MedLync HMO Connect
Real-time eligibility, pre-authorisation, and digital claims — connecting HMOs and providers on one intelligent platform.
Bridging the gap between care and coverage.
MedLync HMO Connect eliminates the friction between health providers and insurance companies. Real-time eligibility verification replaces phone calls and manual checks. Digital pre-authorisation workflows cut approval time from days to minutes.
Every service, every encounter, every claim is tied to verified patient identity and a complete encounter record — dramatically reducing fraudulent claims and disputes while accelerating provider reimbursement across Nigeria's health insurance market.
Smart insurance infrastructure
Real-Time Eligibility
Verify patient insurance status, coverage tier, and remaining benefits instantly at the point of care — no phone calls.
Pre-Authorisation Workflows
Digital pre-auth requests with clinical evidence attached. HMO reviewers approve or query in minutes, not days.
Patient Journey Tracking
Track the complete patient journey — across referrals, specialist visits, admissions, and discharge — in one unified view.
Digital Claims Processing
Auto-generated claims from verified encounter data. Reduce errors, disputes, and resubmissions dramatically.
Fraud Detection
AI-powered anomaly detection flags suspicious billing patterns, ghost patients, and service inflation before payment.
Provider & HMO Dashboards
Separate dashboards for providers (receivables) and HMOs (liabilities, utilisation, approvals) with drill-down analytics.
For every player in health financing
HMOs & Insurers
Receive verified, data-rich claims with full encounter records. Resolve disputes faster and detect fraud before payment.
Hospitals & Providers
Get faster pre-auth approvals, reduce administrative overhead, and accelerate reimbursement cycles.
NHIA
Gain real-time visibility into the national health insurance scheme — claims, coverage gaps, and utilisation patterns.
Employers
Monitor corporate health plan utilisation, identify wellness opportunities, and optimise benefit spend.
Modernise your HMO operations with MedLync
Connect to Nigeria's growing network of providers and process claims at the speed of data.
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