Your health & value delivery partner

Who we are ?We are Next gen wired healthcare and insurance

support service company, In collaboration with

American medical practice group and investor backed

health tech start up.

Our partners : AGS Health, Paramount health ,

Hyjiya, Eximius InfoTech , Vocalcom.

Our People Experience : 150+ yrs. of collective people

experience in the field of health

care , Pharma, technology

outsourcing , Insurance ,

Investment banking , Media

Marketing and advertising.

What we do ?

we promote preventive care ,Wellness and create access to

smart care . Our advanced e-health

platform simplify health record

keeping , offer personalized health ,

fitness and insurance solution for all

our members .

We help our members experience the wired health and

fitness world . At UAH we offer

fabulous local and global “All

discount” deals .

Wellness promotion . Health care marketing & Benefit consulting . Health Administration . Health Risk Management . E- Health Records .Tele health . Tele Underwriting . Pre policy check up . Health outsourcing skill development .International Outsourcing and health off shoring support services

UAH has partnered with reputed insurance companies , health care providers ,pharmacies, major retail outlets , grocery stores , airlines , tour operators , hotel chains, spa centers , fitness clubs , gyms , e- gadget store , sports shops , beauticians , fuel station, auto care centers, telecom provider , banks and many more … in order to facilitate you with best local and global deals at discounted price .

To customers :

• Health and wellness plans • E-integrated collaborative health records • Doc on call services – Video health• Emergency assistance • Personalized health , fitness training plan and

diet management portal • FDA approved diet supplement and nutrition

products • “All discount” deal program • Health Gadgets • Health Benefit consulting • Home care and remote monitoring

To Insurer & corporate health plans :

• Health TPA services • Revenue generation services • Health Risk & managed care services• Health Plan Design • Re insurance • Tele Underwriting • Pre policy check up (Life)• Health data analytics and technology

solution • Unified contact center & communication

services • Revenue generation services • Retention , collections and renewal

management .

Our product and service portfolio

Hospitals :Revenue cycle management Revenue generation support All in one marketing platform Contact center

Why Us? Because with us, you get :MORE VALUE . MORE CARE . MORE SAVINGS . MORE TECHNOLOGY. MORE INNOVATION , QUICKER SERVICE AND PERSONALIZED EXPERIENCE.

Information Capture•Pre-registration•Patient Admission•Insurance eligibility and verification•Discharge and Financial Counseling

Charge Capture/Billing•Dictation and Transcription Management•Code and Abstract•Medical Records Storage and Retrieval• Initial Contractual Adjustment•Claims edit process•Bills Submission

Receivables Management•Claim Status•Denial Management•Secondary and bill resubmit•Cash posting

Revenue Enhancement•Collections process•Management reporting

• Claims data entry• Imaging• Mailroom services

Front End Processes

• Member eligibility• Enrollment and administration• Benefit plan managements• Claims adjudication• Premium billing• Payments and benefits explanation• Appeals• Credit balance recovery

Core Administrative Functions

• Call Center Services• Email and Chat

Customer Service

• Pre-certification• Referral authorization.• Discharge planning• Case management

Care Management

• Provider setup and maintenance.• Credentialing• Performance analysis

Provider Management

Global Health & Insurance -BPO

Our Vision: “To be the innovative healthcare and insurance Industry value add support service provider “

Our Mission: To Create better access to modern “wired care ” and get all our members stay closer to healthy lifestyle ,accelerate smarter consumerism , enable savings , deliver more value and better experience for all.

Values:

Integrity , Fairness , Innovation , Leadership , Accountable , Competitiveness and Team work.

We are Committed in delivering: Better Care ,Improving efficiency , enabling performance & quality ; enable innovation , in order to build more value to all , coupled with higher level of professionalism and friendliness .

Founder -Humanitarian belief : “Grow to Give, Give to Grow “

Prabhumurthy (MA,MBA,CFP)

Entrepreneur , young visionary and Professional executive start up . Managing partner –Eximius

info tech & Co -founder - United Africa health, is a management graduate from one of India's

most renowned institutions and has a wealth of experience & 10 yrs. of success in Business

development ,Marketing , business modeling , wealth advisory, outsourcing and international

business . Before his start up initiative ,heading international business and strategy for Med

scheme, one the largest health care group in south Africa , and he been instrumental towards

developing and implementing global business strategy ,and in Identifying M&A transaction in the

United States and Asia .

