A health insurance operations platform for private and public payers to manage enrolment, eligibility checks, pre-auth, claims, billing, payments, and member engagement.

CarePay Product Overview

Is CarePay Right for You?

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Best For

  • Kenyan health insurers
  • Public health payers

What It Does Well

  • Member enrolment flows
  • Eligibility checks

Things to Check

  • Kenya-only rollout
  • Provider network links

About CarePay

Screenshot of CarePay website

CarePay is a health insurance technology platform for health insurers and payers that digitizes the end-to-end insurance journey, while supporting members and providers with faster verification, approvals, and payments.

Key capabilities include:

  • End-to-end insurance operations across enrolment, identification, pre-authorization, claims, billing, payments, and ongoing engagement, designed to reduce administrative effort and improve operational control.
  • Eligibility and identity verification at facilities, enabling digital coverage checks and faster patient identification before care is delivered.
  • Digital pre-authorization and claims workflows, letting case managers review requests and providers submit claims through the platform, with customer-reported examples such as reducing claims turnaround time from 77 days to 3 days.
  • Insights for billing and payments, including real-time payment forecasting dashboards to help payers align outgoing provider payments with cash flow.

Available on Web with an API-driven Member App on Android and iOS, plus APIs for integrations.

Target audience: B2B2C, serving private and public health payers as customers, with insured members and healthcare providers as end users.

Notable in Africa, the platform originated in Kenya (2015) and is known for powering M-TIBA in partnership with PharmAccess Foundation and Safaricom, supporting insurance operations across Africa and the Middle East while enabling data-driven decisions for pricing, risk control, and cost management.

CarePay Facts

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Frequently Asked Questions About CarePay

CarePay is a health insurance operations platform for private and public payers that digitizes the full insurance journey from member enrolment and identification through eligibility checks, pre‑authorization, claims, billing, payments, and ongoing member engagement. Insurers use the web platform and integrations to manage these workflows centrally, while members and providers interact via the Member App and digital tools for faster verification, approvals, and payouts.

CarePay originated in Kenya and powers health insurance operations there, including the M‑TIBA platform. It operates across Africa and the Middle East and serves payers in emerging and frontier markets, with its headquarters in Amsterdam.

To sign up as an insurer or payer, you can request a demo or contact CarePay through the web forms available on the CarePay website, after which the team will guide you through onboarding and configuration. Member enrolment and registration are then managed digitally through the CarePay platform and Member App as part of the insurer’s program.

Yes, CarePay offers a Member App available on Android and iOS for insured members to check benefits, find in‑network providers, track claims, and access health solutions. The platform also exposes APIs so the Member App can be integrated into broader digital ecosystems.

CarePay is best suited for health insurers and payers, both private and public, that need to digitize and control end‑to‑end health insurance operations. It is particularly aligned with organizations serving large member populations in emerging and frontier markets across Africa and the Middle East, where efficiency, fraud reduction, and faster claims processing are critical.

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