Real-Time Insurance Claims & Diaspora Health Sponsorship for East Africa
Buni Vigil is the insurer-facing claims management and diaspora health financing platform. Process pre-authorisation requests in real time, adjudicate claims, detect fraud, and enable diaspora sponsors to directly fund healthcare episodes for family members back home — all on a single secure platform.
Receive, review, and approve or decline pre-auth requests from Buni Flamingo and Meridian within minutes, not days.
Rules-based adjudication with medical coding validation, benefit limit checking, and automatic payment scheduling.
Diaspora family members create wallets, top up via Stripe or M-Pesa, and assign health budgets to beneficiaries in Kenya.
ML-powered anomaly detection for duplicate claims, ghost patients, upcoding, and unbundling patterns.
Manage contracted providers, fee schedules, and panel accreditation within the Buni ecosystem.
Loss ratio dashboards, disease burden mapping, high-cost claimant tracking, and actuarial export tools.
Kenyan private health insurers, HMOs, medical scheme administrators, community-based health schemes (CBHI), diaspora remittance companies adding health benefits, and corporate HR departments managing staff medical covers.
Diaspora sponsors top up a Vigil wallet via Stripe (international cards) or M-Pesa. They assign health budgets to named beneficiaries. When the beneficiary visits a Buni-connected facility, costs are settled from the wallet in real time.
Yes. Vigil exposes REST APIs for claim ingestion and can be deployed as a module alongside existing core systems on enterprise plans.
Vigil produces all IRA-required management information reports. Formal regulatory approval for insurance operations remains with your company.
Vigil scores every claim against 40+ fraud indicators trained on East African claims data. Flagged claims are routed to a human review queue before payment.
Join healthcare providers across East Africa already running on Buni infrastructure.
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