Gerome Vizmanos is showing hospitals and medical care providers
in his native country how to bridge the gap (Pacific Ocean) with
U.S. insurance companies that will have major ramifications on
the Philippine healthcare system. Traditionally a cash-only
system that precluded American expatriates from using their
insurance, Philippine companies are now considering the
electronic system that increases payment time from months to a
week.
The impact is multi-fold -- Americans gain healthcare under
their coverage. Philippine medical facilities will make more
money to retain doctors and nurses now leaving for lucrative
offers in the Middle East and United States. Increased funding
will also expand medical care to Filipinos, especially those
living in remote areas of the 7,107 islands that must travel a
day or more to reach a clinic.
It's a win-win-win-win-win situation.
"I have an engine out there that's ready to take off," Vizmanos
said. "My first mission is to help the Philippines to solve a
problem, but since using ClaimTek's software and staff, there's
no reason why it can't help other companies."
Vizmanos, 34, a Filipino national who grew up in California and
earned an economics degree from DePaul University in Chicago,
created the plan last year after his father died in the
Philippines when unable to use U.S. health insurance covered by
Stanford University where he worked 20 years.
"The hospital didn't know how to process insurance," Vizmanos
said. "Their attitude was 'We're a private organization and not
for charity.' It's a cash-basis system. You have a ton of U.S.
citizens that want to retire in the Philippines, but their main
concern is what happens to them in case of a medical emergency?
Do they accept insurance? How much do these procedures cost?"
Vizmanos' Reliant Medical Claims Processing with offices in the
Philippines and California acts as the middle man between health
care providers and insurance companies. Currently, there is no
one doing so. While Filipino companies may be cautious in a
country with no insurance plans, higher payments should dissolve
the distrust.
"We're trying to position ourselves to act as the guarantor [of
payment]," Vizmanos said. "I can see why hospitals wouldn't even
attempt it. It would take two weeks alone to get the invoice to
America, but now with technologies everything can be done real
time. You can submit everything electronically."
With a 13-hour time difference from the U.S. east coast and 16
hours from the west coast, Vizmanos said having offices in both
countries will better resolve disputes or confusion over claims.
And while 95.4 percent of 87 million Filipinos speak English,
different coding systems must be hurdled. Vizmanos uses a
voiceover IP computer program to communicate between countries
without costly telephone charges.
"We can be that layer of translation for a different coding
system," Vizmanos said.
Vizmanos' plan is modeled after the recent surge of medical
transcription services provided for U.S. companies by Filipinos.
One company grew from three to 50 employees in one year while
another reached 100 within two years.
"It can get really big, really fast, Vizmanos said.
Of course, Vizmanos needed a software program and training to
fuel his company. ClaimTek Systems (claimtek.com) was his choice
after meeting with president Kyle Farhat. The software's ease is
essential to satisfying a quick demand.
"Even someone not from the industry can understand the software
and teach it to a staff," Vizmanos said. "The support from Kyle
-- every benefit he sold with the software package has surpassed
my expectations."
Vizmanos is also talking with Philippine government officials
over the spillover benefits of electronic medical claims. For
instance, it can increase "medical tourism" that is becoming
increasingly popular in the Pacific rim. Many Americans are
getting procedures for a fraction of the cost by American
healthcare providers.
"The government will look at numbers. Companies like Kyle's will
help," Vizmanos said. "Doctors in the U.S. who are Filipino
descendants will approach the hospitals, too. It won't happen
overnight."
But it's another step to going global.