Our Technology Architecture
Our Technology Platforms
Patient Mobile App
Use our Patient Mobile App to:
View account status and account history
Search of participating healthcare providers,
Search clinic profile view and directions to find them
Manafge linked healthcare providers to personal Account
View medical history
Corporate Information Portal
Contact us and get access to our Corporate Informtion Portal for:
Registration for participation in the scheme
Comprehensive search on member details and medical history
Request authorization from patient to access medical data
Document the patient treatment (Diagnosis, Procedures, Medication)
Create and submit the patient bill to the TPA.
View the payment status of generated bills
Complete enrolment and issue approval notification
Members’ medical cards printed and distributed accordingly
Use MyKad, register & obtain treatment
ign-off clinic bill & obtain medication
Confirm the patient visit
Treat the patient and issue medication
Issue and obtain bill sign off after treatment
Clinic submits bills and treatment details for payment
Clinic receive payments from e-MAS via bank accounts
Clinic submits bill with treatment details
e-MAS validates details and claim amounts
Auto or manual claim Approval
Submit batch invoicing for payment
Issue Payment to e-MAS
e-MAS to remit payments to respective medical providers
Daily Visits Limit
Cost containment is our forte but without reducing employee’s eligibility & benefits. As the current fee payment is by “fee for service” there is a tendency to perform more procedures and surgical operations. We encourage conservative treatment as often patient would recover after appropriate physiotherapy or other treatment.
Chronic metabolic disease can be monitored to reduce complications and better cure can be achieved and this will also reduce much expenses. These complications cause the patient high morbidity and mortality as well whilst treatment of these complications are also extremely expensive.
There is a high incidence of billing errors and these are reduced efficiently by our claims team and the accompanying doctors. The inflation rate in healthcare for Malaysia is about 13% - 15% making it the second highest in the Asia Pacific region. Therefore, billing audit needs more attention.
Many cases can be treated as Out-patient or Daycare but are admitted and this is very expensive driving the costs of healthcare and it’s inflation higher. Some patients are admitted because they do not have out-patient benefits so they choose to be admitted for treatment to pass on the bills to the insurer not realising the expenses are much higher.