With the help of the community and technical analyses, four more procedures were approved and included in the ANS List, under Law 2,033/22 established by the Senate on August 29, 2022.

The new technologies included in the mandatory coverage list of health plans were defined by ANS (National Supplementary Health Agency), addressing treatments to combat some types of cancer in women.

It is essential that supplementary health providers are well informed and updated on these inclusions. To avoid legal problems or losses, it is also important that the audit of medical bills is even more accurate.

“For this reason, the largest healthcare providers in Brazil adopted SAUDI – Medical Bill Audit System – as a solution throughout the process, including support for updating new procedures included in the ANS coverage list”, highlights Sérgio Pinna, Director of SAUDI.

In this article, we gather the main information about the technologies recently included in the ANS coverage list and explain how SAUDI can simplify managers' midfield work. Continue reading until the end to stay informed.

ANS Rol – Find out which technologies ANS has included as mandatory in the coverage of supplementary health operators

When the National Supplementary Health Agency – ANS includes new procedures in the coverage list, it means that your health care provider must expand care coverage.

According to ANS, there are around 3,400 procedures on the list as mandatory coverage by health plans, and this is the 11th inclusion of technologies in the list of coverage only this year 2022.

The coverage list is constantly updated, and includes treatments for all diseases listed by WHO (World Health Organization).

Some of the new additions to the list of coverage by the regulatory agency are:

Levonorgestrel-releasing intrauterine system (LNG-IUS)

Considered a hormonal method, it is a device for treating abnormal uterine bleeding.

Olaparib

A medication that acts as a blocker of an important enzyme in the correction of DNA defects, in female patients with ovarian, breast and high-grade endometriosis cancer, relapsed or sensitive to some types of chemotherapy.

BRCA gene mutation genetic testing

This test is carried out to identify whether women who need cancer treatment with Olaparib are eligible for the method.

Hepatic radioembolization

Which is a radiotherapy procedure used to treat intermediate or advanced stage hepatocellular carcinoma.

Given these new inclusions made by ANS in the coverage list, health plan operators suffer from updating their systems and may have problems auditing medical bills.

Therefore, it is important that your healthcare provider has software that keeps up with ANS changes.

How can my supplementary health provider adapt quickly?

Changes like this, in terms of scope in the coverage list, make the audit of medical bills undergo adjustments, and SAUDI, with all its customizable modules, becomes a faster and safer solution to assist your operator's managers and analysts.

SAUDI is a medical bill audit system intended exclusively for supplementary health plan operators. With it, it is possible to automate the entire bureaucracy of the business, significantly reducing costs and streamlining the processes of medical service providers.

Being a SAUDI partner means working with updates to the ANS coverage list in record adaptation time, easily and without headaches!

See why you should try SAUDI with your operator to start enjoying features and benefits such as:

–       Cost reduction

The thorough audit carried out by the SAUDI system puts an end to any undue payments for procedures and medical services from providers, in addition to optimizing the entire process, until payment is completed.

–       Focus on what's important

With so many changes and additions to the ANS coverage list, it has never been more important to keep an eye on what really matters.

SAUDI works directly on assistance accounts, improving management through an innovative electronic audit process.

–       Simplicity and speed of using the system

SAUDI is implemented in truly record time, as it is a simple and intuitive system. This way, your team will master the solution very quickly!

–       Increased process productivity

With the implementation of the medical bill audit system, nothing escapes process validation, and your healthcare provider will be able to work with the same number of auditors, auditing many more medical bills in full.

–       Quick and easy integration

SAUDI was designed for the web and designed to work together with other systems, therefore, it is prepared to interact with any other application in a simple, fast, functional way and with total transparency when passing and receiving data. 

–       Full possibility of customization

One of the biggest concerns when implementing systems in supplementary health plan operators is having to change the entire process to which employees are accustomed.

With SAUDI, your company has a medical bill audit system completely customized, because it is designed and built to adapt to the particular processes of each supplementary health operator.

While healthcare operators need to adapt all the time when faced with the inclusion of new technologies or procedures in the coverage list, SAUDI customers and partners have access to a modern systems development concept that guarantees ease and peace of mind in adapting them to new requirements. .

Surprise yourself by improving the management of your operator's assistance costs with SAUDI. Get in touch right now and talk to an expert!