HMO Care Budget & Claims Savings Estimator
See how consistent hospital fee schedule checks, all-inclusive surgical care reviews, and fast hospital payouts protect your medical care budget and free up your clinical review team.
Prevents split surgical bills, repeat hospital visit charges, and unapproved brand-name medicine substitutions across partner hospitals.
Hospitals check agreed rates before submitting bills, ending months-long payment disagreements.
Direct hospital bank payouts accompanied by clear, patient-by-patient payment vouchers.
One-click preparation of NHIA Forms CAP/01, CLM/02, and FIN/04 under NHIA Act 2022 guidelines.
See How Much Your Care Team & Medical Fund Can Save
Estimate how much your organisation can protect through fair hospital tariff alignment and faster claim reviews.
- 8%–14% Typical Care Fund Savings by aligning bills with agreed hospital tariffs and safe dosages.
- Duplicate Visit Protection prevents accidental repeat billing across partner hospitals.
- 80% fewer billing disputes thanks to clear, line-by-line hospital payment statements.
Funds preserved each year to reinvest in better member care and timely hospital payments.
*Estimated savings based on typical claims review results across Nigerian health plans. Actual savings depend on your hospital network and current review process.
Want to see your savings on a sample of past hospital bills?
Share a sample of recent hospital claim statements with our healthcare operations team. We will review them against your hospital fee schedules and show you the exact care budget savings.