Wise Medical Services operates an advanced proprietary technology platform designed to optimize claims processing, reduce turnaround time, minimize paperwork, and ensure precise validation—making the entire claims experience smooth and hassle-free for all stakeholders.

Through its integrated system, Wise provides:

• Significantly reduced claim processing time through a streamlined digital workflow.

• Accurate and consistent claim assessment in full alignment with the approved health policy.

• Comprehensive benefit-utilization management to control medical costs without compromising quality.

• 24/7 medical authorization support, ensuring that members receive assistance whenever needed.

• Thorough evaluation of all claims in accordance with policy terms and conditions.

Wise has incorporated an advanced Medical Rules Engine into its claims system to ensure that all medical claims comply with medical necessity standards and internationally recognized best-practice guidelines.

The claims department at Wise includes highly qualified medical coders specialized in international medical coding systems (ICD, CPT, HCPCS), ensuring maximum accuracy and minimal processing errors.

Wise’s fully integrated claims-management model is agile by design, leveraging years of operational and medical expertise to deliver a reliable, efficient, and transparent claims process for corporate partners.

CLAIMS MANAGEMENT