Third Party Administration (TPA)

At Medic Icon, we take a holistic approach towards risk management. We employ sophisticated tools and technology being used by highly trained professionals for identifying trends and future projection.

Medic Icon has carved a niche by providing risk management services tailored to client needs by means of:

Product Design
Portfolio Assessment
Sophisticated Reporting Capability
Fraud and Abuse Investigation Tools
Claim Management

Scope of Service:

Fully integrated medical service
Medical co-ordinations and transfer of all inpatient and outpatient
Hospital case

Health Administration Services

Quality control and oversight by the Contractor.
Inspection of inpatient and outpatient invoices.
Detect potential fraud in medical services provided and eliminate unnecessary cost.
Provision of a dedicated team for monitoring and evaluation.
Advanced monitoring systems that track your shipments in real-time with automated alerts of potential delays enabling reroute shipments as necessary.
Establishment of Preferred Providers in areas where needed (EXISTING & NEW) and maintain good relationships.
Accountable for healthcare providers profiling.
Auditing of service providers.
Managing and networking of existing inpatient and outpatient providers (cashless) or on a pay and claim system.
Monitoring of complaints.

General Insurance Claims Processing on behalf of Client

Efficient and simple all-in-one claims platform for all your organization’s benefits processing. 24/7 secured cloud access on desktop and mobile platforms with dedicated human customer support.