MyCare
Web platformInsurersPolicyHubRun 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.
Capabilities
What PolicyHub does
One operating view for enrollment, policies, billing, claims and performance.
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Enrollment & identity
Enroll individuals or groups as policyholders, capturing identification documents, photos, fingerprints and signatures.
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Policy administration
Issue, renew and manage policies and coverage plans across their whole lifecycle.
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Premium billing & collections
Bill premiums from coverage plans and risk factors, and generate invoices and payment collections through web service APIs connected to your accounting system.
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Claims & approvals
Adjudicate the claims and approval requests providers submit through MedServe, with coverage checked automatically.
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Reporting & analytics
Track KPIs, claims statistics, policy utilisation and financial metrics to spot trends and make data-driven decisions.
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Roles & audit trail
Role-based access gives each team member exactly what their job requires, and every action is recorded in an audit log.
How it works
PolicyHub, step by step
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Enroll policyholders
Register individuals and groups with their identity documents and biometrics, ready for coverage.
Sanavie Assurances EN AKAbena K.Bulk importNew enrollmentPolicyholder registrationIdentity 2Biometrics 3Coverage 4ReviewPolicyholderFull nameNadia FofanaDate of birth14 Feb 1991ID documentNational ID · 112 093 447Phone+237 6 90 12 34 56Group policyMbarga & Fils SARL · GP-2291Biometric capture3 of 4 fingerprintsPhotoFingerprintsR. thumbR. indexL. thumbL. indexSignatureBackContinue to coverage -
Process claims & approvals
Review requests from health facilities with the member’s coverage in view, then approve or reject.
Sanavie Assurances EN ENDr E. NdongoAll facilitiesApproval requestsRequests submitted by health facilities through MedServePending · 12ApprovedRejected5XYL-659E-B1512 min agoAmina Bello
Clinique du Lac112 000 XAF5XYL-659E-B15018 min agoKwame Mensah
Centre Médical Horizon38 000 XAF5XYL-659E-B1491 h agoIbrahim Moussa
Polyclinique Les Palmiers64 500 XAF5XYL-659E-B1483 h agoGrace Tabi
Clinique du Lac21 000 XAF5XYL-659E-B151Awaiting decisionABAmina BelloCoverage active
PI-2024-08817 · Family Gold planSpecialist consultation15 000 XAFAbdominal ultrasound25 000 XAFFull blood count8 500 XAFHospital stay · 2 nights63 500 XAFTotal requested112 000 XAFIn-patient balance sufficient: 420 000 XAF remainingFacility affiliated with the member’s planRejectAsk for detailsApprove -
Track performance
Follow policies, claims and financial indicators in real time across the whole portfolio.
Sanavie Assurances EN AKAbena K.DashboardPortfolio overview · March 2026This monthExportActive policies12,480+3.2%Members covered48,215+1.8%Claims this month3,912+6.4%Pending approvals8612 urgentClaims activity SubmittedApprovedClaims by statusMarchApproved77%Pending10%In review6%Rejected7%Latest claimsView allIDMemberFacilityAmountStatusCLM-24081Amina BelloClinique du Lac29 000 XAFApprovedCLM-24080Kwame MensahCentre Médical Horizon10 000 XAFPendingCLM-24079Esther Ngo BassaPolyclinique Les Palmiers45 500 XAFIn reviewCLM-24078Samuel OwusuPharmacie de la Gare12 300 XAFApproved
Benefits
Why teams choose PolicyHub
- One source of truth shared with providers, subscribers and members
- Less manual data entry from enrollment to settlement
- A complete audit trail for every change
- Dashboards for the indicators your teams follow every day
Part of the ecosystem
PolicyHub works with
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MedServeHealthcare providers
Providers’ claims are adjudicated and settled by the insurer.
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MedLineMedical teams
Approval requests from providers, in real time, with the context to decide.
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SelfServiceSubscribers
Subscribers’ enrollments and requests reach the insurer directly.
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EnrollioEnrollment agents
Enrollments captured by agents go to the insurer for approval.
Get started with PolicyHub
Access to PolicyHub is set up for each organisation. Talk to our team to get started.
