Services Offered > Claims administration

MAI has its own claims system developed in house which complies with legal requirements on data protection and business continuity. A dedicated team of engineers accommodates our clients' requirements.

MAI performs the following claim administration functions :

  • evaluates medical necessity of services and uses second opinion when appropriate
  • adjudicates claims and pays them within 5 to 7 working days
  • reimburses in more than 130 currencies by bank transfer
  • emergency pre-certification services available 24/7 and 365 days/year
  • MAI International Network provides wide access to health care facilities worldwide
  • Members benefit from cashless services – Hospitals paid directly based on agreements
  • verifies and renegotiates invoices based on reasonable and customary basis
  • negotiates preferential rates with providers,
  • performs statistical monitoring of claims and cost control recommendations