Dr Abhithab Gupta

Radiologist by profession with 20 + years of healthcare experience , he is regular faculty at NIA

and have authored more than 10 medical book. Dr .Abhithab , held several Sr management and c-

level position in India’s leading insurance and administration companies , wealth of health

management experience and currently managing more than 5 million lives in India . His

contribution toward developing innovative health insurance product and national e- health

strategy is remarkable in the Indian market.

Our founding member

team

Our approach to business :

Collaboration . Globalization . Innovation

We believe in :

People , process , knowledge and technology

We guarantee :

Customer satisfaction ,value addition , cost savings , Innovation and growth to our partners .

Our Technical advisory

team

Prabhumurthy , Dr Abhithab Gupta , Dr Eric , Dr Harish

Singh , Dr Chan , Dr Singh, Mr Krishana praharaj , Mr

Roy Sanders , Dr Lyness , Dr Bill Hall , Dr Andrew , &

other International /Local technical operations and

process expert team, with relevant industry

experience more than 20 + years .

Our Technical advisory team has played a key high level

role in large health care companies , IT/BPO,

Investment firms ,Health administration group in

India , Mauritius , south Africa, United States ,UK ,has

rich domain expertise in the health care , BFSI and

outsourcing space.

Our Strategic Partners

• Largest Health administration & outsourcing

company in India & costa Rica , in total our partners

administer over 8 million lives

• American Physician group & ACO’s

• Telemedicine group

• Start up Tech & Health Outsourcing companies in the

united states

UAH : Value summary

How we help the insurance companies ?

• UAH , help insurer to reduce health claims cost and health plan admin expenses

• UAH help Insurer simplify health claims process and new client acquisition

• Our proprietary communication platform help insurer to device effective member communication strategy and improve customer experience “ better retention , much better revenue “

At UAH , All health plan risk management service delivered by qualified medical professional and global health risk managers

Reduced Claim cost

Improved business performance & plan Profitability

Health risk , Audit & Managed care as a service

Our target member wellness communication strategy and approach help insurer develop :

• Effective Communication • Create Awareness• Improve bottom-line profitability

“My Value supplement card :Product feature & Benefit:

- overview

• Wellness and personalized health portal unlimited

access

• Medical records on 1 GB flash drive

• Second medical opinion – With local and

international specialist

• Tele medicine – Doc on call service *

• Home care assistance and emergency care - on call

or press of a button*

• Out patient and preventive care plans

• wellness and nutrition plan

• Health Benefit and wealth consulting – Benefit

expert service

• Access to more value deals and benefits ….

Our Value supplement card product support insurer to introduce new value add services to their customers and help insurer differentiate their product from completion.

Other benefits to insurer : Our supplement plan and value health platform improve health data efficiency and analytics , improve customer brand loyalty and help them offer more savings to their customers with “our value deal program “

Our members or Users - We offer 10% discounts on all insurance premium , free access to fitness world and other value deals .

• Priority medic service – Doctor visiting patient home • Wellness tool and gadgets • First consulting on call - for minor symptoms call your doctor helpline or connect online • Elderly Home care assistance – “Express your love and care to your elderly by gifting our

home care assistance device ” In case of any un attended emergency situation, we alert the family members , physician network ,near by health facility and alert the ambulatory service .

• E- Health records - “No more paper file , No more searching “ UAH 1 GB Flash Card will allow members to organize personal care and treatment history ,all in one place ,accessible any where any time, and over a click our members may request a second opinion with any doctor of their choice .

• “Electronic health records & gain access to first line care via telephone & Internet”

How our value supplement card help the insurer and our member ?

Who will benefit from our product ?

• Individual - savings on spending , new health

care experience , comfort and extra care .

• Corporate - Express their care for their employee

wellbeing and by managing staff member

health , they can avoid health insurance premium

increase “ proactive approach towards saving

cost “

• Providers - Extensive marketing – meaning more

sales , more revenue and visibility

• Hospitals - Alternate platform to promote well

ness and care

• Insurer : Reduction in claims cost , healthy

business bottom line.

