Manage subscriptions
Work with Premier Care, Comfort Plan, group subscriptions, pending subscriptions, and member verification queues.
Health insurance operations for subscriptions, payments, claims, and support.
PHI365 gives insurance teams one workspace for policy subscriptions, payment tracking, claims review, customer support, agents, providers, payouts, reports, and live operational monitoring.
Member-first
Policy records, renewals, group plans, pending accounts, and verification work.
Claims-ready
Claims registers, coverage checks, evidence, review decisions, and status history.
Finance-aware
Transactions, mobile money channels, commissions, settlements, and reports.
Dashboard metrics
Active policy view
Subscriptions, pending accounts, agents, branches, brokers, and providers.
Claims review
Decision captured
Status, approved amount, notes, pre-authorization, and reviewer history.
An operating layer for health insurance teams.
PHI365 brings subscriptions, payment exceptions, claims, support, reports, payouts, settings, notifications, and live views into one role-aware workspace.
Track payments
Monitor transactions, payment status, mobile money channels, failed payments, manual transactions, and outstanding balances.
Review claims
Manage claims registers, coverage checks, tariff checks, evidence, decisions, pre-authorizations, and status history.
Run operations
Use the operations center, live view, notifications, reports, AI assistant, agents, facilities, branches, and role permissions.
Claims screens for review, coverage checks, evidence, and decisions.
PHI365 gives claims teams a workbench for reviewing submissions, checking policy coverage, recording approved amounts, adding decision notes, and tracking claim status history.
Claims requiring approval
12 pendingPHI-53820 | Inpatient admissionProvider: Trust Hospital | Claimed: GHS 4,850
PHI-42177 | DiagnosticsProvider: City Lab | Claimed: GHS 920
PHI-61904 | Pharmacy benefitProvider: East Legon Pharmacy | Claimed: GHS 310
Actual modules for subscriptions, teams, channels, and reporting.
The app includes dedicated areas for policy subscriptions, groups, auto deductions, verifications, support, facilities, agents, brokers, branches, products, payouts, and reports.
Subscription management
Manage Premier Care, Comfort Plan, group subscriptions, pending subscriptions, policies, balances, activation, termination, and validation workflows.
Agents, brokers, and facilities
Manage Premier Care agents, healthcare agents, brokers, service providers, branches, and product setup through admin screens.
Transactions and payouts
Track payment transactions, auto-deduction mandates, commissions, settlement queues, payout exceptions, and payment follow-ups.
Reports and live monitoring
Use transaction, subscriber, policy, SMS, branch performance reports, live view, notifications, and the PHI365 AI assistant.
Built for controlled insurance operations.
PHI365 keeps operational workflows governed with secure login, user roles, role permissions, technical administration, notifications, and traceable review records.
Secure portal access
Login remains protected while public visitors explore the platform story first.
Role-based controls
Separate admin, manager, support, claims, agent, provider, finance, and reporting responsibilities through role permissions.
Decision records
Capture claim statuses, approved amounts, decision reasons, pre-authorization references, reviewers, and history.
Ready to run insurance operations from one workspace?
Use PHI365 for subscriptions, transactions, claims, support, payouts, reporting, agents, facilities, roles, notifications, and live monitoring.
