Solutions

Zimasa Health Engagement Platform (ZHEP)

The member experience app that drives participation & proves it.
Value:
  • Lift activation and weekly redemption via simple UX, nudges, easy booking, and monthly Proof Ladder (aggregated, no PHI).
Key capabilities:
  • Member app (iOS/Android/USSD), provider marketplace, booking & QR check-in, Wellth rewards, cohorts/programs, analytics/NPS, secure APIs.
AI assist:
  • Personalizes nudges and timing; explains what changed and why.

Payer Solution (Insurers, TPAs, Self-Funded Schemes, Health e-Wallets)

End-to-end payer operations—plus integrated wellness via ZHEP.
Value:
  • Run benefits, pre-authorization, care/case and claims with role-based controls; embed wellness programs that reduce preventable utilization and improve member experience.
Key capabilities:
  • Product & benefits; enrollment; provider & tariff mgmt; authorizations & clinical rules; care/case mgmt; claims intake/adjudication/payments; FWA flags; finance & reconciliation; self-service portals; APIs/FHIR.
AI assist:
  • Pre-auth triage, claims anomaly signals, next-step suggestions—human-reviewed with audit trails.

Gym & Movement Management (for Providers)

Run memberships, classes, and check-ins. Get corporate and insurance bookings.
Value:
  • Manage memberships, classes, trainers, check-ins, and settlements—and tap ZHEP cohorts to fill classes and reduce no-shows.
Key capabilities:
  • Member app (iOS/Android/USSD), provider marketplace, booking & QR check-in, Wellth rewards, cohorts/programs, analytics/NPS, secure APIs.
AI assist:
  • Predicts class demand and optimal reminders; provider stays in control.

Care & Disease Management

Find risk, manage care plans, and help people stick with them.
Value:
  • Identify cohorts, assign pathways, coordinate outreach, and track adherence—connected to ZHEP engagement and provider bookings.
Key capabilities:
  • Risk stratification; care plans & tasks; alerts & reminders; coaching notes; device/lab data ingestion; outcomes tracking; payer/provider handoffs.
AI assist:
  • Risk signals and adherence nudges for coach review—not a diagnosis.