About Us

Patient
InsuredUninsured

The Future of Health Insurance
SehaTech is an eTPA (electronic Third-Party Administrator), we
manage the health insurance policies and self-funded schemes
on behalf of the payers.

Reimbursement/Approvals

Technology Driven
Through our platform, we connect all stakeholders and enable
our payers to seamlessly manage and monitor their healthcare
schemes with full control. With the help of our sophisticatedArtificial Intelligence module and rules engine, we aim to fully
automate the process and tackle all forms of fraud and abuse.

Treatment

eTPA&DiscountsproductCommunication
Platform

Payer

ProviderBilling/Claims

Problem:

Fragmented Communication
A significant part of the communication between the healthcare payers andproviders is manual and paper based.

This leads to a high administrative cost on both stakeholders, long waiting times
and payment cycles and a very low patient satisfaction
Patient waiting for an Approval

Lack of Transparency
The lack of transparency and real-time data, puts the payer in a very low level ofcontrol and makes the process prone to high level of errors, fraud and abuse.

Manual Claims & Piles of Paperwork

Stakeholders Problems

PayersProvidersManual labour-intensive process

Long payment settlement process

High administrative CostLong waiting times for approvals

Long processing time

Low patient satisfaction

Low Level of control

Difficulty for providers to track their claims from different
payersLimited data aggregation and data analysis

Difficulty in detecting frauds & errors

Difficulty to scale and obtain more clients

Solution:
A streamlined, user-friendly platform to connect the payers, providers and beneficiaries together

Tech enabled platform that automates approvals & claim handling & minimize manual labor

Live data aggregation & intelligence provided for payers via customized dashboards

AI algorithms help in detecting frauds & errors

Automation decreases admin cost, improves efficiency and increases scalability

Built-in revenue cycle management module for providers

Faster processing time, enabling quick payment settlement for provicers

Product:
Digital Claims
Provides are able to submit all their claims digitally and request second point
care for their patientsRules Engine
Financial and Medical rules engine based on patients' meta-data to enablepartial or fully automated approvals and claims handling.

Revenue Cycle Management
RCM to enable provider to track all submitted claims and review
the settlement status

Advanced Analytics
Expenditure trends and consumption rates to aid payers in theactuarial exercise and quotation pricing

AI & Machine Learning Algorithms
To identify anomalies and flag them for review to minimize
fraud and errors

How Big Is The Opportunity?
Market Size

+USD 27bn+ USD 10bn Insured+30k Healthcare Provider

2022

2027

5 Year GrowthAddressable MarketUSD 27bn

USD 40bn

48%ServiceableAddressable Market

USD 10bn

USD 24bn

160%Healthcare Market in Egypt (USD Bn)

Changes in the healthcare market in Egypt

1

The government plan to provide health insurance coverage to 100% of the population through the UHIA
37.7

2

The Private health insurance market is projected to grow from 5% to 25% by offering supplementary policies to theUHIA basic coverage

29.8
22.5

24.7

34

Traditional TPAs are very hard to scale beyond a certain point without being tech enabled to meet this growing
demand

15.1

17.7

4.5

4.7

20172018

2019

24.2

19.4

14.915.6
6.7

35.3
22.6

27.2

19.2

This open wide the demand for TPAs to administer the influx of insurance policies issued by the government and theprivate sector.

32.2

40.3

9.0

9.9

10.9

2020

2021

2022

Insured

2023

2024

Total Market

2025

2026

2027

Competition:

Portfolio SizeFocus

MarketTechnology

5K beneficiaries

420K
beneficiaries

200K
beneficiaries

750K
beneficiaries

420K
beneficiaries

SAAS + TPA

Risk Carrier + TPA

TPASAAS + TPA

TPA

Egypt

Egypt

Regional

Regional

Regional

Fully Digital

BasicPoor local market
adaptation

Poor UI/UXBasic

All tech enabled TPAs are yet to capture 2% of the market, with 98% serviced by fully manual and extremely
segregated providers.

Differentiation:
Difference Between Traditional TPAs & SehaTech
Traditional

SehaTechCommunication

Paper BasedElectronically on one platform

Approvals

ManualAutomated

Provider Settlements

Slow & Manual

Fast
w/ Status Tracking

Financial Transactions

Manual payment between Payer & Provider bank checks ortransfers or cash

Seamless fully automated, digitally controlled monetarytransactions between payers and providers

Payer Control

Low Payer Control
Lots of paperwork & Analysis requiredHigh Payer Control
Approvals & Claims audited Digitally

Patient Consumption/Quota
Visibility

DelayedInaccurate

Immediate
Realtime

Data analysis

Slow & Manual

Automatically Generated
Real Time

Scalability

Hard to Scale

Easy to ScaleFinancial Model
ServiceSAAS

TPAModelAnnul Subscription per beneficiary

8-10% TPA fees of the policy premiumRange

1-5 USDs per beneficiary

300-450 EGP per beneficiary

Average amount50 EGP

350 EGP

1-5 % Admin fees from providers

1-5% Traffic Rebate

1-5% Chronic meds management

Team:

Mohamed Elshabrawy
Chief Executive Officer

Mostafa Tarek
Chief Operating Officer

Ernest Zaki
Chief Commercial Officer

Omar Shawky
Chief Technical Officer

Mohamed Elshabrawy has 12+
years of experience as a doctor
and a manager in the NHS,England, United Kingdom.

Mostafa Tarek has 12+ years experience
as a doctor and a manager in multiple
reputable healthcare providers

Dr Ernest has 25+ years
experience, he’s ex-COO
GlobeMed Egypt and the headof Medical operations at
Lockton Brokerage..

Omar Shawky Omar has 12+
years of experience, helping
customers all over the world
with their digital transformation.
He is an ex-principal consultant
at SAP

Ahmed Kamel
Head of Medical Providers

Ahmed Kamel is a physician,graduated from faculty of
medicine Ain Shams university
with diverse experience in lifeand medical insurance inaddition to medical start-up
companies and TPAs.

Ask:FinancingWe've just closed our pre-seed investment round, securing $850,000 from A15 and Beltone Venture Capital. Our next step isthe seed round, and we'd love to keep you updated. Stay in touch, and you'll be among the first to know when we kickstart
the process. Your support is invaluable as we move forward on this journey.

SupportBeyond financial support, any mentorship, networking, and partnership opportunities would be greatly appreciated. Your
involvement means the world to us as we work towards our vision. Thank you for being a valued part of our exciting journeyahead.

Thank You!