01 / Solution
Healthcare Administration
Connect membership, benefits, claims and provider information around your organisation’s operating requirements.
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Smartchoice Health Administration Suite
Healthcare administration,
Healthcare administration,
without the chaos.
Connect fragmented claims, member information, and provider workflows into a synchronised hub designed to cut turnaround times and eliminate administrative headaches.
Engineered for Operational Scale. Auditable by Design.
Built for New Regulatory Realities
Managing healthcare claims and provider networks requires more than speed—it demands absolute procedural fairness and legislative rigor. The Smartchoice suite unites intelligent adjudication, provider contracting, member engagement, and proactive claims controls into an auditable, cloud-native engine. Purpose-built to navigate the stringent compliance mandates highlighted by the Council for Medical Schemes (CMS) Section 59 Investigation, Smartchoice equips schemes and administrators with transparent, defensible, and unbiased administration infrastructure.
01 / Solution
02 / Solution
Smartchoice Claims
Coordinate validation, pricing, benefit assessment and exception review with Smartchoice Claims.
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03 / Solution
Smartchoice Provider Management
Maintain practitioner, practice, facility and network information for use across administration teams.
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04 / Solution
Smartchoice Member Service
Record enquiries, connect relevant information and route follow-up work through to resolution.
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05 / Solution
Smartchoice Exchange
Identify avoidable errors early and support clear provider responses before claims assessment.
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06 / Solution
Claims Controls & Payment Integrity
Apply validation, duplicate checks and structured review across selected suite components.
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Proactive claims controls
Resolve errors before they become bigger problems.
Smartchoice Exchange brings validation to the point of submission. Combined with provider information and agreed response workflows, it helps teams explain discrepancies and support correction before unnecessary escalation.
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Identify
Check the incoming transaction.
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Explain
Make the issue clear.
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Resolve
Support correction and review.
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Progress
Pass accepted data for assessment.
Local delivery
From requirements to everyday use.
Guided implementation
Configuration, migration, testing and training around an agreed delivery plan.
Cloud deployment planning
Assess hosting, access, resilience and integration requirements for your selected solution.
Ongoing support
Coordinate queries, technical issues and planned updates through agreed support arrangements.
Start a conversation
Discuss your requirements
Let’s work through your priorities.
Tell us about your organisation, current systems and the workflows you want to improve.
The Smartchoice Health Administration Suite incorporates underlying Invidasys technology. Invidasys retains its background intellectual property. Rights in Smartchoice-specific and jointly developed components are governed by the applicable agreements.
Support everyday administration
Practical improvements around your priorities.
Reduce Administrative Costs
Less rework. More productive teams.
Configurable workflows and connected information help reduce manual processing, duplicate data capture and avoidable administration costs.
Accelerate Claims Processing
Keep claims moving.
Automated validation and benefit assessment help teams process claims efficiently, resolve exceptions and prepare payments.
Strengthen Claims Controls
Spot issues earlier.
Configurable rules and duplicate checks help identify inconsistencies and flag claims for further review before payment.
Improve Member and Provider Service
Clearer information. Better responses.
Connected membership, provider and claims information helps service teams answer enquiries accurately and follow requests through to resolution.