Wise Medical
Wise Medical Services is a Yemeni company specializing in Health and Life Insurance Administration for corporations and organizations. We provide a fully integrated administrative system covering policy management, medical network coordination, claims processing, authorizations, and medical auditing. Our solutions help clients reduce costs, enhance care quality, and improve employee satisfaction through evidence-based, transparent, and efficient administration.
In addition to our core insurance administration services, Wise also offers supporting healthcare solutions, including medical product marketing and distribution, representing reputable global brands through our office and warehousing facilities in Aden.
With a blend of administrative expertise and operational capability, Wise Medical Services delivers reliable, high-quality, and responsive healthcare solutions tailored to organizational needs.
Insurance Management services
Wise Medical Services adopts a knowledge-based practice and evidence-based administrative approach, and strongly upholds the principle that “Health is a Sustainable Investment.”
Through its comprehensive health insurance administration programs, Wise ensures that all enrolled members receive appropriate, high-quality medical care delivered with the highest standards of accuracy, transparency, and professional oversight.
We maintains an extensive network of healthcare providers, including hospitals, medical centers, clinics, diagnostic facilities, and pharmacies, all carefully selected based on strict professional criteria. Wise operates a structured Network Management System designed to ensure the empanelment of qualified and reliable providers who meet the needs of enrolled members in terms of quality, specialization, and service standards.
PRIOR AUTHORIZATION AND CLAIMS MANAGEMENT
We operates an advanced proprietary technology platform designed to optimize claims processing, reduce turnaround time, minimize paperwork, and ensure precise validation making the entire claims experience smooth and hassle-free for all stakeholders.
AUDITING – FRAUD, WASTE & ABUSE
We employs an integrated medical auditing framework designed to safeguard financial resources and ensure full compliance with healthcare standards. Our auditing approach operates through two primary mechanisms: Offsite Audit and Onsite Audit, both conducted by a highly qualified team of medical auditors and certified coders.
HEAlTHCARE NETWORK PROVIDER
In Wise Medical Services, we have multiple sourcing so we will not be overly reliant on a single supplier. If one of your vendors is frequently experiencing supply chain disruptions that are affecting your project.
Multiple Sourcing of supply
At Wise Medical, our sales specialists are customer service focused and product savvy. Our performance driven culture ensures clarity of expectations and rewards for individual and team success. Ambitious proactive Sales Specialists are encouraged to advance themselves within the organization.
Sales Specialists
We help you make the changes that allow for smaller quantities of materials to move in and out of your facilities, delivering materials to specific work cells to meet manufacturing schedules.
Delivery and Distribution
Professionalism
Highly qualified and experienced staff who can assist and guide you throughout your treatment journey.
Communication
Our 24/7 Customer care team Communicate with patients/insured members frequently or as needed and in a way that’s convenient for you.
Quality Service
We ensure our services are as par with International standards through AI based process monitoring mechanism.
Customer Support
Our highly professional multilingual call center team is there to support you with all your needs.