As a TPA, Medicare focuses on managing health benefits. Our claims administration capabilities encompass insured assistance, claim pre-certification, adjudication and settlement. We are also involved in Fund Management and Audit, Information Management, Records Inventory Management & Warehousing.
We administer a variety of self-insured medical benefits plans for clients nationwide. Our tailored administration services provide flexibility and control to clients. We have access to health care networks nationwide and have an in-house pre-certification program for cashless treatment in these provider networks. We also provide stop-loss administration for our clients by administrating Fraud control system and real time estimating of loss reserves.