Reduce Costs
Delivering Measurable Impact
Streamlined processes and automated workflows lower administrative overheads and improve financial efficiency.
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Transforming Healthcare AdministrationDelivering modern, cloud-enabled systems that streamline claims and improve performance. -
Global Technology, Delivered LocallyIntegrating proven international platforms with South African expertise and implementation. -
Technology with PurposeCreating sustainable value through local delivery, skills development and real-world impact.
Accelerate Claims
Real Value. Real Results.
Modern digital platforms speed up claims adjudication and provider payments, improving service delivery.
Strengthen Fraud Control
Driving Performance and Outcomes
Advanced rules engines and data-driven insights enhance detection, prevention and risk management.
Improve Experience
Where Innovation Meets Performance
Better accuracy and communication enhance the experience for members, providers and administrators.
Our Solutions
Health Plans - Administration
Streamlining Healthcare Administration
Smartchoice Technology delivers intelligent, cloud-enabled automation that simplifies complexity and drives measurable performance improvements across your operations.
- 40–60% faster claims turnaround
- 30–50% reduction in administrative errors
- Up to 25% lower operational costs
- More than 20-point increase in member satisfaction
Why Leading Healthcare Organisations Choose Us
See How It Works
Claims Administration
Claims Management: Smarter Processing, Lower Costs
South African medical schemes face a perfect storm: rising operational costs and members demanding faster, more transparent service. Legacy claims systems simply can’t keep up – they’re plagued by:
- Painfully slow processing – manual workflows adding days to approvals
Our modern claims solution delivers:
- 40-60% faster processing through intelligent automation
- 30% fewer errors with built-in validation checks
Managed Care
Smart, Scalable Healthcare Management That Works Ahead of the Curve
Smartchoice Technology's Managed Care platform transforms reactive healthcare administration into proactive patient management. By combining intelligent automation with clinical insights, we help organisations:
- Spot at-risk members earlier through AI-driven stratification
- Reduce unnecessary costs by up to 30% with targeted interventions
- Simplify complex workflows from case intake to care coordination
Customer Service
Orion: Smarter Tools for Faster Resolutions
Orion gives your team instant access to everything they need - member details, claims history, and benefit information - all in one intuitive dashboard. The result?
- 30% shorter calls - Find information in 2 clicks instead of 20
- Higher accuracy - Always working with complete, up-to-date records
- Reduced frustration - For both your staff and members
Portals
PASSPORT: The Smart Bridge for Healthcare Integration
As PLEXIS’s authorised partner in South Africa, Smartchoice delivers Passport Connectivity Services – the seamless digital bridge between your PLEXIS core and the entire healthcare ecosystem.
Why It Matters for Your Organisation
- Real-time data flow between systems, eliminating manual entry
- 45% faster processing for high-volume claims batches
- Secure interoperability that meets POPIA and ICD-10 requirements
- One connection point for all third-party apps and internal tools
Request a Callback
If you would like to speak to us regarding a general query, fill out the form below, and we will get back to you within the same working day.
Why Work with Us?
Fast, Smooth Implementation
We get you up and running quickly with minimal disruption.
Strong Project Leadership
We manage every detail — from kickoff to go-live — with total transparency.
High-Impact Features First
We prioritise the tools that deliver immediate value to your team.
Technology That Adapts to You
Powered by Invidasys and InfoMC, configured by Smartchoice — built around your workflows.
Training That Empowers
Your team gains the skills to manage and optimise the platform independently.
Support That Never Stops
Local experts who understand healthcare, ready when you need them.