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.
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
Lead the evolution of healthcare industry and enable members across nation to enjoy a better, dignified and healthier life.
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.
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:
Customer satisfaction is the dynamic core of all MedShield operations being applicable through latest technology to deliver best Client Relationship Management approach integrated with one of the best Call Center technologies to deliver a satisfying experience to beneficiaries. We take pride in delivering and committing to the best achieved Service Level Agreements (SLAs) nationally, and that’s through a series of cogs in one big dynamic wheel
At MedShield, we act as the gatekeeper for our beneficiaries, counseling patients and directing them through the required services. By means of the beneficial assistance of a team of qualified Medical Doctors as Case Managers, we ascertain the quality of medical care services provided to our members and its cost effectiveness. The designated case manager monitors the health status of the member from the moment of admission and until discharge in addition to controlling unnecessary tests and medicines or malpractice. MedShield provides cost containment services at no cost to the beneficiaries.
MEDICAL PROVIDERS network
The medical providers’ network is a key factor to our mission providing our beneficiaries with exceptional satisfactory medical services. That’s why we take pride in dealing only with the most reputable medical service providers distributed across Egypt.
Our Medical Provider Network covers all 26 Provinces across Egypt with the target of reaching over 3000 Providers, an assortment of:
medical claims audit
Considering a rapidly growing and competitive market, medical claims’ assessors must adjudicate claims accurately to control costs effectively. MedShield offers customized claims’ audit and consulting services that provide health insurers with qualified, unbiased third-party insight into claims processing and business office operations with the help of specialists’ opinions.
Our audit team members have superiority in medical educational background and experience in all aspects of healthcare claims’ administration, who are assigned to give the best possible result for our esteemed clients.
It is imperative for a paying organization to increase its health insurance claims processing automation and reduce administrative costs. MedShield offers end-to-end health insurance claims processing solutions to help manage claims effectively.
MedShield has a team of professional both medical and technical staff to handle medical claims for enrolled members. The automation of claims’ handling enables the processing of large volumes of claims and reduces the manual intervention to a large extent and greatly enhances the speed and quality of processing.
cost reduction solutions
Every Insurer and Client aims at reducing the claims’ ratio and improve the performance of their health policy and we at MedShield acknowledge the importance of applying systems & protocols in place to ensure that unnecessary expenses are eliminated.
In order to achieve this; a series of affiliated protocols is established at MedShield as follows:
At MedShield, a dedicated Enrollment team is assigned to provide high quality Data entry & maintain an up to date database of beneficiaries covered under various schemes and regularly updating the addition / deletion of members, based on details received from clients and insurers.
MedShield’s enrollment module captures all data like name, age, plan period, benefit plan etc. The photographs of the beneficiaries enrolled are scanned and stored in a database along with members’ details and can be utilized in case of issuance of medical ID – reissuance of lost medical ID – upon renewals and issuance of new medical ID. Beneficiaries enrolled each has a Unique Health Identification Number featuring the member’s details.
market liaison solutions
MedShield works closely with both national and multinational leading insurance companies established in the field designing best appealing products to suit our clients’ most beneficial needs.
Insurance Schemes: MedShield administers Health Insurance policies as per requirements of the Insurer. MedShield also has the resources of designing or assisting the Insurer in designing health insurance products considering the market requirements as well as keeping profit margin in place.
Self-Funded Schemes: They are suitable for groups having fair idea about their coverage requirements and benefit utilization. MedShield works closely with large corporate clients in designing the best suite of products for their Health Coverage requirements. Some of benefits: