MEDNETSERVICE PROPOSITION

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Commercial Department

This presentation provides a brief outline of the MedNet Global Healthcare Services LLC structured solution and it is not in

any way an offer/proposal to DIC. An offer/ proposal can only be provided to DIC after MedNet undertakes due diligence and

internal approvals.

The information contained herein is provided to you on a strictly confidential basis and you agree that it may not be copied,

reproduced or otherwise shared/distributed by you (other than to your professional advisors) without MedNet’s prior written

consent.

MedNet Global Healthcare Solutions LLC, Insurance Authority Registration No.: REG000011201, ADED Commercial License

No: CN-2149549 / TRN: 100222352500003. P.O. Box 35899, AYA Business Centre, Hamdan Street, Abu Dhabi – UAE

Compliance teamMEDNET

DISCLAIMER

MedNetJordan, KSA

Gulf

MedNetInternational

Beirut

1990 1995 1996 2005 2013 2015

STORY OF MEDNET

MedNet Bahrain

MedNetEgypt

MedNetUAE

MedNetOman

500 + MedNet employees manage a portfolio of over 1 million members across the region

205 2013 2015

MEDNET’S VALUE CHAIN

Proprietary administration and medical management solution

Established footprints in ME emerging markets (Egypt, Jordan, Saudi Arabia, UAE,

Bahrain, Oman, Kurdistan, Kuwait) and Europe (Greece, Cyprus ,Romania)

Sound technical capabilities across the complete value chain of health insurance

administration.

Cost-effective comprehensive medical network

Digitalized automation solutions (e.g. digital provider interface, digital policy &

premium administration and billing tool, rule engine etc.)

Full range of high-quality customer services for outstanding customer experience

State-of-the-art specialized health IT system for primary health insurance

(MedNext) – comprehensive and integrated system for

administration/management

ACKNOWLEDGEMENTOVER THE YEARS

POLICYADMINISTRATION

POLICYMANAGEMENT

Digitalized interface between all stakeholders

Functionalities

Member data collection and validation

Endorsements

Dashboards

Traditional: On email and coordinated between, Insured Group, Broker, Insurer,

MN

Digital Client Portal :A web-based digital system that provides an error-free user-

friendly mechanism to collect, validate and approve member data for card

printing.

TURN AROUND TIME (TAT)

01 02 03

1 to 5 Working days(subject to receive complete information)

New Policy set up

Outside client portal 3 Working daysClient Portal 1.5 working days

Endorsement validation

5 Working days

Renewal Policy validation

MEDICALMANAGEMENT & PRE-APPROVAL

Out-Patient

• Digital upload through DHPO / MNC.

• Pre-approvals for selected OP services and limit based benefits (Dental,

Physiotherapy,

• Vaccinations)

• Authorized in less than 30 minutes for online portal transactions

• Manual Approvals:

• Approval requests are exchanged through the manual route and responded

within TAT of 6 hours

• Digital upload through DHPO / MNC.

• Pre-approvals for all IP admissions and day care

hospitalizations.

• Authorized verbally for emergencies and within 24 hours

for elective cases.

• Elective cases: 1 working day after receipt of request at

TPA or 24 hours before scheduled appointment, whichever

is earlier.

• Emergency cases: Do not need prior-approval; Approval

(network Providers 24 hours before discharge or within 48

hours of admission, whichever is earlier )

• Emergency treatment : GOP and coverage

confirmation within one working day

• Elective treatment requested by members or

referred by MN : 5 working days from initial

notification.

In-Patient ( All Elective In-patient

treatment need approval)

PRE- AUTHORIZATION

I n t e r n a t i o n a l C l a i m s

PRIORAPPROVAL PROTOCOL – OUT-PATIENT→ No approval threshold

→ Approval restricted to following conditions

→ TAT of 30 Minutes

Ad

va

nce

d R

ad

iolo

gy

/in

va

siv

e A

sse

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t

• MRI’s

• CT scans

• Endoscopies

• Nuclear Studies

• Nerve / Muscle Studies

• Biopsies

Ad

va

nce

d C

ard

iov

asc

ula

r A

sse

ssm

en

t

• Echo

• Stress Test

• Doppler Study L

imit

Ba

sed

Be

ne

fits

• Dental

• Physiotherapy

• Vaccination

• Alternative Medicine

• Optical

Scr

ee

nin

g P

rofi

les

• Allergen Test

• Vitamin D Test

• Mammogram

• All Hospitalizations

• Day Care Admissions

RESPONSE

TIME

97% responded within

10 minutes

RESPONSE

TIME

97% responded within

10 minutes

RESPONSE

TIME

97% responded within

10 minutes

PHARMACYBENEFITS MANAGEMENT (PBM)

• 70% approval < 1 minute

• 95% approval < 5 mins

• 98% approvals < 10 minutes

TAT

Prior Authorization

Policy Eligibility Check (member,

provider & benefit eligibility)

MEDICAL MANAGEMENT ELEMENTS

Policy Eligibility Check (member,

provider & benefit eligibility)

Policy Eligibility Check (member,

provider & benefit eligibility)

Case Management/second medical Opinion

Peer Review (prior to service)

Concurrent Review (during the service)

Retrospective Review (after the

service)

