Modern Care Administration for
Nigerian HMOs Growing Beyond Paper & Spreadsheets.
Free your medical review nurses and doctors from tedious manual bill checking and month-end reconciliation stress. Manticore supports HMOs with instant clinical claims review, clear health plan sustainability insights, and effortless NHIA statutory reporting.
Support Every Stage of Patient Care & Hospital Relations
Prevent avoidable billing errors while paying your partner hospitals in 24–48 hours instead of 60 days.
Consistent Hospital Fee Schedules
Organize primary, secondary, and specialist hospitals into clear care tiers with Multi-Band Provider Network Tiering (Bands A–D). Every consultation, laboratory test, and medication is checked fairly against your agreed hospital rates.
Health Plan Utilization Insights
Follow medical care utilization across every corporate client group as it happens. Receive early clinical notifications when an employer health plan approaches its annual care budget so your medical team can guide care proactively.
Effortless NHIA Regulatory Returns
Prepare accurate NHIA Act 2022 statutory returns in a single click. Manticore compiles claims summaries, hospital capitation registers, and financial reserve reports directly from your verified daily care records.
A Unified Workspace for HMO Medical & Finance Teams
From the Chief Medical Officer reviewing complex surgical admissions to the Finance Lead sending monthly hospital payments.
1. Clinical Claims Review & Care Bundle Checks
Automatically catch split surgical bills, duplicate consumable charges, and non-formulary medications before your nursing review team spends hours checking line by line.
2. Hospital Credentialing & Network Directory
Keep hospital licenses, MDCN practicing certificates, NHIA facility numbers, and verified hospital bank accounts organized in one place.
3. Fast Prior Authorization & Benefit Guidance
Give your care desk instant answers on corporate benefit limits, maternity waiting periods, and specialist coverage so patients waiting at the hospital receive fast approvals.
4. Direct Hospital Payouts & Payment Vouchers
Pay hundreds of hospitals at once and automatically send each facility an itemized payment voucher showing every patient claim settled.
Strengthen Your HMO Care Network with Manticore.
Book a private walkthrough with our healthcare operations team. We can review a sample batch of your recent hospital claims to show you how much time and administrative effort your medical team can save.