our services
CONTACT CENTER
We provide a 24/7 dedicated helpline service that caters to our members’ inquiries regarding their coverage, network provider options, specialized services, and effectively manages their chronic medication requirements. Additionally, we facilitate the coordination of second medical opinions to ensure our members receive comprehensive healthcare support.
CLAIMS MANAGEMENT
Hakeem Med is proud to present our customers with a comprehensive claims management solution that covers the entire claim cycle. As a renowned industry leader, we have leveraged advanced automation techniques to optimize our processes. Our use of proven rule engines has resulted in remarkable gains in efficiency, performance, and cost containment.
AUTHORIZATION & CLAIMS PROCESSING
Our round-the-clock operation comprises a team of highly skilled medical professionals and streamlined system processes. Our primary objective is to accurately assess member eligibility and promptly issue treatment authorizations, aligning with the terms and conditions of the applicable coverage. We prioritize efficiency to ensure our members receive timely access to the care they require.
PREFERRED PROVIDER NETWORK
Hakeem Med takes pride in providing insured members with a meticulously curated network of participating healthcare providers spanning the GCC region. This network ensures a seamless and cashless access to medical services. Leveraging our substantial business volume and efficient network management, we possess a strong negotiating position to secure exceptional rates, discounts, rebates, and favorable payment terms. Our dedicated network operation continuously monitors inflation and pricing trends across the region, enabling us to effectively estimate their impact on insurer portfolios.
POLICY ADMINISTRATION
Hakeem Med operates a fully dedicated policy administration system that efficiently handles census management, system integration of policy terms, and generation of member cards. As part of our commitment to delivering a seamless service experience, we provide insurers and insured groups with access to our user-friendly online census management tool. This tool empowers respective parties to conveniently manage additions and deletions, streamlining the administrative processes associated with policy management.
INTEGRATED IT SOLUTIONS
Hakeem Med utilizes an advanced suite of integrated online software solutions specifically designed to facilitate comprehensive healthcare benefits management. Our suite consists of various modules, each tailored to address specific aspects of the process. These modules offer convenient remote access and mobility capabilities, while prioritizing data security. We have implemented enhanced security features, including user profiling, activity logs, and dynamic data partitioning, to ensure stringent confidentiality measures are maintained throughout the system.
ANALYTICS
Hakeem Med’s analytics services employ sophisticated data mining techniques to uncover valuable patterns and trends. Our primary objective is to predict and provide actionable insights for improving business performance. By utilizing a combination of quantitative tools, we effectively quantify performance metrics. Our analytics team utilizes both descriptive and predictive models to extract meaningful knowledge from data. Furthermore, we have enhanced our reporting platform to empower clients to generate a wide range of reports online, including standard and customized reports, thereby enhancing convenience and accessibility.
PHARMACY BENEFIT MANAGEMENT
Our Pharmacy Benefit Management division leverages cutting-edge technology and clinical expertise to optimize claims outcomes and minimize the overall cost of prescription drugs, all while prioritizing the highest level of patient care. By implementing a highly efficient and automated technology platform, we streamline and regulate the pharmacy prior authorization process. This approach yields significant improvements in claims outcomes, enhances provider network penetration, and effectively reduces prescription drug costs.
