R2ST Health Insurance System

Who it is for

Health insurers, medical funds, administrators and technical teams.

Scope for your demonstration

Explore the following scope with our team: Scheme and benefit configuration; Member and dependant records; Eligibility and benefit limits; Provider information; Authorisation and claims workflows; Contributions and settlements; Utilisation and claims analysis. We will confirm the available modules, required configuration and any implementation extensions for your requirements.

A connected operating workflow

Enrol members; confirm eligibility; review benefits and authorisations; assess claims; settle approved amounts; analyse utilisation and sustainability.

Information for management

Membership movements, claims patterns, benefit utilisation, provider analysis and contribution reconciliation.

Implementation and integration

We begin with requirements, workflow and data mapping. Configuration, integration, migration, testing, user acceptance and role-based training follow an agreed plan. Hosting, identity, access control, audit logging, backup and recovery arrangements are confirmed in the solution design.

See the relevant workflow

Request a demonstration built around your institution’s use case. We will identify the functions available today and distinguish them from configured or proposed extensions. Related expertise: Actuarial & Analytics.