Run a Smarter, AI-Powered HMO with OctoHealth ERP
Transform your operations with one intelligent platform that automates underwriting, claims, authorizations, and pharmacy benefits in real time
What Feature Interest You?
Trusted by Top HMO Organizations.
The OctoHealth Solution
OctoHealth ERP unifies every part of your health insurance business into one secure, data-driven system. Powered by AI, it streamlines workflows, enhances accuracy, and delivers insights that drive smarter, faster decisions.
1
Automated, AI-Driven Claims Adjudication
Cut manual work and process claims in record time with intelligent, rules-based automation.
2
Real-Time Synchronization Across Departments
Keep underwriting, claims, and care perfectly aligned with instant system updates. No delays, no data silos.
3
Audit-Ready Reporting, Instantly
Generate compliant, regulator-ready reports in seconds and glide through audits with confidence.
4
Unified Provider & Member Management
Manage providers, members, authorizations, and payments from one intelligent, connected platform.
5
Custom Dashboards for Smarter Decisions
See the story behind your data. Track KPIs, surface trends, and act with precision.
6
Modular by Design, Scalable by Nature
Start with what you need today and expand effortlessly as your organization grows.
Purpose-Built for Smarter Health Insurance Operations
Every OctoHealth module is intelligently designed to streamline even the most complex workflows
Mobile App
Empower members with iOS and Android apps for provider search, digital ID cards, reimbursements, feedback, and real-time claim updates.
Claims Automation.
Process claims faster and more accurately with AI-powered validation, fraud detection, and policy-based adjudication.
Member Management.
Onboard, enroll, and manage members seamlessly with full visibility into benefits, dependents, renewals, and utilization patterns.
Pre-Authorizations
Simplify approvals through automated rules, digital documentation, and real-time authorization tracking.
Provider Management.
Digitally manage contracts, monitor performance, and maintain a dynamic provider directory with live tariffs and payments.
Pharmacy & Chronic Care
Automate prescription refills, approvals, and pharmacy claims while tracking adherence and optimizing chronic care management.
Underwriting & Plan Configuration.
Configure complex products in minutes — define benefits, limits, exclusions, and pricing rules across all plan types.
CRM & Communication.
Centralize all member interactions and send automated updates through email, SMS, or WhatsApp for improved engagement.
Reporting & Analytics.
Turn data into decisions with real-time dashboards, utilization trends, and deep insights into claims and provider performance.
The OctoHealth Advantage
Built by health insurance experts, OctoHealth ERP learns, adapts, and scales with your organization. It simplifies complexity, cuts administrative waste, and helps you do more with less, intelligently.
Built for Healthcare Compliance, Powered by AI
Stay audit-ready and compliant with intelligent automation that aligns seamlessly with global healthcare regulations so your operations run smoother, safer, and smarter.
What Our Client Says
See how OctoHealth ERP is transforming HMO operations across Africa.
“OctoHealth ERP transformed our claims processing from days to hours. The automated adjudication has reduced our operational costs by 40% while improving member satisfaction.”
Dr. Amina Hassan
Chief Operations Officer
HealthGuard HMO
“The compliance reporting features have made our regulatory audits seamless. We can generate audit-ready reports in minutes instead of weeks.”
Michael Okafor
Head of Compliance
MediCare Plus
“As a growing HMO, the modular design of OctoHealth ERP has allowed us to scale efficiently. We started with basic modules and expanded as we grew.”
Sarah Mensah
CEO
WellCare Africa
“Member engagement through automated SMS reminders has significantly improved our renewal rates across multiple regions.”
Kwame Boateng
Head of Member Services
UnityCare HMO
“OctoHealth ERP transformed our claims processing from days to hours. The automated adjudication has reduced our operational costs by 40% while improving member satisfaction.”
Dr. Amina Hassan
Chief Operations Officer
HealthGuard HMO
“The compliance reporting features have made our regulatory audits seamless. We can generate audit-ready reports in minutes instead of weeks.”
Michael Okafor
Head of Compliance
MediCare Plus
“As a growing HMO, the modular design of OctoHealth ERP has allowed us to scale efficiently. We started with basic modules and expanded as we grew.”
Sarah Mensah
CEO
WellCare Africa
“Member engagement through automated SMS reminders has significantly improved our renewal rates across multiple regions.”
Kwame Boateng
Head of Member Services
UnityCare HMO
“OctoHealth ERP transformed our claims processing from days to hours. The automated adjudication has reduced our operational costs by 40% while improving member satisfaction.”
Dr. Amina Hassan
Chief Operations Officer
HealthGuard HMO
“The compliance reporting features have made our regulatory audits seamless. We can generate audit-ready reports in minutes instead of weeks.”
Michael Okafor
Head of Compliance
MediCare Plus
“As a growing HMO, the modular design of OctoHealth ERP has allowed us to scale efficiently. We started with basic modules and expanded as we grew.”
Sarah Mensah
CEO
WellCare Africa
“Member engagement through automated SMS reminders has significantly improved our renewal rates across multiple regions.”
Kwame Boateng
Head of Member Services
UnityCare HMO
“OctoHealth ERP transformed our claims processing from days to hours. The automated adjudication has reduced our operational costs by 40% while improving member satisfaction.”
Dr. Amina Hassan
Chief Operations Officer
HealthGuard HMO
“The compliance reporting features have made our regulatory audits seamless. We can generate audit-ready reports in minutes instead of weeks.”
Michael Okafor
Head of Compliance
MediCare Plus
“As a growing HMO, the modular design of OctoHealth ERP has allowed us to scale efficiently. We started with basic modules and expanded as we grew.”
Sarah Mensah
CEO
WellCare Africa
“Member engagement through automated SMS reminders has significantly improved our renewal rates across multiple regions.”
Kwame Boateng
Head of Member Services
UnityCare HMO
Ready to transform your Health Insurance Business?
Book a 30-minute demo to experience how OctoHealth ERP uses AI to streamline operations, reduce costs, and power smarter decisions.
Schedule a demo
Prefer email? info@octohealth.co