TPA Desk Management
Run your TPA desk without running it yourself
Streamline your health insurance claims operations with Medicon Group's TPA Desk Management services — timely, accurate claims processing by simplifying, automating and optimising the work your team does every day.
How we sit in your workflow
We act as the intermediary between TPAs and your hospital
Our desk pre-screens every claim before it is processed, so documentation gaps are caught on your premises rather than at the TPA's end — where they turn into queries, delays and deductions.
- A pre-screening pass on every claim before submission
- Direct, day-to-day coordination with TPA teams
- One accountable point of contact for your billing staff
What you get
Built around how your hospital already works
Customisable to fit your needs
Every hospital is unique. From custom fields and workflows to personalised notifications and reports, the desk is tailored to match your existing processes rather than replacing them.
Data-driven insights
Advanced analytics and reporting give you a clear overview of team performance, task status and resource allocation, so you can identify bottlenecks and drive continuous improvement.
Digiclaim, a user-friendly interface
Your team, our desk and your TPAs all work from one screen — claim status, documents and pending queries visible without a phone call.
Process we follow
Four steps, from admission to settlement
- 01
Eligibility check
Checking eligibility and educating patients about policy terms and conditions at the time of admission.
- 02
Pre-authorisation
We pursue every claim with complete, correct documentation to secure speedy approval.
- 03
Query response
We answer any query raised and stay vigilant with structured follow-up until it is closed.
- 04
Grievance redressal
Denials, appeals or underpayments — we diligently pursue what you are owed until you are paid.