TPA Desk Management

Improve claim turnaround time and accuracy with Medicon Group’s dedicated TPA desk management services.

TIMELY AND ACCURATE CLAIMS PROCESSING BY SIMPLIFYING, AUTOMATING AND OPTIMIZING YOUR TASKS WITH TPA DESK MANAGEMENT

We Act As An Intermediate Between TPA And Hospitals.

TPA Desk Management is an end-to-end health insurance claims management service that supports hospitals by coordinating directly with Third Party Administrators (TPAs). It includes medical bill audit, claim submission, non-compliance handling, and re-audit of health insurance bills to ensure accuracy and faster processing.

Medicon Group helps healthcare providers reduce claim delays, minimize errors, and automate repetitive claim workflows, resulting in improved turnaround time and higher claim approval rates.

With MEDICON GROUP, trained medical and insurance professionals manage each claim in accordance with TPA guidelines and hospital policies, ensuring patients receive timely care while maintaining process transparency and cost control.

We operate your Insurance Desk as dedicated claim processors and remediation specialists, actively tracking, correcting, and resolving unpaid and pending insurance claims to improve revenue realization.

We Pre-Screen Your Claims, Before We Process

Our on-site claims management services are handled by experienced medical and insurance professionals using a proprietary claims processing system with automated validation checks. This pre-screening ensures that every claim meets TPA and insurer acceptance criteria before submission.

By applying standardized checks, compliance validation, and documentation accuracy controls, we reduce errors, prevent rejections, and improve overall claim approval rates while maintaining strict performance standards throughout the claims process.

Customizable to fit your needs

Every healthcare organization has different claim workflows. TPA Desk Management offers flexible configuration options to align with your operational requirements. From custom claim fields and approval workflows to role-based notifications and standardized reports, the system adapts to your existing processes without disruption.

Data-driven insights

TPA Desk Management provides real-time analytics and structured reports that support informed decision-making. These insights offer visibility into claim status, team productivity, turnaround time, and resource utilization, helping hospitals identify bottlenecks, optimize performance, and continuously improve claims operations.

“Digiclaim” a User-friendly interface

We believe that platform should be intuitive and user-friendly. That's why TPA Desk Management features a clean and modern interface that is easy to navigate. No complex setup or extensive training required - get started quickly and focus on what matters most: growing your business.

Eligibility Check

We verify insurance eligibility at admission and educate patients on policy terms, coverage limits, and exclusions to prevent claim issues later.

Preauthorization

We manage preauthorization by submitting complete and accurate documentation, ensuring faster approvals and reduced treatment delays.

Answer Query

We handle insurer and TPA queries promptly and track every query to closure through consistent follow-ups.

Grievance Redressal

We address denials, underpayments, and appeals by coordinating with TPAs and insurers to recover the correct claim amount.