Formerly known as Status Medical Aid Administrators, Universal Healthcare Administrators is a proud subsidiary of the dynamic healthcare services group, Universal Healthcare that is turning heads in the industry.

Universal Healthcare Administrators aims to bring new vibrancy to the healthcare market by delivering a brand of healthcare to its customers and medical aid members that meets their every healthcare need, particularly at those times when it is most needed. Universal Healthcare Administrators is unconditionally accredited as a medical scheme administrator with the Council for Medical Schemes and has an impressive industry track record spanning more than three decades.

Universal Healthcare Administrators currently administers a number of open and restricted medical schemes. Our administered Schemes all have reserves well in excess of the minimum regulatory requirement.

We follow a partnership model in business, and participate actively to provide a fully customised and personalised service. The medical schemes powered by Universal are known not only for offering some of the most affordable options currently on offer in South Africa, but also for innovative design and comprehensive benefits.

Universal Healthcare Administrators performs all administrative and healthcare management functions on behalf of the medical schemes we administer. Our service offering is comprehensive, and includes:

– Membership Management,

– Contributions Management,

– Claims Management,

– Call Centre Management,

– Financial Administration,

– Fee-for-Service and Alternative Reimbursement Management, including Capitation Plans,

– Statutory and REF Reporting,

– Member and Provider Communication,

– Secretarial Services,

– Internal Control and Forensic Audits, and

– Cash and Liquidity Management Services.

 

Administrators’ Technology

“Our solid administration service is underpinned by a proprietary IT system, which was developed in-house. Universal has the ability to develop new applications rapidly without reliance on third parties by virtue of the fact that we have a technology-enabled team in-house. ”

Medical scheme administration is a complex environment involving high volumes of transaction data. The ability to provide a robust, reliable technology solution, which operates accurately and efficiently is core to our offering.

Our solid administration service is underpinned by a proprietary IT system, which was developed in-house. Universal has the ability to develop new applications rapidly without reliance on third parties by virtue of the fact that we have a technology-enabled team in-house.

The system is scalable with excellent integration capabilities and compliant internal controls, which are audited annually by an independent audit firm.

The core functionality of the system has been tried and tested on the full spectrum of products ranging from “traditional” medical scheme products to “new generation” plans with medical savings and excess accounts for a number of years. The system also manages full capitation plans, partial capitation plans, hospital-only plans, and composite plans.

 

Fraud Hotline

Stamp out fraud by reporting it without delay!

Fraud has long been a major problem in South Africa and the healthcare arena is no exception. It is reported that fraud costs could make up as much as 20% of the total cost of all claims. If one considers that about R45 billion per year is spent on private healthcare then fraud could amount to R9 billion of this figure.

Effectively this means that the contributions to your medical scheme could be inflated by as much as 20%, which amounts to roughly R300.00 per month for an average family.

At Universal Healthcare Administrators we have zero tolerance for fraud.

To date we have been very successful in containing fraud with a system whereby we profile our members and practitioners and forward their information on to a private investigations unit. We have suspended payment to more than 100 healthcare practitioners pending investigative outcomes.

If you are aware of any fraudulent activity or have any information, please contact us on +27(0) 11 208-1381 or fax details to +27(0) 11 208-1199. All matters will be dealt with in the strictest confidence.