MyCare
Web platformInsurersPolicyHubManage 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.
Subscribers
364
+12 this month
Beneficiaries covered
1,204
under active cover
Premiums collected
45 860 000 XAF
+4.1% vs last period
Claims awaiting decision
27
6 over SLA
Policies expiring in 30 days
18
action required
Capabilities
What PolicyHub does
One operating view for enrollment, policies, billing, claims and performance.
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Enrollment
Manage the information of insured persons and beneficiaries, with capture of ID documents, photos, fingerprints and signatures.
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Policy management
Issue, renew and manage the policies and coverage plans throughout their lifecycle.
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Billing and collections
Manage premium billing based on coverage plans and risk factors, with invoice generation and collection tracking via APIs connected to your accounting system.
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Claims and approvals
Process pre-authorization and reimbursement requests submitted by providers via MedServe, with automatic coverage verification.
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Reporting & analytics
Track KPIs, claims statistics, policy utilisation and financial metrics to spot trends and make data-driven decisions.
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Roles & audit trail
Role-based access gives each team member exactly what their job requires, and every action is recorded in an audit log.
How it works
PolicyHub, step by step
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Enroll policyholders
Register individuals and groups with their identity documents and biometrics, ready for coverage.
Search⌘K SANAVIEASSURANCES JMJoseph MbargaAdministratorDashboardScheme performanceHealth salesScheme performanceFigures for the board and the regulator.Last 6 months
Subscribers
364
+12 this month
Beneficiaries covered
1,204
under active cover
Premiums collected
45 860 000 XAF
+4.1% vs last period
Claims awaiting decision
27
6 over SLA
Policies expiring in 30 days
18
action required
Claims by status 412 claims · last 6 monthsPaid18645%Approved7418%Pended9222%Denied4110%New195%Premiums collected XAF · last 6 monthsActivityLast 24 hEnrollment approved for Amina Bello09:14Claim CLM-24081 sent for settlement08:52Policy 2210 renewed for 1 yearYesterday 17:03Premium received, 125 000 XAFYesterday 16:27Report exported, Q4 utilisationYesterday 16:16Fraud cases69 cases · last 6 months Blocked by MedServe27Confirmed fraud11Cleared20Under review1127blocked before payment 11confirmed · 2.7% of claims 12 400 000 XAFpayouts withheldNew subscriber✕Register someone for cover under this scheme.Step 1 of 7 · Basic details1Basic2Documents3Packages4Agent5Addresses6Emails7PhonesA step you have completed stays clickable, so you can go back to change an answer without losing the rest.IdentityFirst nameRequired EstherLast nameRequired Ngo Bassa-MbargaUnique Identification Number (UIN) Not yet issued Optional. Leave blank if not yet issued.Date of birthRequired 14 / 03 / 1991LocationCountryRequired CameroonCityRequired DoualaClassification Is this subscriber a TPA? YesNo Coverage duration: 365 days, calculated from the plan and not editable here.Saved as draft · 02:14 -
Process claims & approvals
Review requests from health facilities with the member’s coverage in view, then approve or reject.
Search⌘K SANAVIEASSURANCES JMJoseph MbargaAdministratorServices & claims›Claims for settlementClaims for settlement Groups collapsed▾ Load up to 250
Search claims
Total insurer cost1 286 500 XAF Total claims7 Total transactions9Bulk action▾ Select rows to enableService provider
Batch codeCategory
Subscriber
Export
Search…
Product nameQtyCostInsurer costStatusPackageDiagnosisUnit costPreset costBeneficiary costSubmitted
Service provider: not set(1)Batch 1MLY3-08C1-6A90-1976(1)Category: GP Consultation · 2 Mar 2026, 11:55(1)
Subscriber: 01-KMBA(1)CLINIQUE DU LAC (Douala)(6)Batch 1MLY3-6F0C-6A85-93A1(2)Batch 5XMT-81EF-6A8D-6598(3)Batch 1MLY3-CA03-6A7E-44A0(1)Rows per page 510203050100 Page 1 of 1 · 9 items 1 -
Track performance
Follow policies, claims and financial indicators in real time across the whole portfolio.
Search⌘K SANAVIEASSURANCES JMJoseph MbargaAdministratorDashboardScheme performanceHealth salesScheme performanceFigures for the board and the regulator.Last 6 months
Subscribers
364
+12 this month
Beneficiaries covered
1,204
under active cover
Premiums collected
45 860 000 XAF
+4.1% vs last period
Claims awaiting decision
27
6 over SLA
Policies expiring in 30 days
18
action required
Claims by status 412 claims · last 6 monthsPaid18645%Approved7418%Pended9222%Denied4110%New195%Premiums collected XAF · last 6 monthsActivityLast 24 hEnrollment approved for Amina Bello09:14Claim CLM-24081 sent for settlement08:52Policy 2210 renewed for 1 yearYesterday 17:03Premium received, 125 000 XAFYesterday 16:27Report exported, Q4 utilisationYesterday 16:16Fraud cases69 cases · last 6 months Blocked by MedServe27Confirmed fraud11Cleared20Under review1127blocked before payment 11confirmed · 2.7% of claims 12 400 000 XAFpayouts withheld
Benefits
Why teams choose PolicyHub
- One source of truth shared with providers, subscribers and members
- Less manual data entry from enrollment to settlement
- A complete audit trail for every change
- Dashboards for the indicators your teams follow every day
Part of the ecosystem
PolicyHub works with
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MedServeHealthcare providers
Providers’ claims are adjudicated and settled by the insurer.
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MedLineMedical adviser
Approval requests from providers, in real time, with the context to decide.
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SelfServiceSubscribers
Subscribers’ enrollments and requests reach the insurer directly.
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EnrollioEnrollment agents
Enrollments captured by agents go to the insurer for approval.
Get started with PolicyHub
Access to PolicyHub is set up for each organisation. Talk to our team to get started.
