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Home » Third Party Administration (TPA)

Third Party Administration (TPA)

vision

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    More than 15 years of experience in TPA industry in Asia region (Malaysia, Singapore & China)

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    Matured Technologies; designed & developed based on actual clients’ expectations and requirements

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    Knowledge-based Claims Adjudication (processed >3million claims per year)

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    Medical Providers Contracting Experience, maintaining more than 2000 medical providers throughout Malaysia

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Our Digital Infrastructure

vision

Third Party Administration (TPA)

Medilink-Global is principally involved in providing Third Party Claims Administration (TPA) services by operating a state-of-the-art electronic 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 network.

MEDILINK's TPA Services

Medilink-Global offers its TPA services to facilitate the administration of both the 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.

vision

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

  • 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

vision

  • 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
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