Access to
Providers
Access to a doctor and medical specialists anytime, anywhere.
With over 4,000 panel of providers, from Outpatient, Inpatient, Medical Specialists, Optical and Dental, we are able to assist and get you the healthcare attention you need.
We manage the provision of medical care to individuals, administration of member benefits and eligibility tailored to your specific requirements, ensuring compliance, reducing administrative tasks and enhancing member satisfaction.
Unified System and
Integrated User Portal
Our core system, CHAMPS, is a user-friendly platform designed to streamline the claims management process for both claimants and administrators. Users can easily submit and track claims, access real-time updates, and communicate directly with claims representatives through a centralized platform. The system features user friendly and intuitive navigation, notifications, and secure document uploads, ensuring a seamless experience from submission to resolution. With our analytics and reporting function, users can get insights to claims status and trends, enhancing transparency and improving overall satisfaction.
E-Pharmacy
Our e-Pharmacy and Long-Term Medication services provide seamless access to essential medications through our system and online platform. With a focus on convenience and reliability, we offer prescription and medication management, and medication refills for members health needs.
Medical Insurance and Healthcare Advisory
Our Medical Team at the TPA Claims Company is comprised of highly qualified healthcare professionals dedicated to ensuring the integrity and accuracy of medical claims. Comprising experienced doctors and specialists, the medical team works closely with the relevant teams to verify treatment or utilization, enhance decision making and minimize unnecessary expenses.
Wellness and
Affinity Programs
We offer personalized dietetic program design with a series of module and activities to empower safe and sustainable diet & active lifestyle. Focused on lifestyle modification through achievable goals and fun activities. Our wellness and affinity programs helps to identify high-risk groups of workers with non-communicable diseases.
TPA Consultancy and Software Solutions
With over 25+ years of industry experience, we offer expert consultancy tailored to meet your business needs. Whether this is on benefit design, TPA setup, system implementation or claims management, our team is here to help you achieve your goals efficiently. Our platform integrates e-pharmacy services and an extensive provider network to streamline simplify healthcare claims administration for both our clients and members. We empower users to manage their health needs efficiently , anywhere and anytime.
24 Hours / 7 Days
Customer Service
Our team ensures that claims are processed efficiently, providing you with timely support and assistance. Enjoy peace of mind knowing that members health needs are met with high-quality service, secure transactions, and personalized care every step of the way.
Our 24/7 customer service ensures that you receive support whenever you need it. Our dedicated Call Center unit is available around the clock to assist with claims inquiries, provide updates, and resolve any issues promptly. Whether it’s day or night, you can count on us for quick and reliable assistance, making your claims experience smooth and stress-free. Your satisfaction is our priority, and we’re here to support every step of the way.
Data Analytics
and Reporting
Our commitment to data excellence empowers our clients to navigate the complexities of healthcare data analysis and reporting effectively, ensuring that they can focus on delivering quality care while we handle the intricacies of data analytics and reporting.
We utilize advanced data analytics to enhance decision-making, improve operational efficiency, and optimize healthcare outcomes. Our robust analytics capabilities provide clients with actionable insights, allowing for data-driven strategies in claims management, cost containment, and member care.