health insurance consulting & medical administration services
About Us
PREMIA was founded by professionals with over 20 years experience in delivering health insurance specific consulting services, medical claims, medical auditing and specialised software in the health insurance and the health care sector.
Our team comprises industry experts with extensive experience in healthcare consulting, medical case management, claims management, and administration services, among others. We leverage our expertise to help clients achieve sustainable improvements in healthcare costs and patient care services.
At PREMIA, we are passionate about transforming the healthcare industry and improving patient outcomes while reducing costs. We understand the challenges and complexities of the industry, and we combine our expertise, knowledge, and experience to provide innovative solutions tailored to our clients' unique needs.
We work closely with our clients to understand their needs, goals, and challenges and co-create customized solutions that address their unique needs. Our commitment to client satisfaction is unwavering, and we take pride in building lasting relationships with our clients.
Our extensive relationships with leading healthcare organizations in both the private and public sectors are a testament to our commitment to delivering exceptional services and achieving positive outcomes. We remain dedicated to our vision of making affordable, better, and more consistent healthcare services possible for everyone.
At PREMIA, we will continue to work towards transforming the healthcare industry through the provision of innovative and sustainable solutions to our clients.
Currently, our practices perform services and audits for leading private insurance companies, by using SYSTHEMO, PREMIA's Health Auditing, Medical Case & Claims Management Health Insurance Software platform.
Our Approach
Today, healthcare organizations are facing more urgent challenges, ranging from increasing cost effectiveness to boosting quality of care. Our strategy work focuses on driving value. Whether we are supporting an insurance company or a public payor, we have a deep understanding of the complexities our clients face and can draw upon our long experience for best practices and key insights.
We help clients with our Smart Technology & optimised network for strategic advantage
Our auditing and claims management services are powered by our exclusive Health Insurance Software platform, a sophisticated integrated system that allows our clients to enhance analytic capability, manage costs and streamline medical review while maintaining efficient utilization of healthcare resources.
High Standards
Given that we transmit and store a large volume of medical and personal information in the course of providing our services, we are proud to announce that PREMIA’s Health Auditing, Medical Case & Claims Management Health Insurance Software is the only provider in this field of expertise in Romania that earned ISO 27001 certification. ISO 27001 is one of the most widely recognized, internationally accepted independent security standards. This certification, along with ISO 9001, ISO 22301, ISO 22313, and ISO 20000-1, helps assure our clients that PREMIA is committed to the provision of highest quality Third Party Administrator services with ongoing development and maintenance of a robust Information Security Management System (ISMS).
Functional Expertise
PREMIA supports its customers with highly experienced and professional teams that deliver medical care management solutions. The company currently employs people with specialized backgrounds in the health insurance the health care field, from board certified medical physicians in a variety of specialisations, to claim examiners with experience in claims, managed care administration, caring customer service and administrative staff representatives, PREMIA is able to provide a wide array of knowledge and best practices regarding cost reduction, avoidance of supplier induced demand, and improvement of their patient care services quality.
Our team comprises industry experts with extensive experience in healthcare consulting, medical case management, claims management, and administration services, among others. We leverage our expertise to help clients achieve sustainable improvements in healthcare costs and patient care services.
At PREMIA, we are passionate about transforming the healthcare industry and improving patient outcomes while reducing costs. We understand the challenges and complexities of the industry, and we combine our expertise, knowledge, and experience to provide innovative solutions tailored to our clients' unique needs.
We work closely with our clients to understand their needs, goals, and challenges and co-create customized solutions that address their unique needs. Our commitment to client satisfaction is unwavering, and we take pride in building lasting relationships with our clients.
Our extensive relationships with leading healthcare organizations in both the private and public sectors are a testament to our commitment to delivering exceptional services and achieving positive outcomes. We remain dedicated to our vision of making affordable, better, and more consistent healthcare services possible for everyone.
At PREMIA, we will continue to work towards transforming the healthcare industry through the provision of innovative and sustainable solutions to our clients.
Currently, our practices perform services and audits for leading private insurance companies, by using SYSTHEMO, PREMIA's Health Auditing, Medical Case & Claims Management Health Insurance Software platform.
Our Approach
Today, healthcare organizations are facing more urgent challenges, ranging from increasing cost effectiveness to boosting quality of care. Our strategy work focuses on driving value. Whether we are supporting an insurance company or a public payor, we have a deep understanding of the complexities our clients face and can draw upon our long experience for best practices and key insights.
We help clients with our Smart Technology & optimised network for strategic advantage
Our auditing and claims management services are powered by our exclusive Health Insurance Software platform, a sophisticated integrated system that allows our clients to enhance analytic capability, manage costs and streamline medical review while maintaining efficient utilization of healthcare resources.
High Standards
Given that we transmit and store a large volume of medical and personal information in the course of providing our services, we are proud to announce that PREMIA’s Health Auditing, Medical Case & Claims Management Health Insurance Software is the only provider in this field of expertise in Romania that earned ISO 27001 certification. ISO 27001 is one of the most widely recognized, internationally accepted independent security standards. This certification, along with ISO 9001, ISO 22301, ISO 22313, and ISO 20000-1, helps assure our clients that PREMIA is committed to the provision of highest quality Third Party Administrator services with ongoing development and maintenance of a robust Information Security Management System (ISMS).
Functional Expertise
PREMIA supports its customers with highly experienced and professional teams that deliver medical care management solutions. The company currently employs people with specialized backgrounds in the health insurance the health care field, from board certified medical physicians in a variety of specialisations, to claim examiners with experience in claims, managed care administration, caring customer service and administrative staff representatives, PREMIA is able to provide a wide array of knowledge and best practices regarding cost reduction, avoidance of supplier induced demand, and improvement of their patient care services quality.
Our Services
HEALTH INSURANCE CONSULTING
Industry - focused comprehensive consulting services within the insurance and health care sector
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REAL TIME AUDITING & COST CONTAINMENT
Medical best practices to evaluate and assess the risk
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"The most experienced insurance consulting, medical auditing & medical case management services in the area."
"Professional advices & services that can save you time and money."
"Marketing experience that counts when trying to reach your customer base."