integrated to our backend system will improve the claims process by making it more efficient and cost effective. This partnership and innovation underscores our commitment to evolving with the emerging needs of our vendors, intermediaries and customers. The business environment is changing rather rapidly, and at UAP Old Mutual we are alive to this reality and will continue to innovate as part of our strategy”.

The EDI solution is a step towards the much-needed innovation in the healthcare space to accelerate uptake of medical insurance through digital platforms that reduce insurance scheme administration costs whilst delivering convenience. The Smart EDI platform also comes fully compliant and loaded with the ICD10 coding mechanism as approved and provided by the World Health Organization for ease in clinical and medical claims automation.

Among many other deliverables under the partnership between UAP Old Mutual and Smart Applications International is further automation through implementation of world-class healthcare processes like Straight Through Processing (STP) and Service Based billing, all new in Africa and which will now ride on the EDI framework, according to Harrison Muiru, the Group Managing Director at Smart Applications. 

“We are extremely delighted working with UAP Old Mutual as a leader in the healthcare space to on board our Smart technologies within their medical insurance operations for better reach, effectiveness and efficiency in delivering their medical products,” said Muiru. 

The move by UAP Old Mutual marks a milestone in healthcare automation & standardization. Smart Applications International will continue to work with key players in the African healthcare industry like UAP Old Mutual to digitise and automate medical processes in order to realise efficiency not only in Kenya but across Africa where it has a presence.  

The sentiments were echoed by Esther Muiruri, SMART’s Group Marketing Director. With presence in 9 countries across over 4,000 healthcare facilities, Smart remains at the forefront of taking healthcare access innovation to new heights across Africa.

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