Services

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MEDI-access provides TPA services to enable companies to manage their own healthcare benefits programs and save major costs. These TPA services include:

  • Design of healthcare benefits programs – MEDI-access will explain to you whether your company can afford to self-insure partially or entirely both inpatient (where case risks are high) and outpatient (where costs are more predictable) coverage.
  • Organizing inpatient & outpatient healthcare provider networks – MEDI-access establishes credit relationships with reputable hospitals, clinics, and doctors to assure medical coverage of members nationwide.
  • Handling of claims and reimbursements – MEDI-access maintains an online clinic management system and a call center manned by doctors who will gatekeep treatment approvals and handle claims and payments on behalf of companies (who self-manage benefits) and insurers.

As per industry practice, MEDI-access charges payors a fixed annual charge per member covered and a handling charge per case claim.