HMO product

ZHENUS HMO MANAGEMENT

Membership, benefits, claims, and provider networks.

HMO and health-insurance operations for member enrolment, benefit plans, authorisations, claims, provider networks, and payer reporting.

Deploy standalone or activate on Zhenus UHP

Overview

Built to stand alone or plug into Zhenus UHP

Zhenus HMO Management helps health maintenance organisations and payer programmes run membership, benefits, pre-authorisation, claims adjudication support, and provider network relationships. Use it as a standalone HMO operations platform, or activate it on Zhenus UHP so encounters, pharmacy dispenses, and lab services connect cleanly to eligibility, authorisation, and claims workflows. That reduces duplication, ghost claims leakage, and manual reconciliation between care delivery and coverage.

Highlights
  • Member enrolment and benefit plan administration
  • Authorisations and claims workflow support
  • Provider network and tariff management
  • Reporting for payers and regulators
  • Standalone HMO system or UHP-connected coverage rails
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