Our Technology solutions Snap shot

TPA – Third Party Administrator TPA acts as a Facilitator between Insured & Insurer. Our

product for TPA offers the following :

Total benefit administration including hospital, daycare, and clinic claims processing.Rich, high performance reporting at-a-glance access to the information you need in just a few keystrokes.Automated Preauthorization Workflow for high speed processing of preauthorization's received by fax or mail.Advanced correspondence logging for single click access to Word documents, emails, or Excel spreadsheets previously sent to clients or insured, along with SMS and email push features.Automated Electronic Claims Queue Processing for Streamlined processed of claims.Open Architecture Database design allows access to data by your existing applications or reporting tools.In the process of HIPA compliance including security tracking, patient security features, and acceptance of all HIPAA data formats.

Integrated collaborative health records – portal snap shot

PHR (Permanent Health Record)

PHR (Permanent Health Record)PHR is a permanent health record on the web, which is lifelong archive of person’s medical history. It can be accessed online anytime, anywhere, and by anyone with the required security credentials.

Permanent Health Record contains:

Basic personal information Medical insurance coverage detailsImmunization records Medical history (past & current) Medication information Information of Allergies “Smart Tag” technology that keeps track of members information as a critical care access report which can be accessed in the case of a medical emergency

Benefits of PHR

24*7 access and handy source of entire medical historyPro-active approach to tackle emergenciesIncreased consciousness towards one’s own healthLife time health insurance records and health checkup records Online health record accessibleMembers will be able to add, edit or upload new record as and when required Unique identification (username/ password) for everyoneWe can upload the scanned copy of original documents Tracking Of Insurance details100% Accuracy

Pre Policy Health Checkup

Pre Policy Health Checkup (Dashboard view)

Products: Pre Policy Health Check

Pre Policy is intranet/internet based web application providing common platform to the insurance company, corporate, individual, hospital provider & management where they can interact with each other. It is complete Business Optimization of Process of Health Check up, for clients who opt for Insurance Policy. Following are the main features:

Exhaustive MIS for Insurance companies and corporate, Providers, Administrator.SMS and E-push integration throughout the system for periodic updates.Reporting of all processes, all appointments, TAT reports, and accounts reportsSeparate Logins for Agents, Development officers, Insurance companies, Corporate.Annual health checkup for corporate is available. Facility to customize the packages and rates for each Diagnostic Center, Insurance company, and corporate. Reports can be fetched in various formats as per the requirements. Integrated accounts module that takes care of invoices, debit note & Payment Received.

Pre Employment

Pre Employment Health Check up is a Business Optimization Process of Pre Employment health Checkup for the Employee by Corporate. It is intranet/internet based web application providing common platform to their corporate, individual, hospital provider & management where they can interact with each other.

Following are the features:

Separate Logins for Agents, Development officers, Insurance companies, Corporate.Annual health checkup for corporate is available.Exhaustive MIS for Corporate, Providers, Administrator.SMS and E-push integration throughout the system for periodic updates.Facility to customize the packages and rates for each Diagnostic Center, Corporate. Reports can be fetched in various formats as per the requirements.Reporting of all processes, all appointments, TAT reports, and accounts reportsIntegrated accounts module that takes care of invoices, debit note & Payment Received.

Annual Health Checkup

Annual Health Check up is a Health Check up Process for Employees by Corporate every year. It is intranet/internet based web application providing common platform to their corporate, individual, hospital provider & management where they can interact with each other. Following are the features:

Integrated accounts module that takes care of invoices, debit note & Payment Received. Facility to customize the packages and rates for each Diagnostic Center, Corporate. Separate Logins for Agents, Development officers, Insurance companies, Corporate.SMS and E-push integration throughout the system for periodic updates.Reporting of all processes, all appointments, TAT reports, and accounts reportsAnnual health checkup for corporate is available.Exhaustive MIS for Corporate, Providers, Administrator.Reports can be fetched in various formats as per the requirements.

Tele - Underwriting

Tele - Underwriting

Tele - Underwriting

Teleunderwriting is a new tele-interview underwriting system for proposers seeking medical insurance policies.

Features Immediate risk analysis - Our system enables the interviewer to analyze the risk for more than 40 common diseases on the spot. Effective Call center office automation – Optimizes the use of your call center and office manpower to save you money as well as increase efficiency. Health Data gathering – Which can be useful to insurance companies as well as the Ministry of Health.

BenefitsIncrease productivity - spend less time on paperwork and more time doing what you do best meeting with clients and selling. Improve turnaround time - more detailed information to the underwriters, which reduces the need for the most time-encompassing requirements. Alleviate awkwardness - Applicants often prefer providing personal information to a third-party interviewer rather than face-to-face with an agent who may be a friend or associate.

