NEXtCARE Capabilities power DHA's ‘Saada' insurance program for Dubai nationals

‘PULSE’ portal and ‘TATSH SYSTEM’ deliver seamless digital management based on Emirates ID cards

Dubai – July 2, 2015: NEXtCARE, the leading Third Party Administrator (TPA) across the GCC and Mena region and the provider of health insurance management services, has delivered cost optimised innovations to the Dubai Health Authority to power the government body’s ‘Saada’ insurance program. Through the technology implemented by NEXtCARE, more than 3,500 Saada enrolments are facilitated every day.

‘Saada’ targets approximately 130,000 UAE nationals living in Dubai and are not currently benefiting from any type of insurance plans. The recently launched program grants them access to a wide range of private medical providers through a government funded health insurance program.

NEXtCARE technology creates a seamless registration process that does away with insurance cards by utilising applicants’ Emirates IDs. Dubai Nationals with a valid Emirates ID can download a mobile app or go through the ‘Saada’ website to book a registration appointment. The enrolment process is straightforward, with the Emirates ID details and a copy of the family book being sufficient to enrol into the scheme. 20,000 people are expected to register per week at any of the 4 appointed DHA healthcare centre and a mobile unit that cater to elderlies and differently abled people.

NEXtCARE – member of Allianz Worldwide Partners – offers ‘Saada’ beneficiaries access to a large network of healthcare providers now part of the Saada network. Beneficiaries only need their Emirates ID, to avail services, when they walk into a healthcare provider. 

“NEXtCARE is delighted to be the technological and administrative partner to manage DHA’s Saada program. We are offering innovative technological solutions to make the entire process straightforward, and offer access to a wide network of private healthcare providers in the most convenient way,” said Chief Executive Officer NEXtCARE and MEA Allianz Global Assistance Mr. Christian Gregorowicz. 

At the heart of the system is NEXtCARE’s provider portal “PULSE” that allows providers to instantly check beneficiaries’ eligibility, obtain e-authorizations, submit claims electronically and access claims history. Providers can also tailor their proprietary systems to connect to PULSE. 

“We have ensured capabilities for uninterrupted registration and processing. Part of our remit is to create a smart system that tracks and monitors claims. DHA has mandated smart preventative care to be part of the system – where we offer functionality such as tracking whether beneficiaries are responsibly handing chronic illnesses,” said NEXtCARE’s Chief Business Officer, Mr. André Daoud.

NEXtCARE’s competitive advantage stems from its proprietary web enabled ‘TATSH SYSTEM’ that caters to the need of more than 90 insurance companies across the region. The company has more than USD 1 billion in premiums under management and processes USD 750 million worth of claims via its complex rule edit engine. 

Established in 1999, NEXtCARE specialises in providing complete health insurance management and administration services to healthcare payers, including self-insured employers.