Provider Management
Best Care administrators manage companies, healthcare providers, benefit plans, claims, payments, settlements, users and system settings from one platform.
Products / Best Care
Best Care. One connected healthcare journey.
A complete healthcare benefits and third-party administrator (TPA) management platform connecting employers, employees, dependents, clinics, hospitals, pharmacies and the Best Care administration team.
Best CareConnected healthcare benefits
Companies
Members
One care journeyEligibility · Benefits · Claims
Clinics
Hospitals
Pharmacies
EnrollmentTreatmentSettlement
Platform overview · Illustrative workflow
Connected from start to finish
From enrollment to provider settlement.
Bring benefit-plan configuration, patient treatment, claims processing and financial operations into one connected platform.
- 1
Enroll & configure
Set up companies, employees and dependents, then assign benefit plans and coverage rules.
- 2
Verify & treat
Check patient eligibility and balances, then record visits, admissions, treatment and medicines.
- 3
Submit & review
Submit claims with supporting documents and track review, approval, return or rejection.
- 4
Bill & settle
Manage invoices, provider payments and reconciliation, with reports across the care journey.
Complete platform capabilities
Every part of healthcare benefits, connected.
Fifteen integrated areas support the people, providers and administration behind each care journey.
Company Management
Companies manage their profile, departments, cost centres, employees, dependents, benefit plans, invoices, spending, reports and company users.
Employee and Dependent Management
Add or import employees and manage their dependents. Control eligibility, coverage dates, membership status and benefit balances.
Dynamic Benefit Plans
Select or customise healthcare plans with individual limits, shared family amounts, dependent limits, age rules, department assignments and other flexible conditions.
Digital Member Access
Employees can view their digital medical card, dependents, active plan, available balance, clinic network, visits, claims, documents and notifications.
Clinic Management
Manage patients, visits, doctors, operating hours, diagnosis, treatments, medicines, documents, eligibility checks and claim submissions.
Hospital Management
Manage admissions, authorizations, doctors, treatments, discharge details, medical documents, inpatient claims, billing and settlements.
Pharmacy and Inventory
Manage medicine catalogs, clinic or pharmacy stock, dispensing, batch information, expiry dates, prices and stock movements.
Patient Eligibility
Clinics and hospitals can verify coverage, applicable benefits, available balance, required co-payment and authorization conditions.
Patient Visits
Register visits and record the doctor, diagnosis, treatment, medicine, charges, documents and follow-up information.
Claims Management
Clinics, hospitals, pharmacies, employees and dependents can submit claims. Best Care reviews, approves, rejects, returns and tracks each claim.
Finance and Settlements
Support prepaid, postpaid and hybrid funding. Manage company wallets, invoices, provider payments, settlements, adjustments and financial reconciliation.
Reports and Dashboard
Each organisation receives its own dashboard and reports for membership, visits, claims, utilization, spending, invoices, payments and operational performance.
Users and Security
Role-based access for administration, company, clinic and hospital users. Users see only the menus, actions and organisation data they are authorised to access.
Audit and Compliance
Important changes, approvals, medical-record access, financial activity and user actions are securely recorded to support auditing and compliance.
Built around every participant
The right workspace for each organisation.
Best Care administration
Oversee the provider network, benefit plans, claim decisions, payments and platform settings.
Employers & members
Companies manage membership and spending. Employees access their medical card, benefits, dependents and claims.
Healthcare providers
Clinics, hospitals and pharmacies connect eligibility, treatment, dispensing, claims and settlement workflows.
Request a demo
See Best Care for your organisation.
Explore your membership structure, benefit rules, provider workflows and funding model with our team.
Who is Best Care for?
Best Care connects healthcare benefits administrators, employers, employees, dependents, clinics, hospitals and pharmacies.
Can plans cover employees and their families?
Yes. Plans support individual and shared family amounts, dependent limits, age rules and department assignments, with eligibility and coverage dates.
Which funding models are supported?
Best Care supports prepaid, postpaid and hybrid funding, including company wallets, invoices, provider payments, settlements and reconciliation.
How is access organised?
Role-based access limits menus, actions and organisation data to authorised users. Important changes, approvals, record access and financial activity are recorded for auditing.