How can we help you?

Case Management is a collaborative process of:

  • Assessment,
  • Planning,
  • Facilitation,
  • Care coordination,
  • Evaluation,
  • Advocacy

Ophilayo creates options and implements services to meet an individual’s and family’s comprehensive needs whilst promoting patient safety, quality of care, and cost effective outcomes.

Services

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Legal Professionals

Ophilayo facilitates and prioritizes reasonable recommendations in the best interests of the Claimant early on in the litigation process.

This includes:

  • Prioritizing the Claimant’s immediate needs
  • Quantifying claims when applying for interim payments.
  • Once the quantum is settled and funds become available, Ophilayo Case Managers assist in implementing the recommendations as per all the Medical Legal Reports and Court Orders.
Funders & Trustees

Ophilayo acts as intermediaries between funders & trustees and the beneficiary, making the management of the clients funds easier by:

  • Ensuring that the money is spent on what it was intended for
  • Implementing the medical and therapeutic needs of the beneficiary.
  • Acting as mediators between funders/trusts, the beneficiary and their families relating their demands and / or needs.
  • Ensuring cost effective spending in line with the availability funds.
  • Collaborating to safeguard fund longevity.
  • Ensuring that spending of funds is fully motivated and justified.
  • Offering professional and reliable services with flexible options
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Clients and Families

Ophilayo case managers co-ordinates all role players (family, caregivers, trustees, attorneys, doctors) with the beneficiary’s needs and best interest in mind. Through open communication channels between the Trust, legal professionals and beneficiary the money allocated to the beneficiary is able to be utilized effectively to promote quality of life.

Case managers form part of finding the appropriate solutions for individual needs including but not limited to the services in the alongside diagram.

 

4. Insurance Case Management

Insurance case management is the process of monitoring particular insurance cases to make sure that all claims and expenses are necessary, reasonable, and legitimate.

Within Insurance Case Management Ophilayo aims to be of assistance to all parties involved by ensuring that the insurance companies money is being appropriately utilised whilst simultaneously making sure that the claimant receives proper care.

Insurance policy

Our Process

Contact us

If you have any questions or would like to find out more, please feel free to contact us using the email address, or social link below: