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Digital health insurance ecosystem

A complete digital health insurance ecosystem

Transform the way you manage your health insurance with a suite of integrated applications for insurance companies, healthcare providers, policyholders and beneficiaries.

Explore the ecosystem Talk to our team (opens in a new tab)
Connected providers
150+
Processing speed
99.99%

Trusted by health insurers in Ghana and Cameroon

The PetherInsure ecosystem

Six products. One connected ecosystem.

Insurance companies, healthcare providers, policyholders, beneficiaries, medical advisers and enrollment agents each get a tool tailored to their role, while sharing the same data in real time.

Web platforms

PolicyHubInsurers MedServeHealthcare providers SelfServiceSubscribers

Mobile apps

MyCareBeneficiary MedLineMedical adviser EnrollioEnrollment agents

Pether Insure applications and their features

    • Enrollment
    • Policy management
    • Billing and collections
    • Claims and approvals
    Explore PolicyHub
    • Beneficiary identification and verification
    • Online claims
    • Pre-authorization requests
    • Service management
    Explore MedServe
    • Visibility of beneficiaries and their coverage
    • Membership and renewal management
    • Communication with the insurer
    • Complaint reporting
    • Premium payment tracking
    Explore SelfService
    • Digital beneficiary card
    • Benefits package
    • Affiliated healthcare facilities
    • Appointment booking
    Discover MyCare
    • Real-time pre-authorization requests
    • Coverage analysis and decision
    Meet MedLine
    • Guided enrollment
    • Identity capture
    • Approval tracking
    • Collections
    • Commissions
    Explore Enrollio

How the products connect

Web platforms

The operating system of health insurance

Three web platforms dedicated to the key players in health insurance: insurance companies, healthcare providers and policyholders.

Built for health insurance companies and their management, benefits, operations and finance teams

Manage your policies, claims and beneficiaries from a single platform.

PolicyHub is the Pether Insure web platform dedicated to health insurance companies. It centralizes the management of policies, beneficiaries, providers, pre-authorization requests and claims, as well as monitoring and reporting, from a single platform connected in real time to the rest of the Pether Insure ecosystem.

  • EnrollmentManage the information of insured persons and beneficiaries, with capture of ID documents, photos, fingerprints and signatures.
  • Policy managementIssue, renew and manage the policies and coverage plans throughout their lifecycle.
  • Billing and collectionsManage premium billing based on coverage plans and risk factors, with invoice generation and collection tracking via APIs connected to your accounting system.
  • Claims and approvalsProcess pre-authorization and reimbursement requests submitted by providers via MedServe, with automatic coverage verification.
Explore PolicyHubRequest access

Built for hospitals, clinics, pharmacies and other health facilities

From beneficiary identification and verification to the management of their healthcare services, in a single portal.

MedServe is the PetherInsure web portal dedicated to healthcare providers. It enables them to identify beneficiaries, verify their coverage and package, and then manage services according to their activity: consultations, prescriptions and other healthcare services.

  • Beneficiary identification and verificationConfirm the identity and verification of the beneficiary, their coverage and package.
  • Online claimsSubmit reimbursement claims with the services performed and their amounts, directly from the portal.
  • Pre-authorization requestsSubmit approval requests for care requiring validation and track their processing from the portal.
  • Service managementRecord the services provided according to the service of the provider and the packages of the beneficiary: consultations, prescriptions and other healthcare services.
Explore MedServeRequest access

Built for companies and organisations that hold a group health policy

Your group policy, managed on your terms.

SelfService is the PetherInsure web application dedicated to policyholders. It enables subscribing companies and organizations to manage their beneficiaries, monitor their health coverage and simplify the management of their insurance contract.

  • Visibility of beneficiaries and their coverageEasily view the list of beneficiaries and the details of their health coverage plans.
  • Membership and renewal managementSimplify the tracking of memberships and renewals of insured beneficiaries.
  • Communication with the insurerFacilitate exchanges between the subscribing company, the insurer and healthcare providers.
  • Complaint reportingReport your complaints and track their handling from the platform.
  • Premium payment trackingView information on beneficiaries’ insurance premiums and track their payment.
Explore SelfServiceRequest access

Mobile apps

Connected health insurance, serving every stakeholder

Three mobile apps designed to simplify the beneficiary journey, facilitate medical care coverage and optimize enrollment operations.