Fraud andAbuse Management

Fraud & Abuse Identification through

various mechanisms deployed in MedNet

In depth analysis of

identified trends

Audit & Action against abusive

provider/member

NETWORK& PROVIDER RELATIONS

Kuwait 123

Egypt 2500+

Saudi Arabia 2000+

Bahrain 331

Greece 185

Jordan 1,063

International Network Access

Qatar 300

UAE 3000+

Oman 340

UAE 3000+

Oman 340

Bahrain 331

Qatar 300Kuwait 123

Saudi Arabia 2000+

Cyprus 36Jordan 1063

Egypt 2500+

Germany 30UK 483

France 175

Spain 135

USA 30,000+

Angola 26

Nigeria 182

Ghana 110

Kenya 64

Congo 97

South Africa 1,191

Turkey 35Lebanon 404

China 350

Pakistan 425

India 3,081

Philippines 4

Greece 186

Cyprus 36

MEDNET NETWORK UAE

Green NW Provider Silver Classic Provider Silver Premium Provider

Gold NW Member2862 Providers

Silver Premium Member2727 Providers

Gold NW Provider

Silver Classic Member2366 Providers

Green NW Member2261 Providers

Silk Road NW Member2082 Providers

EBP NW Member1100 Providers

460 Dental NW for all eligible members

DUBAI

46.4%

ABU DHABI

26.4%

SHARJAH

16.4%

AJMAN

4.2%

RAS AL KHAIMAH

3.8%

UMM AL QUWAIN

0.7%

PHARMACY

53.7%

CLINIC

38.6%

HOSPITAL

5.5%

DIAGNOSTICS

2.2%

NETWORK PROVIDER DISTRIBUTION IN THE UAE

INTERNATIONALNETWORK ACCESS Out-patient & In-patient access

• U.A.E 3000+ Providers

• Oman 340 Providers

• Bahrain 300+ Providers

• Qatar 300 Providers

• Kuwait 123 Provider

• Jordan 1000+ Providers

• Egypt 2500+ Providers

• Greece: 185 Providers

• KSA: 2000+ Providers

• Africa 2,222 Providers across Africa, including SA, Kenya, Nigeria

Out-patient & In-patient1 access

In-patient only access

➢ These are countries where MN has direct contracts with Hospitals due to its local presence, hence cashless access can be obtained by showing MN’s card for both OP and IP services

➢ Africa: is a rented network and will require co-branding with MN’s local partner

INTERNATIONALNETWORK ACCESS In-patient only access

• United States > 30,000 Providers

• Europe 2000+ Providers

• Pakistan 425 Providers

• India 5610 Providers

• Philippines 450 Providers

• Sri Lanka 38 Providers

• Thailand 1433 Providers

Out-patient & In-patient1 access

In-patient only access

• Nepal 2 Providers

• Turkey 35 Providers

• China 726 Providers

• Singapore 1555 Providers

• SE Asia 4500+ Providers

• Latin America 1000+

Providers

➢ Direct access in these countries is facilitated by partner companies via a Guarantee of Payment (GoP) basis where a Member is granted Network access by a provider based on a payment guarantee issued by MedNet or by a Network access partner on behalf of MedNet

MEMBER’S EXPERIENCE JOURNEY

Oman

Bahrain

Qatar

Kuwait

Jordan

Egypt

KSA

All other countries on

international access on

+971 4 3900749

AVAILABLE 24/7 OUR TEAM IS HERE FOR YOU!

Languages

English

Arabic

Hindi

Tagalog

Professional Local lines in UAE Toll free access

Nurses

Physiotherapists

Pharmacists

8004882

REIMBURSEMENT (CASH) CLAIMS

Any claim incurred (services taken) outside eligible Network

Provider and paid in cash by the insured member will be

reimbursed based on terms and conditions of coverage specified

under the policy.

Various method of submission

Website

Mobile app

Email

Rembeirsumentcash (claims)

MEMBER EMPOWERMENT:EMAIL RECEIPT ON

1-Claims Receipt

2-Claims Processing complete + Claims bordereau

3-Claims Payment under process

4-Claim paid with details

MOBILE ENABLED

1-Anytime, anywhere submission of claims

2-Real time tracking of claim status

Claims processing TAT: 3 to 5 days

Claims settlement TAT: Within 5 working days from

Receipt to Payment

Incomplete Claims Management : Member contacted directly in 2 working days, with Insurer/Payer on copy

Member

registration

Overview of the

member information

Locate nearest

eligible Network

Provider

Policy

details

Submit a Claim:

allows you to submit

a reimbursement

claim via mobile app

Contact us

MOBILE APP FEATURESKey functions of the mobile App

My Claims:

allows you to

view previously

utilized claims

My authorizations:

allows you to check

the status of

your authorizations

Available 24/7 in English and Arabic and

current services include:

• COVID-19 Info Hub

• Authorization Status

• Submit a Complaint

• E-card

• Locate Provider

• Table of Benefits

• Chatting platform with our agent

• And much more..

MEDNET’S VIRTUAL ASSISTANT

•With one click: medications delivery

service to the doorstep

• Confirmation and delivery details on

SMS

• Available all over the UAE through

our virtual assistant.

RAHTAK: MEDNET’S ONLINE MEDICATION DELIVERY SOLUTION

PRE-APPROVALAUTHORIZATION CHECKER

Allows member to track

their medical approval

requests.

All cases are justified

by comments with

transparency

Allow our member to

call/chat with our agent for

any rejected/partially

approved service .

• Non covered service

• Optical

• Dental

• Allergy testing

• Flu shots

• Health and fitness centers

• Dermatology and cosmetics …

MEDNET EXCLUSIVE MEMBER DISCOUNTS AND OFFERINGSValid till 31st December 2021

ask for more details

THANK YOU!

Follow us on: WhatsApp +971 800 4882

OUR PROMISE!We operate round-the-clock helpline, 365-days-a-year, which offers

real-time access, on telephone, email, facsimile to our team of

experienced, qualified and multi-lingual healthcare professionals.

International Phone: +971 4 2757800

Email: customerservice@mednet.com