Solutions · Line of Business
Health Insurance
Health administration that handles the complexity of provider networks, benefit plans, pre-authorisation and claims adjudication.
The challenge
What gets in the way today.
Common patterns we see across insurers, banks and distributors approaching health.
- Provider networks, benefit plans and pre-authorisations spread across disparate systems
- Manual claims adjudication that erodes loss ratios
- Limited visibility into utilisation, fraud and abuse
- Group schemes and TPA arrangements that resist scale
Capabilities
What Agile FT delivers.
Individual and group health administration
Provider network and contract management
Benefit plan configuration
Pre-authorisation and case management
Claims adjudication with rule-based logic
TPA and self-insured employer support
Wellness and chronic-care programmes
Utilisation analytics and leakage detection
Outcomes
What insurers and distributors achieve.
Rule-driven
Claims adjudication
Network-aware
Provider management
Faster auth
Pre-authorisation turnaround
Group + Individual
On a single platform
FAQs
Common questions.
+Does it support TPAs?
Yes. TPA and self-insured employer constructs are standard.
+How is pre-authorisation handled?
Rule-based workflows with provider, clinical and case-management touchpoints.
+Can we configure new benefits ourselves?
Benefit plans are configured by business users, not by code change.
Health
See Health Insurance in action.
A focused walk-through with our solution team — tailored to your market, channels and product mix.