MyCareBeneficiary

MyCare simplifies everyday access to health insurance.

View your benefits, access affiliated healthcare providers and find covered medicines, from a single mobile app, for you and your family.

  • Digital beneficiary cardView your health coverage information directly on your phone.
  • Benefits packageView your health coverage benefits and the limits available for each service.
  • Affiliated healthcare facilitiesLocate hospitals, clinics and pharmacies affiliated with your insurer.
  • Appointment bookingBook appointments with healthcare providers affiliated with your insurer, directly from your MyCare app.
Download on the App Store (opens in a new tab)Get it on Google Play (opens in a new tab)

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Discover MyCare
Home
Coverage
Providers
Appointments
MedLineMedical adviser

MedLine streamlines medical coverage decisions.

MedLine is the Pether Insure mobile app for the medical advisers of health insurance companies. It enables them to receive pre-authorization requests sent by healthcare facilities in real time, review the beneficiary and facility information, then analyze each request and approve or reject it.

  • Real-time pre-authorization requestsInstantly receive requests sent by healthcare facilities.
  • Coverage analysis and decisionReview the beneficiary’s information, the healthcare facility and the requested medical procedures to assess the request and approve or reject it, with your decision notified immediately to the provider.
Get it on Google Play (opens in a new tab)
EnrollioEnrollment agents

Enrollio optimizes beneficiary enrollment in the field.

Enrollio is the Pether Insure mobile app dedicated to enrollment agents. It enables them to register beneficiaries, enter their personal information and collect insurance premiums. Agents also get real-time tracking of the payments collected and commissions earned.

Available to partner enrollment teams

Enrollio is deployed with insurers and their enrollment networks. Talk to our team to equip your agents.

Talk to our team (opens in a new tab)

The enrollment journey

  1. Choose a plan
  2. Capture identity
  3. Collect & submit

Pether Insure solutions

A solution tailored to every health insurance stakeholder

Complementary solutions that simplify contract management, beneficiary enrollment and medical care coverage.

See all solutions

Why choose Pether Insure?

More connected, smoother and more efficient health insurance

An ecosystem of integrated digital solutions to simplify health insurance management, improve beneficiary care and strengthen collaboration between all stakeholders.

  • 150+ healthcare providers already connected

    A network of more than 150 hospitals, clinics and pharmacies connected to the platform to facilitate exchanges with health insurers and streamline the beneficiary care journey.

  • Optimized processing speed

    Automate coverage checks and speed up the processing of pre-authorization requests by centralizing information and tracking operations in real time.

  • Significantly reduced fraud

    Strengthen controls by verifying the services used by beneficiaries with our built-in AI to detect inconsistencies and limit fraud risks at every stage of the care journey.

  • Lower operating costs

    Reduce manual tasks, paper exchanges and repetitive operations by digitizing your processes, while optimizing the use of human and material resources.

  • Operational benchmarking

    Analyze key performance indicators and compare request volumes, processing times and care network activity to identify areas for improvement and make data-driven decisions.

  • API connection and secure integration

    Integrate Pether Insure into your existing information system through APIs, with your central management system (Core System).

Security

Protection you don’t have to think about

Security and privacy are not separate features. They are the foundation beneath every PetherInsure experience.

  • Encryption in transit and at rest

    Data is encrypted as it travels between products and while it is stored.

  • Role-based access control

    Every user sees only what their role requires.

  • Audit logging

    Actions are recorded, so every change can be traced.

  • Multi-factor authentication

    A second factor protects access to sensitive accounts.

Customer satisfaction
98%
Claims processed
2.5M+
Faster processing
45%

Pricing

Pricing plans

Flexible plans for organisations of any size.

Bring your insurance operations into one ecosystem

Book a demo tailored to your organisation and see how PetherInsure connects your teams, providers, employers and members.

Talk to our team (opens in a new tab) Download MyCare