MedIQ TPA: Bridging the Gap Between Insurers & Claimants
Effortlessly facilitating medical insurance claims with speed and precision, ensuring seamless communication and exceptional service for all stakeholders.
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Our Services
As a specialized integrated service provider for healthcare management, MedIQ TPA is effortlessly facilitating medical insurance claims with speed and precision, ensuring seamless communication and exceptional service for all stakeholders. MedIQ TPA is connecting insurance companies, policyholders and health service providers to facilitate provision of highest quality healthcare services.
Policy Administration
Claims Management
Utilization Management
MIS Reporting
Network Management
Case Management
Customer Service
Policy Administration
At MedIQ TPA, we offer a fully dedicated and streamlined operation for policy administration, ensuring efficient management and exceptional service delivery. Our comprehensive solutions include:
Seamless data entry of insured members into our state-of-the-art MedIQ system.
Issuance and printing of personalized Health ID cards for insured members.
Complete management of policy endorsements, including eligibility checks, additions, terminations, and deletions.
Round-the-clock call center services to support policy-related inquiries and requests.
Customizable services tailored to meet the unique needs of both parties, as mutually agreed.
Case Management
Services are designed to ensure personalized care and efficient handling of complex medical cases. We work closely with all stakeholders to provide optimal outcomes. Our services include:
Proactive Case Assessment
In-depth evaluation of individual cases to determine appropriate care pathways.
Care Coordination
Seamless communication between patients, healthcare providers, and insurers for effective treatment planning.
Treatment Monitoring
Ongoing tracking of patient progress and medical interventions to ensure quality outcomes.
Critical Case Support
Priority handling of high-risk or urgent cases with dedicated attention and expertise.
Network Management
At MedIQ TPA, we pride ourselves on building and managing one of the largest healthcare networks in Pakistan. With over 3,000 service providers and cashless services available in 50+ cities, we ensure easy and reliable access to quality healthcare. Our Network Management services include: Pharmacies, labs, hospitals and clinics
Customer Service
At MedIQ TPA, we deliver 24/7/365 support through our dedicated Call Center, ensuring seamless and efficient assistance.
Multi-channel support via phone, WhatsApp, and email.
Assistance for members, non-members, providers, corporates, and insurers.
Real-time claim status updates and resolutions.
Information on network providers and their contacts.
Prompt handling of queries and concerns.
MIS Reporting
MedIQ TPA provides comprehensive Management Information System (MIS) reporting to empower informed decision-making. Our reports offer detailed insights into claims trends, healthcare utilization, and financial performance, helping stakeholders monitor expenditures, identify patterns, and optimize processes. With real-time data and actionable analytics, we ensure transparency, accuracy, and enhanced operational efficiency for all parties.
Claims Management
MedIQ TPA ensures efficient and accurate claims processing to simplify healthcare reimbursements.
Claims Submission
Seamless processing of claims from providers and members.
Verification
Rigorous checks to validate claims against policy terms.
Approval & Settlement
Fast-tracked claim approvals and timely payments.
Rejection Handling
Clear communication of reasons for rejected claims.
Reporting
Regular updates and insights on claim statuses.
