Insmart
Healthcare insurance claims and benefit administrator serving Vietnam's insurance market
Overview
Insmart is a Third Party Administrator (TPA) and healthcare solutions provider established in 2010 as a joint venture between Malaysian and Vietnamese shareholders. Operating from two major claims processing centers in Hanoi and Ho Chi Minh City, Insmart has become Vietnam's largest managed care provider with over 60% market share in the sector. The company administers benefits for approximately 1.5 million insured individuals across 26 insurance company clients and maintains relationships with 550+ healthcare providers throughout Vietnam's 63 provinces and cities.
Insmart's technology platform integrates claims processing, pre-authorization (PreA) services, and electronic insurance cards (E-cards) to enable seamless cashless treatment coordination. The company operates through API integrations with insurance management systems and provides optional pharmacy benefit management (PBM), health screening administration, medical second opinion services, and international medical assistance — extending its reach to 80+ countries for overseas treatment coordination.
In September 2021, Sumitomo Corporation (Japan) invested in Insmart to enter the Vietnamese managed care market, strengthening the company's financial position and operational capabilities. The company has recently partnered with SCOR to develop an AI-based predictive analytics engine for insurance operations, positioning itself as a technology leader in the Southeast Asian insurance market.
Products & Services
Third Party Administration (TPA) - Core Service
Comprehensive claims management and benefit administration for insurance companies, including claims processing, review, settlement, and coordination with healthcare providers. Provides pre-authorization (PreA) services and electronic insurance cards (E-cards) for seamless cashless treatment access.
Key Features
- Claims processing and settlement
- Pre-authorization services for hospital and medical procedures
- Electronic insurance card management
- Healthcare provider network coordination
- Benefit plan administration
Target Users: Insurance carriers and benefit administrators
Pharmacy Benefit Management (PBM)
Management of prescription drug benefits, pharmacy network coordination, and medication coverage optimization for insurance members across Vietnam and international markets.
Key Features
- Pharmacy network management
- Prescription processing and coverage determination
- Medication cost optimization
- Drug formulary management
Target Users: Insurance carriers, employers
Health Screening Program Administration
Organization and management of corporate health screening programs, including coordination with medical facilities, data collection, and health status reporting to employers and insurers.
Key Features
- Health screening coordination
- Medical facility scheduling
- Screening data collection and reporting
- Results distribution and analysis
Target Users: Insurance carriers, employers
Medical Second Opinion (MSO)
Provision of specialist medical consultation services allowing patients to obtain independent expert opinions on diagnoses and treatment plans through a network of qualified physicians.
Key Features
- Specialist consultation access
- Expert opinion provision
- Treatment plan review
- Clinical guidance
Target Users: Insurance members, carriers
International Medical Assistance (IMA)
Connection of insured members with leading international healthcare providers for medical services abroad, including emergency evacuation, treatment coordination, and repatriation services.
Key Features
- International provider network access
- Emergency medical evacuation
- Treatment coordination services
- Medical repatriation support
Target Users: Insurance carriers, international members
Telehealth Concierge Services
Online health consultation platform enabling employees to access physicians remotely 24/7 for medical advice, prescription guidance, and healthcare navigation support.
Key Features
- 24/7 physician access
- Remote medical consultation
- Prescription guidance
- Healthcare navigation support
Target Users: Insurance members, employees, employers
Workplace Wellness Services
Corporate wellness initiatives including health education seminars, health newsletters, wellness workshops, and occupational health support for employer clients.
Key Features
- Health education content
- Wellness program design
- Employee health workshops
- Health newsletters and resources
Target Users: Employers, insurance carriers
At a Glance
- Founded
- 2010
- Headquarters
- Hanoi, Vietnam
- Employees
- 201-500
- Funding
- PE-Backed
Category & Focus
- Category
- Core Administration
- Subcategories
- Claims processing benefit management healthcare administration
- Insurance Verticals
- Life & Annuity Health Group Benefits
- Target Customers
- Carriers, TPAs, Insurers
Customers
- Sunlife Vietnam
- MB Ageas Life Insurance
- FWD Vietnam
- Hanwha Life Vietnam
- Prudential Vietnam
- Manulife Vietnam
- Chubb Life Vietnam
- MSIG Vietnam
- Tokio Marine Vietnam
- Bao Minh Insurance
- Petrolimex Insurance (PJICO)
- Allianz Insurance
- Shinhan Life
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Last updated: 2026-06-14