HealthMutual Group (HMG) has joined forces with insurtech company MediConCen to create an AI-driven claims solution for the Hong Kong market. 

The collaboration combines the technological competence of MediConCen in AI, blockchain and automation, with the medical claims management expertise of HMG. 

The move is aimed at enhancing claims processing and to establish a Fraud, Waste, and Abuse (FWA) detection framework that is tailored to the local needs of Hong Kong.  

MediConCen, founded in 2018, is an insurtech company that utilises blockchain technology to automate insurance claims.  

MediConCen CEO and co-founder William Yeung said: “This collaboration merges MediConCen’s AI-powered technological expertise with HMG’s unparalleled domain knowledge in insurance and healthcare.  

“Together, we are creating a solution that empowers claims assessors to make faster, and consistent decisions—setting a new gold standard for the industry.” 

HealthMutual Group, since its establishment in 2014, has been active in healthcare management within Hong Kong and the Greater China Region.  

The company’s services are designed to its various stakeholders, including the insured, insurance companies, and the medical sector, by improving healthcare management and funding mechanisms. 

HMG founder KC Chan stated: “with over 11 years of experience in medical concierge services, HMG has developed an in-depth understanding of claims management. Our proprietary OCR-based medical invoice platform aligns perfectly with the digital transformation of claims processing, while facilitating the set-up of a FWA framework to ensure robust risk management.  

“Partnering with MediConCen, a leader in cutting-edge InsurTech, allows us to further our mission of supporting the sustainability of Hong Kong’s medical insurance sector.”