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Vol 25, No. 02, February 2021   |   Issue PDF view/purchase
INSIDE INDUSTRY
Delivering a Complete Digital Health Ecosystem through Strategic Partnership
DocDoc Partners with SpesNet to deliver a holistic digital health ecosystem that combines a robust doctor discovery platform as well as digital third-party administrator technology for cashless and integrated claims processing solutions to insurers across Asia.

Patient intelligence company, DocDoc Pte Ltd., has partnered with SpesNet Global Group, a leading healthcare technology provider, to integrate its digital third-party administrator (TPA) technology and provide a first-of-its-kind complete digital health ecosystem to insurers, supporting their policyholders through the continuum of care. DocDoc will receive exclusive access to SpesNet’s platform to include Singapore, Malaysia, Thailand, Hong Kong, India, and the People’s Republic of China.

Under this agreement, DocDoc will integrate SpesNet’s digital TPA technology with DocDoc’s telemedicine platform and AI-powered doctor discovery platform, HOPE (Heuristic for Outcome, Price and Experience), which matches policyholders to relevant healthcare providers, to power a holistic offering. The partnership will allow the patient intelligence company to offer cashless services, as well as seamless claims processing to payers, including insurance companies, brokers, employers, and bancassurance partners across Asia and beyond.

With a self-reinforcing data loop in place, the DocDoc-SpesNet digital ecosystem will learn from every interaction among policyholders, healthcare providers, and payers, helping insurance companies and the industry at large to better understand medical trends, identify and define risk categorisation, develop treatment opportunities for at risk populations, tackle medical inflation, as well as improve upon the overall delivery of care and the healthcare value chain.

SpesNet has a global footprint and together with DocDoc will be serving six million active members across more than 90 insurance, government and corporate organisations in North America, Africa, and Asia.

The largely analogue and highly manual method of operations endemic in most third-party administrators make them ripe for disruption. By partnering with SpesNet, DocDoc has invested in the paperless future of digital TPA technology. Providing real-time, data-driven and most importantly proven to increase efficiencies, reduce costs, and revolutionise analytics, whilst offering a centralised regional solution to insurance companies.

The claims data processed from the digital TPA will help to increase quality data collection, feeding back into DocDoc’s HOPE algorithms that are designed to improve policyholders’ healthcare journeys by improving quality of care and reducing costs. By fully integrating SpesNet’s TPA technology into its platform, DocDoc will be able to power a full knowledge ecosystem and data loop that benefits both insurance partners and policyholders.

From this partnership, healthcare providers will benefit from risk mitigation where a risk engine which identifies anomalies from policyholders in real-time, flagging it for rapid intervention. Benefits validation is another service provided by the digital ecosystem. The system enables providers to instantly verify a policyholder’s eligibility and benefit coverage, improving the policyholder experience while avoiding claims disputes.

“We have received considerable demand for digital third-party administrative services in the region, and we are excited to partner with one of the world’s leading TPA providers, SpesNet, to enhance our product offerings. Traditionally, claims processes have been highly manual, and SpesNet’s digital TPA technology is ideally suited to helping our customers create paperless, real-time and data driven claims procedures. Together with our doctor discovery and telemedicine services, we are creating a first-of-its-kind platform which offers an end-to-end suite of healthcare solutions to our insurance partners and their policyholders,” said Cole Sirucek, Chief Executive Officer and Co-Founder of DocDoc.

“We believe that claims processing should be a seamless and data-driven process. DocDoc delivers the most robust doctor analytics in the world, making them our ideal partner in Asia. By integrating our TPA technology with DocDoc’s doctor discovery platform, we will be able to provide our clients with hassle-free claims services. DocDoc is a high-tech outsource partner, delivering value across every level of the organisation and we are confident that through our partnership, we will be able to follow the patient through the continuum of care,” said Sanet Kock, President & CEO of SpesNet Global Group.

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