Welcome to MedShield

WE ARE MEDSHIELD

BRIEF INTRODUCTION

At MedShield, we aim at maintaining high standards in every aspect of our business, from ethics and human rights to environmental and social sustainability to diversity and inclusion. We are recognized for our commitment towards our beneficiaries and associates.

We are focused on being the nation’s preferred ad chosen Healthcare and Medical Solutions’ company to everyone we serve: our beneficiaries, associates, owners and shareholders. At the same time, we remain true to our purpose of offering a world of opportunity to all ambitious calibers where they can obtain experience and skills facing career challenges.

We have welcomed an exciting distinguished team of qualified well experienced professionals in the field of healthcare and TPA services in order to provide the best range of services to our clients:

 

• MedShield undertakes the implementation and administration of Health Insurance and Self-Funded schemes for large, medium and small sized groups.

• MedShield offers all healthcare related services like Direct Billing at Medical Network Providers, Claims Management, Case Management, Medical Review, Pre-Employment& Annual Medical Check-ups, Underwriting Assistance and Call Centre Assistance.

• With MedShield you can access more than 3000 Medical Providers’ Network across the Nation.

• At MedShield we have expertise in managing Health Insurance Schemes for individuals and groups in a competent manner, we take pride in proficiency to conceptualize the self-funded Medical Schemes for both Public & Private sector companies.

 

CHAIRMAN MESSAGE

The year 2017 is a year for embracing revolutionary changes in the healthcare field nationally. Change encourages growth and progress. It empowers the relevancy of the beneficiary. From a decentralized business structure, to how we attract and partner with reverent associates, ongoing as we manage and take care of all beneficiaries with millennial mindset, these changes moves us forward, pursuing us towards further innovation helping us to appeal to our future generation of customers. We are bringing innovation to our products, services and different lines of business.

 

We aim at bridging the gap in the healthcare industry by facilitating an affordable and accessible quality healthcare through blending technology with experience and expertise. We inaugurated our own recognizable core values, putting stakeholders’ wellbeing first, pursue excellence, embrace change and act with integrity, serving the whole nation.

 

“At Med Shield, our care and passion for what we do drives who we are and what we do, Everyday.”

 

Dr. Ahmed El Sheikh - Chairman

ABOUT US

OUR VISION

Lead the evolution of healthcare industry and enable members across nation to enjoy a better, dignified and healthier life.

OUR MISSION

Improving the health and wellbeing of the national society by blending technology with experience and expertise, enabling access to a comprehensive, fully integrated network of the highest quality and most affordable care, delivered with integrity and respect.

OUR TEAM VALUES

  • Quality: by setting and surpassing higher standards, we will persist to establish a smarter, disciplined, and more efficient organization that delivers outstanding and exceptional care.
  • Compassion: our belief of caring is unique in every personal interaction as we treat individuals, families and colleagues with sympathy, responsiveness and integrity,
  • Respect: we considerately treat each and every individual with care and consideration. We value the diverse perspectives of everybody,
  • Foresight: we anticipate daring challenges tomorrow may bring and develop new innovative ways to inspire healthier communities.
  • Collaboration: by teaming up to sharing knowledge and skills, and through constant communication with whom we serve and their families, we create a unified, integrated approach to care.

OUR medical info system

The availability of latest software at MedShield with a complete set up of multiple modules that handle a complete health insurance cycle based on the client process flow and needs. Our system is capable of managing up to 500,000 client per each database, up to 2 million claims a year per each database and unlimited number of databases at a time. Our main module is accustomed for thorough enrollment of all beneficiaries’ data, service providers’ data and ICD 10 diagnoses with following modules:

 

  • Doctors’ Module: Adapted at doctors’ clinics to generate beneficiaries’ medical history reports and keep records of prescriptions and referral notes to all other service providers.

 

  • Financial and Medical Audit Module: The module for automated financial audit on all claims’ records against contracted prices and discounts besides assurance of a particular TOB conditions and used also in automated medical audits.
  • Provider module / Claim Entry Module (based on the business scenario): used by the service provider to submit medical claims and issue monthly claims’ batches. Or else, used by In-house data entries to register all received medical claim batches from the providers and record all claims’ details in guidance with contracted prices and discount percentage.

 

  • Management Information Reports: the proficiencies to generate MI reports which can be tailored according to any statistics required by Insurance Company / Client. The software enables the generation of various periodical MI reports as per the standard protocol and also as per client’s requirement which ensures the delivery of reliable data help decision makers achieve any targeted objectives such as provider-wise utilization report, age-wise utilization report, disease-wise utilization report, gender-wise utilization report, main member vs dependent claim utilization report and total claim utilization report.

OUR SERVICES

CONTACT US

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