A new Singapore-based team has been created that will work directly with selected providers, handling pre-authorisation, negotiate treatment costs, and review claims.
This applies to all members who have inpatient and day-case procedures with any of the selected providers in Singapore.
Why are we making this change?
We’ve introduced this new team to help:
- improve cost management, as costs for inpatient and day-case claims continue to rise in the region.
- ensure guidelines are followed consistently, aiming to increase the submission of clean claims.
- manage provider relationships closer, offering the opportunity to give straightforward feedback about approvals and changes.
- leverage local team expertise, knowledge and experience when dealing with local providers.
How will this affect your clients?
Reasonable & Customary (R&C) guidelines for inpatient and day-case procedures have been introduced in Singapore. This new team will review and challenge inappropriate charges at the pre-authorisation stage, setting cost expectations and assisting pricing fairness.
Impacted members and intermediary partners have been sent communications introducing R&C guidelines in the region.
For further information, please contact your usual representative.