A dedicated helpline service operating around the clock, attending to member queries concerning applicable coverage, network provider locations and specialties as well as managing chronic medication needs and arranging second medical opinions.
NAS offers its customers a comprehensive claims management solution covering the complete claim cycle. As a leader in the application of sophisticated automation techniques, NAS has, through proven rule engines, enabled a boost in efficiency with respect to performance and cost containment.
A 24/7 operation consisting of highly skilled medical staff and efficient system processes to determine member eligibility and provide prompt issuance of treatment authorizations, in accordance with the terms and conditions of the applicable coverage.
NAS offers a carefully selected comprehensive network of participating healthcare providers, across the GCC region, with cashless access to insured members. Through aggregation of business volume and effective network management, NAS is well positioned to negotiate exceptional rates, discounts, rebates, and payment terms. A dedicated network operation monitoring the inflation and pricing trends throughout the region translates into effective estimating of resulting impacts on insurer portfolios.
NAS has a fully dedicated policy administration operation dealing with census management, system incorporation of policy terms and generation of member cards.
In offering a seamless service, insurers and/or insured groups are able to use the NAS online census management tool which enables the respective parties to manage their additions and deletions.
NAS deploys a state-of-the-art suite of integrated online software solutions comprising of various modules developed to support all aspects of healthcare benefits management. The modules support remote access and mobility whilst incorporating enhanced security features such as user profiling, activity logs, and enhanced data confidentiality through dynamic data partitioning.
Analytics services at NAS apply data mining to discover meaningful patterns and trends with the aim of predicting and advising on ways to improve business performance. Relying on the simultaneous application of several tools in quantifying performance, Analytics at NAS use descriptive and predictive models to gain valuable knowledge from data. In addition, an enhanced platform for the reporting segment of the department enables clients to generate the majority of reports online, whether standard or customized.
Pharmacy Benefit Management employs innovative technology and clinical expertise to improve claims outcomes and to reduce the total cost of prescription drugs, all while providing the highest level of care for the patient. Using a highly efficient and automated technology platform to streamline and control the pharmacy prior authorization process results in improved claims outcomes, increased provider network penetration, and lower prescription drug costs.