Q:

Is there any international health insurance that pays first in most countries?

I am looking for an international health insurance, i.e. a health insurance, covering both outpatient and inpatient that pays first versus having to the patient pay first and get reimbursed.
US and Canada do not need to be included in the package. 
Usually, when I buy local health insurances and I use medical services (OP and IP) maybe of the health insurances have the service that you do not need to pay upfront, i.e. using your card in the hospital/clinic is enough. And this is really comfortable for me.
However, if I use international health insurances, I need to pay upfront and then make a claim to the health insurance. This has proven to me to be REALLY ANNOYING. Every time I need to fill in a long form provide documents etc. and wait for their answer.
Question: Is there any health insurance that works internationally and provides this service?
In particular I tried Integra Global, which proved to be the worst customer service and service in general I have experienced. Wondering if anyone tried other big players such as Bupa.

A:

Chinese company Ping An insurance has direct billing globally if you have their most expensive service, note however that it can only be bought by companies and requires a minimum of 6 policies to be bought.
I have personally used it for over 10 years in a multitude of countries and never paid anything, simply showed my insurance card and lately virtual card from their app and everything has been handled for me.
I have used it for both emergency care and scheduled appointments.
I am a swedish passport holder with a china permanent residency, I am unsure if the china permanent residency is a requirement to buy the insurance though.
NOTE: I am in no way affiliated with Ping An insurance I am simply speaking from my personal experience as their customer.

