DocDoc Partners With SpesNet to Deliver the World’s First Complete Digital Health Ecosystem, Bringing the Future of TPA Technology to Insurers and Tackling Medical Inflation
December 3, 2020
DocDoc has partnered with SpesNet Global Group to offer cashless and integrated claims processing solutions to insurers across Asia, with the aim to streamline manual insurance claims processes and support risk mitigation for improved customer experience and cost savings.
With this partnership, DocDoc is set to deliver a complete digital health ecosystem, combining the world’s most robust doctor discovery platform with SpesNet’s industry- leading digital TPA (third-party administrator) technology that is paperless, real-time, data-driven, and has proven to increase efficiencies, reduce costs, and revolutionise analytics.
With a self-reinforcing data loop in place, the DocDoc-SpesNet digital ecosystem will learn from every interaction among policyholders, healthcare providers, and payers, helping insurance companies and the industry at large to better understand medical trends, identify and define risk categorisation, develop treatment opportunities for risk populations, as well as improve upon the overall delivery of care and the healthcare value chain.
Singapore, 30 November 2020 – DocDoc Pte Ltd., the world’s first patient intelligence company, has partnered with SpesNet Global Group, a leading healthcare technology provider, to integrate its digital TPA technology and provide a first-of-its-kind complete digital health ecosystem to insurers, supporting their policyholders through the continuum of care. Under this agreement, DocDoc will receive exclusive access to SpesNet’s platform to include Singapore, Malaysia, Thailand, Hong Kong, India, and the People’s Republic of China.
Under this agreement, DocDoc will integrate SpesNet’s digital TPA technology with DocDoc’s telemedicine platform and AI-powered doctor discovery platform, HOPE (Heuristic for Outcome, Price and Experience), which matches policyholders to relevant healthcare providers, to power a holistic offering.
Through this integration, the patient intelligence company will be able to offer cashless services, as well as seamless claims processing to payers, including insurance companies, brokers, employers, and bancassurance partners across Asia and beyond.
With a self-reinforcing data loop in place, the DocDoc-SpesNet digital ecosystem will learn from every interaction among policyholders, healthcare providers, and payers, helping insurance companies and the industry at large to better understand medical trends, identify and define risk categorisation, develop treatment opportunities for at risk populations, tackle medical inflation, as well as improve upon the overall delivery of care and the healthcare value chain.
SpesNet has a global footprint and together with DocDoc will be serving 6,000,000 active members across +90 insurance, government and corporate organisations in North America, Africa, and Asia. In partnerships with payers, DocDoc has demonstrated that it can generate a positive return on investment by increasing policyholder engagement, reducing healthcare costs, and delivering a better healthcare experience.
The largely analogue and highly manual method of operations endemic in most third-party administrators make them ripe for disruption. By partnering with SpesNet, DocDoc has invested in the future of digital TPA technology. A future that is paperless, real-time, data-driven and most importantly proven to increase efficiencies, reduce costs, and revolutionise analytics, whilst offering a centralised regional solution to insurance houses.
The claims data processed from the digital TPA will help to increase quality data collection, feeding back into DocDoc’s HOPE algorithms that are designed to improve policyholders’ healthcare journeys by improving quality of care and reducing costs. By fully integrating SpesNet’s TPA technology into its platform, DocDoc will be able to power a full knowledge ecosystem and data loop that benefits both insurance partners and policyholders.
This partnership also includes the following benefits to healthcare providers:
Risk Mitigation: A risk engine which identifies anomalies from policyholders in real-time, flagging it for rapid intervention.
Benefits Validations: The system enables providers to instantly verify a policyholder’s eligibility and benefit coverage, improving the policyholder experience while avoiding claims disputes.
Cole Sirucek, Chief Executive Officer and Co-Founder of DocDoc, said: “We have received considerable demand for digital third-party administrative services in the region, and we are excited to partner with one of the world’s leading TPA providers, SpesNet, to enhance our product offerings. Traditionally, claims processes have been highly manual, and SpesNet’s digital TPA technology is ideally suited to helping our customers create paperless, real-time and data driven claims procedures. Together with our doctor discovery and telemedicine services, we are creating a first-of-its-kind platform which offers an end-to-end suite of healthcare solutions to our insurance partners and their policyholders.”
Sanet Kock, President & CEO of SpesNet Global Group, commented:“We believe that claims processing should be a seamless and data-driven process. DocDoc delivers the most robust doctor analytics in the world, making them our ideal partner in Asia. By integrating our TPA technology with DocDoc’s doctor discovery platform, we will be able to provide our clients with hassle-free claims services.
DocDoc is a high-tech outsource partner, delivering value across every level of the organisation and we are confident that through our partnership, we will be able to follow the patient through the continuum of care.”
DocDoc is the world’s first patient intelligence company. Operating in eight countries with more than 23,000 doctors in its network, DocDoc uses technology in conjunction with medically trained professionals to optimise healthcare outcomes and cost, and enhance the patient’s end-to-end healthcare journey. DocDoc combines AI-powered doctor discovery, telemedicine, and digital third-party administrator services onto a single platform. With this platform, DocDoc enables insurance companies, brokers, employers and governments to reduce healthcare costs, improve the frequency and quality of engagement, and offer a distinctive high-quality healthcare experience.
The SpesNet Global Group provides leading-edge healthcare solutions for healthcare providers, medical insurers, administrators and managed care organisations using a combination of technology solutions, healthcare intelligence and big data. Our consultative approach ensures the progressive perfection of highly customised, trusted solutions that are tailored to the needs of each individual client.
Using intelligent healthcare solutions and highly advanced technologies we innovate, disrupt and transform healthcare administration.
The SpesNet Global Group currently has offices in Singapore, South Africa, Indonesia, Philippines and the United States.