In this post we will present some real cases of success in reducing costs in supplementary healthcare. You will have the opportunity to learn about how dozens of health plan operators across Brazil have been generating a positive impact after using the same common solution.
Reduction of administrative and accident costs at Unimed Leste Fluminense
According to the interview given by the medical auditor, Marcelo Kauss, there was great difficulty in analyzing medical bills manually, as in addition to the time spent, many errors arose that led to undue payments.
This all generated a lot of wear and tear and unnecessary bureaucracy in addition to the focus being only on hospital bills.
Marcelo saw the project offered by SAUDI as a way to break paradigms and resolve these issues that generated so many problems as quickly as possible.
After purchasing the SAUDI tool, they were able to optimize task execution time, receiving and analyzing accounts became easier, there was a reduction in disallowances and an improvement in the relationship with the account provider network.
In this way, there was a significant change in the reduction of administrative and claims costs in a process that is now more fluid and clear.
With the gains obtained and demonstrated, they decided to expand the use of the tool to analyze medical fees and SADT procedures.
And in just 3 months they have already felt the gains from using the tool and estimated around 10% in the reduction of medical and administrative expenses.
Quite satisfied with the positive results, Marcelo Kauss says he recommends, without a doubt, the tool offered by SAUDI.
Reduction of 94% in disallowances at Unimed Extremo Sul
In an interview with the coordinator of medical accounts and Exchange at Unimed Extremo Sul, Darlan Figueiredo, it was said that before SAUDI there were several difficulties, for example: a very long time to become aware of expenses, difficulties in carrying out a retrospective audit and competitor, high volume of disallowances in providers, excessively long time for account analysis and lack of validations when entering the account.
And then, after the implementation of SAUDI, everything changed. Anticipating the time to know expenses was the main point that generated the most positive impact on Unimed Extremo Sul, because this service is vital for the business.
Other processes also had significant improvements in their functioning, such as: Validation parameters when posting the account, very detailed agreement and policy parameterizations and general account analysis became much simpler.
Darlan also highlighted mainly the analysis of statistical and managerial data that has become more precise and uncomplicated.
Just 6 months after implementing SAUDI (VOXIS), they managed to notice a reduction in costs and a reduction in disallowances.
Given so many resolved solutions, Darlan guarantees that without a doubt Unimed Extremo Sul's experience with SAUDI is very well evaluated and although he has improvements to suggest, he highly recommends the tool.
Cost reduction in supplementary healthcare and optimization of processes that transformed Paraná Clínicas Saúde
In an exclusive interview, the IT manager at Paraná Clínicas Saúde, Givanildo Costa, says that
Before implementing the SAUDI system, they faced significant challenges in hospital auditing and medical bill management.
The segmented and manual approach generated distrust regarding the accuracy of the information, especially in relation to the productivity of doctors, nurses and administrative staff.
The lack of a system for recording audits and disallowances made control difficult, resulting in problems with payment predictability and agile financial decision-making.
The absence of systematic indicators and records affected operational efficiency, making the process complex and time-consuming. SAUDI was implemented to overcome these challenges and integrate the entire flow, providing greater reliability and efficiency in management.
And the result generated substantial improvements in the management of disallowances, accounts and, especially, in the verification of materials and medicines.
Benefits include routine automation, process improvement, productivity analysis and payment predictability.
The management of value tables and negotiations with providers was also optimized, increasing the reliability of the information generated by SAUDI. Furthermore, the significant improvement in the predictability of street events stands out, which is essential for claims management.
The simplified adaptation of providers to the system and the successes in implementing the medical fee guide reinforce the positive impact of SAUDI on the management of medical bills.
Givanildo also says that within 3 to 4 months they were able to identify reductions in bills and locate bottlenecks.
The tool made it possible to correct processes with providers, adjust contracts and make adequate payments for what was contracted. Today, the average disallowance at Paraná Clínicas saúde remains stable at 7%, representing significant monthly savings in financial terms.
Givanildo ends by saying that he would certainly recommend SAUDI and praises the ACOL team for their commitment, aiming to maintain the solid relationship that was built and expand SAUDI to other areas of its business.
Discover SAUDI – the most awarded medical account management system in Brazil
SAUDI is an intuitive and simple to use data platform. With SAUDI it is possible to optimize processes, increase transparency, store, process and organize data according to your interests, make integrations with other management solutions, make your health plan operator comply with a series of legal requirements and even prepare it to really scale. Not to mention that implementing SAUDI is the first step towards enabling your healthcare provider to use Artificial Intelligence in various processes.
If you have just checked out these success stories and would like to know SAUDI even better, visit Our site It is schedule a conversation with one of our consultants. The result is surprising within the first 3 months of use.
