Building the Digital Backbone for a Health Tech Giant

TPA & CLINIC GROUP
HONG KONGEnterprise

Client Background

A major health technology player in Hong Kong managing a vast network of clinics and insurance partnerships. They required a robust infrastructure to bridge the gap between clinical operations and payer logic.

The Challenge

Facing operation bottlenecks

The client was operating on fragmented legacy systems where clinic management and insurance claims were completely disconnected. Manual data entry for claims led to high rejection rates, slow processing times, and frustrated clinicians who were spending more time on admin than care.
The Solution

Unifying the entire ecosystem

Operations Engine

Implemented a scalable backend to manage clinic workflows and scheduling across the network.

Clinical Core

Deployed a unified EHR that seamlessly connects with the most used clinic software in HK via API.

Finance & Insurance

Built an internal Payer System with a native Product Builder, Policy Management, and an Auto-Adjudication Engine to process claims instantly.

Patient Engagement

Launched a unified digital front door to streamline booking and improve the overall patient experience.

"Mazecare built us a custom management system that fits our complex workflows perfectly. EMR, billing, and scheduling all work seamlessly together. Patient visits are shorter, claim acceptance improved, and our clinicians actually love using it."

— Chief Operating Officer

The Impact

Measurable operational success

01

Operations

60% reduction in administrative workload due to automated workflows.

02

Finance

Significant cost savings achieved by replacing inefficient legacy systems with modern cloud infrastructure.

03

Clinical

Seamless connectivity ensured that patient data flowed correctly for accurate adjudication.

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