Medical Insurance Module
Underwriting, member management, pre-authorisation, claims adjudication & provider network
Active Policies
8
Covered Members
17
Pending Pre-Auths
0
Open Claims
0
Active Policies
8
Covered Members
17
Pending Pre-Auths
0
Open Claims
0
Total Billed
794,719 FRW
Total Approved
47,125 FRW
Total Paid
4,279 FRW
Medical Loss Ratio
5.9%
1 claim(s) flagged for potential fraud — review required.
Claims Trend (Billed vs Approved)
- Billed
- Approved
Claims by Benefit Category
Claims by Status
Top Providers by Volume
CLINIC IMANZI695,796 FRW
KING FAYCAL98,923 FRW
