The process of authorization of procedures, medicines and hospital supplies constitute, in most cases, a major challenge for health plan operators. What many managers don't know, however, is that it is currently possible to rely on technology to face difficulties and significantly minimize problems.

The authorization of procedures, hospital materials and medicines generates, in most cases, several problems for health plan operators. This happens mainly due to a series of factors, such as incorrect analyses, lack of information, lengthy processes, etc. – which result in serious complaints from beneficiaries. 

The challenge facing the largest healthcare providers

To overcome all these difficulties and with a considerable volume of lives to manage, the largest healthcare providers in Brazil rely on the help of technology, especially with regard to account management and medical auditing.

The system most requested by large, medium and even small operators who aim to grow, It's Saudi. With more than 20 years serving exclusively the supplementary health sector, the medical audit system Saudi is adopted by dozens of healthcare providers across the country.

The secret to improving the midfield

O Saudi is a medical audit system designed to maintain the “financial health” of Supplementary Health Plan Operators. He automates the account audit process of medical service providers, enabling a clear vision for both sides (operators X service providers) and a significant reduction in unnecessary costs.

With Saudi acting throughout the entire process, from authorization request for medical procedures from the provider network, up to their respective release for payment, operators become more healthy and reach better results through a better management of your care costs. The results are surprising in the first few months of use!

How does Saudi assist in authorizing procedures?

With Saudi, your supplementary health plan operator can reduce billing for improper or undue medical bills by up to 95 %.

By implementing the Saudi system, the operator has a series of advantages in the assistance, operational and financial areas, check them out below.

Regarding the assistance sector:

• Increases the capacity for technical analysis of requests, through access to support information in real time, optimizing the speed of analysis, registration and processing of authorizations;
• Reduces the risk of improper authorizations, through the possibility of configuring and using automatic audit rules and standardized responses;
• Allows continuous improvement of the authorization process, through access to the request and analysis trail;
• Increases the security of decisions, through real-time access to the histories of patients, providers and medical auditors, nurses and analysts;
• Reduces the impact of providers presenting undue or inappropriate charges after improper, unapproved or poorly approved service;
• Reduces the number of accounts glossed in billing;
• Contributes to reducing care costs/accidents
• Contributes to increased results

In terms of operations:

• Reduces the risk of delays in responding to requests, avoiding complaints from beneficiaries, through better workflow control, through the possibility of determining a response deadline for granting authorization or denial based on the TISS standard
• Reduces response time to requests, through online digital communication, supported by accurate information supporting real-time decisions
• Reduces operational costs of the Authorization Request process, completely or largely replacing call centers, paper, and emails.

And to top it off, finance has essential advantages these days:

• Improving employees' quality of life (reducing overtime, crises, conflicts, insecurity, gaining confidence and self-esteem);
• Reduction of assistance costs in the short / medium term;
• Possibility of professional advancement (recognition, promotion, bonus, increased pay).

Why do the biggest healthcare providers prefer Saudi?

As pointed out above, Saudi assists the entire authorization process for procedures, hospital materials and medicines in a 100% way that is transparent for both sides: operators X service providers.

In addition to the support provided by experts and tools that can be optimized according to each client's needs, Saudi offers supplementary health plan operators a series of exclusive benefits!

Among Saudi's main differences, it is possible to highlight:

– Cost reduction in the first months of use;

– High level of automation;

– Return on investment;

– Great usability;

- Productivity increase;

– Easy and fast integration;

– Solid references in the market.

Currently, Saudi is responsible for assisting dozens of healthcare operators throughout Brazil, including some of the largest in this segment. Reducing costs in the first 3 months of use is a big difference that builds operator loyalty. your expenses with improper or undue medical bills throughout Brazil. 

Do you want to know more about the system and all the advantages that your company can enjoy? Contact with us right now! ; )