Tele – Med• Interactive health care over distance using information or

telecommunications technology

• Telemedicine brings the expertise of a specialist to the point of care and allows that expertise to be customized to that patient

• Telemedicine facilitates the provision of medical aid from a distance. It is an effective solution for providing specialty healthcare in the form of improved access and reduced cost to the rural patients and the reduced professional isolation of the rural doctors. Telemedicine can enable ordinary doctors to perform extra-ordinary tasks.

• Using telecommunications and computers to exchange information to support medical decision making

a. Medical Records – EMR and PHRb. Literature searchc. Decision supportd. Remote monitoringe. Consultation and Conferencing

Wellness Portal

Wellness Portal

Portal Benefits:• Provide a focus for purchaser, provider and consumer

communication. • Ensure timely and cost effective communication• Provide greater consumer access to information about

health care providers • Enhance the community in healthcare networks• Provide a secure file exchange and storage environment• Provide technology to emerging consumer to consumer

support groups for chronic conditions Wellness and Health Portals Sections:• Many content options and wellness and health

programs• Implementation of client specific information, such as:• Medical Directories• Health Benefits for Employees •User progress and usage reports•Intranet and Internet accessible•Health Risk Assessments•Weight Control Programs•Disease Centers•Health Tools

Current Technologies

Microsoft .Net Platform 2.0,3.5: The .NET Framework is: Common Language Runtime – provides an abstraction layer over the operating system, Base Class Libraries – pre-built code for common low-level programming tasks, Development frameworks and technologies – reusable, customizable solutions for larger programming tasks. The .NET Framework allows applying common skills across a variety of devices, application types, and programming tasks, integrate with other tools and technologies to build the right solution with less work and Build compelling applications faster. We are using C#, VB.Net Languages with other features in ASP.Net.

SHAREPOINT :Microsoft SharePoint, also known as Microsoft SharePoint Products and Technologies, is a collection of products and software elements that includes, among a growing selection of components, web browser based collaboration functions, process management modules, search modules and a document – management platform. SharePoint can be used to host web sites that access shared workspaces.

Current Technologies

DATABASE LANGUAGE(SQL SERVER):

SQL Server 2005 has reduced application downtime increased scalability and performance and tight yet flexible security controls.

SQL Server 2005 makes it simpler and easier to deploy manage and optimize enterprise data and analytical applications.

It enables you to monitor manage and tune all of the databases in the effective way.Failure of the primary system applications can immediately reconnect to the database on the secondary server using Database Mirroring.SQL Server 2005 provides a new capability for the partitioning of tables across filegroups in a database.

Has Features of XML Multidimensional Expressions (MDX) and XML for Analysis (XMLA). Integration with the Visual Studio development environment provides more efficient development and debugging of line-of-business and business intelligence (BI) applications

Current Technologies

WCF / WPF /WWF (WF)Windows Communication Foundation (WCF) is Microsoft’s unified programming model for building service-oriented applications. It enables developers to build secure, reliable, transacted solutions that integrate across platforms and interoperate with existing investments.

Windows Presentation Foundation (WPF) provides developers with a unified programming model for building rich Windows smart client user experiences that incorporate UI, media, and documents. It provides Databinding, Built in Animation, Templates & Styles, Resource management.

Windows Workflow Foundation(WWF) is a framework that enables users to create system or human workflows in their applications

Microsoft Silverlight is a new cross-browser, cross-platform implementation of the .NET Framework for building and delivering the next generation of media experiences and Rich Interactive Applications(RIA) for the web. It runs in all popular browsers, including Microsoft Internet Explorer, Mozilla Firefox, Apple Safari, Opera.

We focus on building and enhancing the N-Layer Architecture, and hence all our applications are not very load-intensive on servers as the load is shared.

Distributed Application Architecture is used where we can distribute application’s parts into multiple server.

We focus on Making application’s ready for Web Form.

Focus on distributing caching topologies.

Integrated Application and Project Management techniques

Focus on Business Intelligence tools integrated within the application.

Thanks you

United Africa Health

Prabhu Murthy  (MA,MBA,CFP)

Entrepreneur & Sales optimisation Consultant  Mob:+230 4231666 ; Skype : prabhumurthy PrabhumurthyM

Prabhumurthy Maduraimuthu