2. Health sector
Software
First 100% digital
Insurtech
2004 2012 2013 2015 2016
INSURTECH
Unique Platform for
each party
ISES
Insurance Companies
TPA’s
Clínics
Pharmacies
Labs
Public Health
Institutiones
Tailor made software
for:
WeeCompany®
Our Journey
3. Ecosystem WeeFusion
WeeFusion: Enabler to do ecommerce in health and insurance companies
+95
+4.480
7
+650
+3.500
+75.000
Physicians
Users
Labs
Points Of Service:
Pharmacies
Hospitals Insurance
Companies
4. Ecosystem
WeeCompany® provides a 100% digital health ecosystem that integrates financiers,
providers and patients in order to exchange products and services through an
efficient and agile collaborative platform model that maximizes the value and
potential of the industry
Pharmacy
Chains
Patients
Insurance
companies and
TPA´s
Hospitals
Physicians
Labs
5. Mobile app (white label)
● Telehealth
● Directory
● Tramits
● Reminders
● Electronic Health Record
● E-prescribing
● Appointments
● Invoice
● Payments
● Quotation
● Underwriting
● Policy issuance
● Reserves
● Collections and Payments
● Claims and network
manager
● Products & Coverages
● Operations Case and
disease management
● Finance
PATIENTS PROVIDERS
CHANNELS INSURANCE COMPANY
WeeCompany® offers access to different services and providers.
Our Platforms
6. New Operation Model
Insurance and digital
subscription, solvency II
compliance
Plan set up, coverages,
basic catalogs, suppliers,
digital formats,
tabulators and affiliates
Patient finds a provider
close by through his
phone and makes an
appointment
Provider requests
access to the records of
patient.
Platform sends SMS or
Token for validation
and grants access if
approved.
Platform validates
coverage, consistency,
basic chart, price and
tabulators to approve or
reject treatment
Provider can request:
Disabilities
Surgical Programming
Special authorizations
Connect with insurance
audit online.
Platform generates
through regulatory terms
the electronic recipes and
validates basic tables and
protocols, real time
payment for doctor.
Patients receive the
prescription in their
phone and are able to
pick up medicines at
the pharmacy.
Platform generates the
provider’s invoice
complying with the
tabulation.
Platform generates payments, KPIs and big data
7. Product and UX configuration
Commercial Engine
Product
Configuration
● Product Sheet
● Commissions
● Bonuses
Channels Policy Issuance
Added Value Engagement
App-Wee
Functionality
Policies/
PDF
Welcome Kit/
App
• User
Satisfaction
Tools
•Questionnaires
Quotations
Document validation
workflows
Integrations
• Fintech (online
payments)
•Call center and
CRMs
• Digital Contracts
3rd party integration
B2B
B2C
Direct to consumers
• Campaigns/
notifications
• Cross-sale
• UX
• Renewals
UX Design
API
API
Wearables
Product tangibles
• Lab
Services
•Pharmacy
Broker website
Ecosystem
• Telehealth
Services
10. Benefits
Operating Costs
Payroll/HeadCount
Labor Liabilities
30% to 60% of
actual value
Paper
Eliminatión of the
expense item
Messenger service 80% less
40% reduction over
reimbursement volumen
Insurance
reimbursement
Loss ratio
Profitability
Tabulator (optimization
through strategic sourcing
and negotiations
with providers.)
1% to 5% reduction
on actual spending
Centralized purchasing
of medicines and
medical supplies
2% to 20% reduction
on actual spending
Fraud Control
10% reduction over loss
of chronic disease
patients
3% reduction of loss
chronic disease
management
Business Growth
New business
models
Personalised products
Massive Digital Channels
and Alliances
Access to new niche
markets
Policy renewal
Interaction with the
policy holder
Business
Agility
Benefits of the Digital
Transformation Model
for Healthcare Insurance
Companies
11. Benefits
Customer
Satisfaction
Better Providers
Constant evaluation by
the policy holder
Provider rating
Support tools for
diagnosis and
therapeutic
Electronic Medical
records System
Efficiency on
payment terms Express payment
Agility in approval
process
Automated medical
opinion
Service Level for
Policy Holders
Information
Portability
Unified Electronic
Medical Record
Response times Optimal Service Level
Automated follow up
of loss
Collaboration through
platform, chatbot
Self service (healthcare
provider search,
reimbursements,
prescriptions and
approvals)
With Artificial Intelligence
and Machine Learning