From left: Stacey Halsall Peart, chief operating officer, AIS; Doug Halsall, chairman and CEO, AIS; Sean Scott, CEO, Canopy Insurance

New entrant to the group health and life insurance market, Canopy Insurance Limited, has partnered with technology firm Advanced Integrated Systems (AIS) to utilise its Provider Access System (PAS) that undertakes online, real time insurance claims adjudication.

Two weeks ago, GraceKennedy and the Musson Group announced a partnership that will see the two companies collaborating to enter the group health and life insurance market under the name Canopy Insurance Limited.

With the official start of the partnership between Canopy and AIS, the new insurance company has begun to recruit medical professionals to join its network.

“Canopy aims to deliver a hassle-free health insurance experience at every point of contact,” Sean Scott , CEO of Canopy Insurance Ltd, said via news release.

“This starts with making the claims process as frictionless as possible for the medical community. We chose AIS to ensure that Canopy claims would be seamlessly integrated into the medical community’s existing workflow, without the need for additional expenditure or new processes to learn.”

According to Douglas Halsall, chairman of AIS, Jamaica, is ahead of most countries and certainly the United States when it comes to online real time insurance adjudication.

“Years ago we examined the market and realised the difficulties evident in the continued use of paper claims,” Halsall said. “When mostly paper claims were used, there was no way of telling whether a patient has exhausted his/her insurance benefits. To fix the inefficiencies, we began the process of digitising the health insurance industry, allowing providers to submit claims online in real time, improving efficiency for the health insurance companies and providers, and increasing access for patients. So we started on the Provider Access System (PAS),”

http://www.jamaicaobserver.com/business-observer/canopy-uses-ais-technology-for-claims-processing_165369