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TRUSTED BY LEADING PRIVATE AND PUBLIC PAYERS GLOBALLY
OUR MISSION

Improving healthcare access & efficiency through connected data and technology

Meet Joy, an expectant single mother. Discover how CarePay's platform supports her throughout her pregnancy journey.

Enrolment

Joy signs up for maternity insurance. Onboarded within minutes, she immediately checks her benefits using CarePay’s Member App. She uses the app to find an in-network provider nearby for her first pregnancy check-up.

The approval process for health insurance takes an average of 7 days in Kenya.

Identification

At the maternity clinic, Joy's identity and coverage are quickly verified by the clinic’s receptionist through a digital eligibility check. The receptionist submits a pre-authorization request for Joy through the CarePay platform.

CarePay reduces the annual admin cost per member from 25 EUR to 1 EUR.

Pre-authorization

Using the CarePay platform, Joy's Case Manager reviews and approves her pre-authorization request directly. Joy can now get the check-up she needs with the reassurance that the costs are covered by her insurance.

Currently, it takes at least 3 days to process a pre-auth request in Kenya.

Claims

After Joy completes her check-up, the clinic’s cashier submits a claim through the CarePay platform. The claim is processed by a Claim Manager within 3 hours, making sure that both Joy and her provider are paid in a timely manner.

Claims submitted in paper form have an average processing time of 30 days.

Billing & Payments

Thanks to CarePay's insights dashboard, Joy’s insurer is able to review their payment forecasts in real-time. Confident that all outgoing payments align with their cash flow, Joy’s payment is approved within 24 hours.

It currently takes an average of 60 days for claims to be paid out in Kenya.

Engagement

Joy tracks her claim history and benefit usage in real-time through the CarePay Member App. After a smooth first experience, Joy finds herself anticipating her future check-ups with increased peace of mind.

CarePay has a Net Promoter Score of 60.

HOW WE DO IT

One platform to run and scale your insurance business

Digitising and automating the end-to-end insurance journey in one real-time, cloud-based platform with ultimate flexibility and scalability.

member experience

Happier and healthier members

Launch products fast and give your members access to the latest AI-driven health solutions in the market through CarePay's API-driven Member App.

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secure and connected operations

Build a strong, efficient foundation that's AI-ready

Lower costs for everyone to benefit. Keep claim leakage near zero, transparency high, and your trusted ecosystem relationships strong.

Personalised & data-driven

Use actionable data to take action

Build on transparent, high-quality, and real-time data insights to decrease risk & make your insurance business more profitable.

4.8 million

lives impacted

20

payers

5,000+

providers onboarded by payers
CUSTOMER SPOTLIGHT

How a leading insurer in Kenya cut their claim approval times by 96%

Shifting to an end-to-end, digitised health insurance process was game-changing for us. With CarePay's technology, the number of days between a member's treatment and their claim reimbursement has dropped from 77 to only 3 days! This is one of many improvements that has enabled us to fully control our costs and the end consumer experience.

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CUSTOMER SPOTLIGHT

How PharmAccess strengthened their health and emergency response

SMS is a powerful tool in getting COVID-19 messages to Kenyans. It is direct, immediate, and can be integrated with other platforms. At PharmAccess, we are in regular discussions with the Ministry of Health and other healthcare bodies about ways to use the CarePay platform to strengthen our health and emergency response.

Country Director

PharmAccess

GET STARTED

Ready to challenge the status quo in health insurance?

Get in touch with our team today