WeDoctor Launches Express Commercial Insurance Claims Service at Beijing Huaxin Hospital, Pioneering a New Model for Insurance Reimbursement

Recently, commercial insurance patients receiving care at Beijing Tsinghua Changgung Hospital (Beijing Huaxin Hospital) no longer need to shuttle between the hospital and the insurer; they can apply for expedited claims settlement via their mobile phones, with reimbursement funds arriving in as few as two business days.

VCBeat (WeChat ID: vcbeat) learned on September 20 that Huaxin Hospital, in partnership with WeDoctor, a leading intelligent healthcare platform in China, launched the “Huaxin Hospital·WeDoctor Commercial Insurance Platform.” This initiative establishes an expedited claims settlement channel for commercial insurance, jointly explores innovative healthcare payment models, and enhances the medical experience for patients. Attendees at the launch event included Zhang Mingkui, President of Beijing Huaxin Hospital; Lei Yanxu, Party Secretary; Liu Fang, Vice President; Su Yingqi, President of WeDoctor; Mao Xuechu, General Manager of WeDoctor’s Health Finance and Commercial Insurance Business; Shen Yue, General Manager of the Group Insurance Division at Generali China Life Insurance; as well as representatives from more than 20 hospitals.

Traditional commercial insurance claims require patients to photocopy medical records and organize documentation, a time-consuming and labor-intensive process that typically takes at least two weeks. In contrast, the WeDoctor Commercial Insurance Platform significantly streamlines the entire procedure, enabling claim applications to be completed in just one minute. After receiving treatment at Huaxin Hospital, commercial insurance users can simply follow the “We Commercial Insurance” service account on WeChat to initiate a claim. On-site trials demonstrated that under 4G network conditions, claim submissions could be completed in as little as 40 seconds, highlighting the ease of operation.

At the press conference, Su Yingqi, President of WeDoctor, stated that this collaboration represents an innovative exploration of the new “Healthcare + Internet + Insurance” model. By establishing a public-safety-oriented internet platform, WeDoctor builds a seamless bridge between hospitals and insurance companies, providing healthcare institutions with efficient commercial insurance services, facilitating data interoperability between insurers and hospitals, and enabling service upgrades.

WeDoctor has currently achieved resource connectivity with hospital information systems across 30 provinces in China, covering more than 2,400 hospitals. It has established its internet hospital presence in 19 provinces and municipalities. As of 2016, the cumulative number of patient consultations served exceeded 410 million. Since 2013, WeDoctor has pioneered collaborations with insurance companies and has now entered into strategic partnerships with over 30 leading domestic insurers, directly serving more than 4.6 million health insurance members. The WeDoctor Commercial Insurance Service Platform aims to better serve hospitals, patients, and insurance companies, achieving mutual benefits for all stakeholders.

It is reported that this collaboration has received significant attention from Beijing Huaxin Hospital. As a tertiary general hospital integrating medical care, teaching, scientific research, and preventive healthcare, the hospital boasts comprehensive disciplines and a wealth of talent. It maintains an international leading position in the treatment of difficult, critical, and complex congenital heart defects, while its volume and outcomes in the treatment of pediatric arrhythmias rank among the best in China.

Huaxin Hospital has consistently adhered to its service philosophy of “Patients First” throughout years of development, while advocating and pursuing innovative service models. Leveraging the technological platform and connectivity capabilities of WeDoctor, the hospital pioneered the implementation of expedited commercial insurance claims settlement services. This initiative will effectively enhance patients’ healthcare experience and improve the quality of hospital services, representing a significant step in aligning with national health sector development trends and proactively serving patients.

“We have good reason to believe that the establishment of a commercial health insurance payment platform will closely integrate our hospital’s high-quality medical resources with the healthcare needs of commercial insurance clients, thereby creating more favorable conditions for an increasing number of commercially insured patients to access convenient medical care. The launch of this platform will promote deeper and more comprehensive cooperation between both parties, ultimately better serving patients.” Zhang Mingkui, President of Beijing Huaxin Hospital, expressed strong expectations regarding the capacity of internet technologies to advance the hospital’s informatization development.

This strategic alliance among hospitals, insurance companies, and internet platforms leverages the strengths of each party, using fast-track commercial insurance claims settlement as the entry point for collaboration. By combining complementary advantages, the partners aim to co-establish a high-quality, efficient, and cost-effective management and service assurance system. This initiative seeks to meet patients’ growing and diversified needs for medical payment solutions, address a series of cross-industry challenges in healthcare and insurance, further promote the digital transformation of traditional medical institutions, and explore a new model for achieving win-win outcomes for hospitals, patients, and insurance companies.

It is understood that WeDoctor’s direct billing service for commercial health insurance is also set to launch at Huaxin Hospital. In the future, commercial insurance policyholders will be able to complete their medical visits without making any on-site payments.