Semi-annual health insurance report released by ZhongAn shows that its waiting time for claim settlement decreases by 55% year-on-year
On July 5, ZhongAn Insurance released the 2021 ZhongAn health insurance claim settlement service semi-annual report (hereinafter referred to as the "semi-annual report"), which showed that with the power of science and technology, ZhongAn health insurance claim settlement has realized 94% of online claims applications, and the waiting time for customers to receive claims has decreased by 55% year-on-year. Through ZhongAn's "intelligent claims" system, a claim is settled every 42 seconds. ZhongAn Insurance also establishes an exclusive channel for claim settlement cases of RMB 10,000 yuan or less -- "one-day claim". 99% of the claims that meet the standard receive quick claim settlement within 24-hour time limit, which greatly improves efficiency.
According to the introduction of ZhongAn Insurance, since opening of the "medical + drug + insurance" health layout, its form of claim settlement service has also changed accordingly. It has been integrated into medical service, drug service and health management service, as well as the whole process of health management from consultation to postoperative care.
Starting from Internet insurance, ZhongAn has laid out in advance in the big health field as early as 2019. It has opened the channel of Internet insurance and medical treatment, connected hospitals, drug suppliers and third-party health management service institutions, and established a closed loop of medical treatment services for policyholders. Based on the closed-loop service, ZhongAn insurance claim settlement service extends to the whole process of policyholders' before-, during- and after- illness stages, covering the whole chain of "consultation - treatment - payment - medication - nursing" required by patients' health management. It has created a new model of "service-oriented claim settlement".
According to the semi-annual report, ZhongAn Internet Hospital offers 7\*24 of one-to-one video consultation, with the fastest response time of 3 seconds. Its Green Channel services for serious diseases cover 31 provinces, more than 100 cities and more than 900 hospitals. At the same time, by the first half of 2021, ZhongAn health insurance inpatient medical advances have covered more than 2,000 hospitals nationwide, provided inpatient medical advances for more than 10,000 times in total, and opened a green channel for more than 1,000 people with serious diseases. The special drug payment network covers more than 300 major cities in China, and after application customers can get drugs within 1.5 hours at the soonest.
Source: bbtnews.com
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