Enrollment
Health scheme administrators enroll new members using our application. Personal data is collected and used to issue identification cards that each member will present to access the scheme’s health services
Innovative Insurance Administration
Modern technology platform with everything required to manage health schemes of any size, and confidently fund health services.
How it works
Our suite of scalable, fast and intelligent applications—powered by longitudinal patient data—help payers manage enrollment, identification, claims submission, claims processing, and reporting.
Identification
Upon visiting a facility, members’ identities and eligibility for services are confirmed by hospital administrators using our application
Claims submission
During the visit, members’ medical information, labs, drugs and services received are recorded on our EMR. These are automatically compiled as claims and submitted to the health scheme provider
Claims processing
In addition to receiving and reviewing claims on our application, health scheme administrators can also set payment schedules for facilities
Reporting
Our application also provides health scheme administrators with real-time data on enrollment, utilization, claims and more. These reports are critical for system-wide analysis and improvements
Impact
Helium helps health insurance partners increase efficiency and streamline administration.
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Reduce cost
Increases partners' operational efficiency by automating tasks and surfacing data to reduce waste and fraud.
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Increase quality
Leverages advanced data analytics to
continually improve the system for patients
and providers. -
Improve experience
Streamlines health insurance administration
to save time and improve the experience for
members, providers, and administrators.
Learn More About Our Other Solutions
For Providers
Helium Health gives healthcare providers a comprehensive suite of technology solutions dedicated to managing every aspect of healthcare delivery, from electronic medical records and telemedicine, to administration and financial management.
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For Patients
Take charge of your healthcare with our patient solutions. View your personal health records, prescriptions and lab results. Connect with your health team via telemedicine, find new healthcare providers, access loans to pay for your care, and much more.
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For Partners
We provide partners who care about accelerating universal health coverage with the information, insights and tools to gather real world evidence and make important decisions such as allocating resources, managing population health or creating smart policy.
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