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Digital health insurance ecosystem

A Complete Digital Insurance Ecosystem

Transform how you manage, provide and access insurance with an integrated suite of applications for insurers, healthcare providers, employers and members.

Providers
800+
Active users
50K+
Uptime
99.9%

Trusted by health insurers in Ghana and Cameroon

The PetherInsure ecosystem

Six products. One connected ecosystem.

Insurers, health facilities, employers, medical teams, agents and members each get a tool built for their role, and every tool works from the same live data.

Web platforms

PolicyHubInsurers MedServeHealthcare providers SelfServiceSubscribers

Mobile apps

MyCareMembers MedLineMedical teams EnrollioEnrollment agents

Follow a claim through the ecosystem

One member, six products, one continuous story.

  1. Amina’s employer enrolls her through SelfService, or an agent does it in the field with Enrollio.

  2. The insurer validates the enrollment in PolicyHub and her policy becomes active.

  3. Amina checks her benefits in MyCare and finds an affiliated clinic nearby.

  4. At reception, the clinic verifies her coverage in MedServe and requests approval for treatment.

  5. The insurer’s medical consultant reviews the request in MedLine and approves it from their phone.

  6. The claim is settled in PolicyHub, and the visit appears in Amina’s MyCare app.

How the products connect

Web platforms

The operating system of health insurance

Three web platforms for the organisations at the centre of every claim: insurers, health facilities and employers.

Built for health insurers and their operations, claims and finance teams

Run every policy, claim and member from one place.

PolicyHub is the PetherInsure web platform for health insurers. It brings enrollment, policy administration, premium billing, claims adjudication and reporting into a single operating view, connected in real time to the providers, subscribers and members who use the rest of the ecosystem.

  • Enrollment & identityEnroll individuals or groups as policyholders, capturing identification documents, photos, fingerprints and signatures.
  • Policy administrationIssue, renew and manage policies and coverage plans across their whole lifecycle.
  • Premium billing & collectionsBill premiums from coverage plans and risk factors, and generate invoices and payment collections through web service APIs connected to your accounting system.
  • Claims & approvalsAdjudicate the claims and approval requests providers submit through MedServe, with coverage checked automatically.

Built for hospitals, clinics, pharmacies and other health facilities

From member verification to claim settlement, in one portal.

MedServe is the PetherInsure web portal for health facilities. Providers verify a member’s coverage at reception, submit claims and approval requests online, and follow processing, adjudication and settlement in real time. Policy coverage is checked automatically.

  • Member verificationConfirm a member’s identity, policy status and remaining benefits before care begins.
  • Online claim submissionSubmit claims with the services provided and their amounts. No more paper forms to chase.
  • Approval requestsRequest approval for treatments that need it; the insurer’s medical consultants respond from MedLine.
  • DispensationRecord medicines dispensed against the member’s benefit package.

Built for companies and organisations that hold a group health policy

Your group policy, managed on your terms.

SelfService is the PetherInsure web app for subscribers, meaning the companies and organisations that hold a group health policy. HR and administration teams enroll employees and their dependants, review self-registrations, submit requests and follow policy status, without paperwork.

  • Beneficiary enrollmentAdd principal beneficiaries and their dependants one by one or in bulk.
  • Self-registration reviewReview and validate the registrations your employees submit themselves.
  • Service requestsSend requests to the insurer and follow each one until it is resolved.
  • Policy status trackingSee the status of every requested policy at a glance.

Mobile apps

Insurance that moves with people

Three mobile apps for the people who use insurance every day: members, medical teams and enrollment agents.

MyCareMembers

MyCare puts the whole membership in a member’s pocket.

Membership, benefits, affiliated facilities and medicines, all in one app made for members and their families.

  • Digital membershipMembership status and details on your phone, ready to show at the facility.
  • Benefit packageSee what your plan covers and how much of each benefit remains.
  • Affiliated facilitiesFind the hospitals, clinics and pharmacies affiliated with your insurer.
  • Medicines listCheck which medicines are on your insurer’s list before you buy.

Scan to download

Point your phone’s camera at the code to open the right store.

Home
Coverage
Healthcare
Profile
MedLineMedical teams

MedLine keeps medical decisions moving.

MedLine is the PetherInsure mobile app for the medical consultants who work with insurers. Approval requests submitted by health facilities arrive in real time with the member and facility context, so consultants can review and respond promptly, wherever they are.

  • Real-time approval queueNew approval requests from providers appear as soon as they are submitted.
  • Full request contextSee the facility, the member and the requested services before deciding.
  • Decide in a tapApprove or reject a request and the provider is updated immediately.
EnrollioEnrollment agents

Enrollio makes every enrollment complete.

Enrollio is the PetherInsure mobile app for enrollment agents. It guides each new member through a structured enrollment (plan, identity, dependants and payment) and gives agents a live view of their enrollments, approvals, collections and commissions.

Available to partner enrollment teams

Enrollio is deployed with insurers and their enrollment networks. Talk to our team to equip your agents.

The enrollment journey

  1. Choose a plan
  2. Capture identity
  3. Collect & submit

Why PetherInsure

Built for modern healthcare

Everything you need to digitise and optimise your insurance operations.

  • Seamless claims processing

    Claims move from the health facility to the insurer with coverage checked automatically and status visible in real time.

  • 800+ provider network

    Members find affiliated hospitals, clinics and pharmacies, and providers connect to insurers through one portal.

  • API integration

    Web service APIs connect PolicyHub to your accounting system for invoices and payment collections.

  • Encrypted communication

    Information exchanged between providers, insurers and members is encrypted in transit.

Security

Protection you don’t have to think about

Security and privacy are not separate features. They are the foundation beneath every PetherInsure experience.

  • Encryption in transit and at rest

    Data is encrypted as it travels between products and while it is stored.

  • Role-based access control

    Every user sees only what their role requires.

  • Audit logging

    Actions are recorded, so every change can be traced.

  • Multi-factor authentication

    A second factor protects access to sensitive accounts.

Customer satisfaction
98%
Claims processed
2.5M+
Faster processing
45%

Pricing

Pricing plans

Flexible plans for organisations of any size.

Bring your insurance operations into one ecosystem

Book a demo tailored to your organisation and see how PetherInsure connects your teams, providers, employers and members.