Gulf Med System
Globe Med Kuwait. ( TPA ) is appointed by GIRI to manage its claims processing, provider networks, utilization review, precertification review (membership functions).
With the help of TPA benefit card, the Service Providers will be able to check online the members' particulars, history, limits, and benefits needed to instantly determine whether treatment is covered or not.
Through this system:
- Members will be able to know whether his treatment is covered prior to receiving the service hence avoid being billed later for rejected treatments.
- Patients/members pay deductibles on covered treatments at point of service.
- TPA continuously makes sure of the patient’s entitlement of the Policy’s benefit and makes decisions in the name and on behalf of GIRI for granting or rejecting the cover.