We are armed with deep market understanding and customer insights that allow us to:

• Provide a comprehensive network of providers and consultants accessible to health insurers at competitive negotiated rates
• Drive partnership between private medical insurers and the NHIF for negotiated cost- sharing of medical billings
• Claims management
• Risk assessment
• Medical fraud control and investigations

At Sage Healthcare we also recognize that providers want to focus primarily on providing quality patient care. Our comprehensive partnership approach fully employs our vast resources to address both the issues and the opportunities facing your organisation.

We understand that effective claims management not only requires an understanding of how to negotiate payer contracts but also depends on familiarity with the complex and proprietary rules of each insurance company, knowledge of correct coding and timely filing methodologies, experience in appealing rejected claims and application of best practices for tracking and monitoring like charge capture audits and benchmarking.