CareMed TPA Shareholders
Professional TPA Services for Insurance Excellence
CareMed TPA
Professional Third-Party Administrator Services
Trusted partner for insurance companies and mutual funds
In collaboration with MENA RE Life
Reinsurance (A-rated)
We provide comprehensive TPA services tailored for insurance companies and mutual funds.
Our solutions leverage regulatory expertise and advanced systems including:
Claims administration, provider network management, utilization review &
member portals.
These services streamline operations, ensure compliance, and minimize administrative burden.
Why Choose CareMed TPA?
Three key differentiators that make us the preferred TPA partner for leading insurance companies and mutual funds.
Regulatory Excellence
Deep expertise in insurance regulations and compliance requirements across multiple jurisdictions.
Advanced Technology
Modern systems and automated workflows that ensure efficient processing and superior member experience.
Dedicated Support
24/7 customer service and dedicated account management for seamless partnership experience.
Comprehensive TPA Services
Complete administrative solutions designed for insurance companies and mutual funds
Claims Administration
- Claims Processing: Efficient handling of medical and insurance claims.
- Fraud and Abuse Detection: Advanced systems to identify and prevent fraudulent claims.
- Settlement Management: Timely and accurate claim settlements.
- Appeals Processing: Professional handling of claim disputes and appeals.
- Compliance Monitoring: Ensuring all processes meet regulatory requirements.
Provider Network Management
- Network Development: Building and maintaining comprehensive provider networks.
- Credentialing: Thorough vetting and credentialing of healthcare providers.
- Contract Management: Negotiating and managing provider contracts.
- Performance Monitoring: Tracking provider performance and quality metrics.
- Network Access: Ensuring adequate access to quality healthcare services.
Utilization Review & Medical Approvals
- Prior Authorization: Medical necessity review for treatments and procedures.
- Concurrent Review: Ongoing assessment of hospital stays and treatments.
- Retrospective Review: Post-treatment analysis for appropriateness.
- Case Management: Coordinated care for complex medical cases.
- Clinical Guidelines: Evidence-based medical decision support.
Member & Employer Portals
- Member Self-Service: 24/7 access to benefits information and claims status.
- Employer Dashboard: Comprehensive reporting and analytics for employers.
- Mobile Applications: User-friendly mobile access to services.
- Document Management: Secure access to important documents and forms.
- Customer Support: Integrated support systems for quick assistance.