Third Party Administration (TPA)

We may help in maintaining close working relationship with the chosen Third Party Administration provider to ensure smooth claim management process.

We simplify operations, enhance participant satisfaction, and ensure cost efficiency through advanced and reliable TPA services. Here are the ways we support your health insurance program:

Claims Management

Our TPA manages the entire claims process from claim receipt to timely claim payment, ensuring each claim complies with policy terms.

Healthcare Provider Network Management

We manage and expand a network of hospitals, clinics, and doctors with the highest quality standards, providing reliable services for participants.

Pre-Authorization Services

Before participants receive medical treatment, we ensure that the procedures are covered by the policy to prevent unnecessary costs and ensure compliance with the terms.

Claims Reporting  

We create detailed claim reports to help companies evaluate costs, identify health trends, and control expenses.

Utilization Monitoring and Control 

We carefully monitor the use of medical services to ensure participants receive appropriate care, prevent unnecessary procedures, and reduce healthcare costs.

 

Customer Service 
Our customer service team is ready to assist insurance participants with questions about claims, benefits, and their health insurance policies.

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