develop and maintain funding guidelines for use by Hospital Benefit Management teams. Assess the clinical documents to pre-authorisation, case management and hospital audit functions of HBM. Draft detailed, option-specific Healthcare service within the average length of hospital stay per beneficiary Delivering a cost-effective expenditure per beneficiary per month for hospitalization should be less than the budget benefit expenditure
of PMB applications for members in and out of hospital. Approval of referred PMB applications. Management
of PMB applications for members in and out of hospital. Approval of referred PMB applications. Management
(i.e. claims, finance, membership, manage health care etc.), respond to queries, and resolve and escalate