Overview

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Medilink-Global is principally involved in providing Third Party Claims Administration (TPA) services by operating a state-of-the-art electronic healthcard network infrastructure to facilitate healthcare claims processing.

Medilink-Global is presently the only Third Party Administrator with regional presence operating in South East Asia and Greater China, having deployed Asia's first secured and trusted electronic healthcard network.

MEDILINK's TPA Services

Medilink-Global offers its TPA services to facilitate the administration of both the in-patient and out-patient healthcare schemes of corporate organizations and insurance companies. The Medilink-Global System facilitates online real-time eligibility verification and confirmation of benefits as well as automated adjudication of out-patient healthcare claims.

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Each member carries an electronic healthcard which is presented to the registration desk in the Physicians Office when seeking treatment. The card shall be swiped at the EDC Terminal which sends electronic signals to Medilink-Global's back-end server which shall return an impulse back to the EDC Terminal within seconds.

Service Description

The services provided by Medilink-Global for both the out-patient and in-patient are:

On-line Pre-consultation eligibility verification
On-line Post-consultation claims data capture and validation
Payment processing
Administrative arrangements for financial guarantees
Post-admission follow-up
Communication of disapproval or non-admissibility of medical diagnosis
Pre-discharge - adjudication of hospital bills
Post-discharge claims documentation

Benefits

Online Real-Time Eligibility Verification and Confirmation
Proven technology in terms of security, reliability, availability & confidentiality
Timely and Effective online real-time Reporting
Hassle free Registration and Paperless Administration
State of-the-art secured and trusted electronic healthcard network
Wide selection of network healthcare providers
Know-how and cross Regional Expertise to constantly conduct professional utilization review for better cost containment